Relationships between frailty, neighborhood security, social cohesion and sense of belonging among community-dwelling older people
Aim The relationships between frailty and neighborhood social resources and neighborhood quality among community‐dwelling older people are poorly understood. We therefore enquired into these associations while controlling for important individual characteristics. Methods Our cross‐sectional study in...
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| Veröffentlicht in: | Geriatrics & gerontology international 2013-07, Vol.13 (3), p.759-763 |
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| container_title | Geriatrics & gerontology international |
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| creator | Cramm, Jane M Nieboer, Anna P |
| description | Aim
The relationships between frailty and neighborhood social resources and neighborhood quality among community‐dwelling older people are poorly understood. We therefore enquired into these associations while controlling for important individual characteristics.
Methods
Our cross‐sectional study included 945 out of 1440 (66% response rate) community‐dwelling older people (aged ≥70 years) in Rotterdam. The sample included approximately 430 older adults per district and was proportional with respect to neighborhood and age. Potential participants were mailed questionnaires, non‐respondents were first sent a reminder, then asked by telephone and finally visited at home to complete the questionnaire.
Results
Age, sex, marital status and level of education varied between the frail and non‐frail. A significantly larger proportion of the frail was female (64.4% vs 48.0%; P ≤ 0.001), fewer were married (22.1% vs 48.4%; P ≤ 0.001) and the frail were, on average, older than the non‐frail (78.8 vs 76.0 years; P ≤ 0.001). A significantly larger proportion of the frail were poorly educated (25.9% vs 18.6%; P ≤ 0.01). Multilevel regression analyses showed that older age (P |
| doi_str_mv | 10.1111/j.1447-0594.2012.00967.x |
| format | Article |
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The relationships between frailty and neighborhood social resources and neighborhood quality among community‐dwelling older people are poorly understood. We therefore enquired into these associations while controlling for important individual characteristics.
Methods
Our cross‐sectional study included 945 out of 1440 (66% response rate) community‐dwelling older people (aged ≥70 years) in Rotterdam. The sample included approximately 430 older adults per district and was proportional with respect to neighborhood and age. Potential participants were mailed questionnaires, non‐respondents were first sent a reminder, then asked by telephone and finally visited at home to complete the questionnaire.
Results
Age, sex, marital status and level of education varied between the frail and non‐frail. A significantly larger proportion of the frail was female (64.4% vs 48.0%; P ≤ 0.001), fewer were married (22.1% vs 48.4%; P ≤ 0.001) and the frail were, on average, older than the non‐frail (78.8 vs 76.0 years; P ≤ 0.001). A significantly larger proportion of the frail were poorly educated (25.9% vs 18.6%; P ≤ 0.01). Multilevel regression analyses showed that older age (P < 0.001) was associated with higher likelihood of frailty and marital status (P < 0.001) with lower likelihood of frailty. Feeling more secure (P < 0.001) and having a stronger sense of social cohesion and neighborhood belonging (P < 0.05) seemed to protect against frailty.
Conclusion
The results of this study support the importance of feeling safe, social cohesion and a sense of belonging within the neighborhood. These findings could have important implications for efforts to reduce frailty of older people within communities. Geriatr Gerontol Int 2013; 13: 759–763.</description><identifier>ISSN: 1444-1586</identifier><identifier>EISSN: 1447-0594</identifier><identifier>DOI: 10.1111/j.1447-0594.2012.00967.x</identifier><identifier>PMID: 23190426</identifier><language>eng</language><publisher>Japan: Blackwell Publishing Ltd</publisher><subject>Aged ; Aging - psychology ; belonging ; community study ; Cross-Sectional Studies ; Female ; Frail Elderly - statistics & numerical data ; Frailty ; Geriatric Assessment - methods ; Health Status ; Humans ; Interpersonal Relations ; Male ; Mental Health ; Neighborhoods ; Netherlands ; Older people ; Questionnaires ; Residence Characteristics ; Security ; social cohesion ; Social networks ; Socioeconomic Factors ; Surveys and Questionnaires</subject><ispartof>Geriatrics & gerontology international, 2013-07, Vol.13 (3), p.759-763</ispartof><rights>2012 Japan Geriatrics Society</rights><rights>2012 Japan Geriatrics Society.</rights><rights>Copyright © 2013 Japan Geriatrics Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5247-c34f0c386e0ca71fb2d99a195874991f88088f827096ddfb96877930107987ec3</citedby><cites>FETCH-LOGICAL-c5247-c34f0c386e0ca71fb2d99a195874991f88088f827096ddfb96877930107987ec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1447-0594.2012.00967.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1447-0594.2012.00967.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23190426$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cramm, Jane M</creatorcontrib><creatorcontrib>Nieboer, Anna P</creatorcontrib><title>Relationships between frailty, neighborhood security, social cohesion and sense of belonging among community-dwelling older people</title><title>Geriatrics & gerontology international</title><addtitle>Geriatrics & Gerontology International</addtitle><description>Aim
The relationships between frailty and neighborhood social resources and neighborhood quality among community‐dwelling older people are poorly understood. We therefore enquired into these associations while controlling for important individual characteristics.
Methods
Our cross‐sectional study included 945 out of 1440 (66% response rate) community‐dwelling older people (aged ≥70 years) in Rotterdam. The sample included approximately 430 older adults per district and was proportional with respect to neighborhood and age. Potential participants were mailed questionnaires, non‐respondents were first sent a reminder, then asked by telephone and finally visited at home to complete the questionnaire.
Results
Age, sex, marital status and level of education varied between the frail and non‐frail. A significantly larger proportion of the frail was female (64.4% vs 48.0%; P ≤ 0.001), fewer were married (22.1% vs 48.4%; P ≤ 0.001) and the frail were, on average, older than the non‐frail (78.8 vs 76.0 years; P ≤ 0.001). A significantly larger proportion of the frail were poorly educated (25.9% vs 18.6%; P ≤ 0.01). Multilevel regression analyses showed that older age (P < 0.001) was associated with higher likelihood of frailty and marital status (P < 0.001) with lower likelihood of frailty. Feeling more secure (P < 0.001) and having a stronger sense of social cohesion and neighborhood belonging (P < 0.05) seemed to protect against frailty.
Conclusion
The results of this study support the importance of feeling safe, social cohesion and a sense of belonging within the neighborhood. These findings could have important implications for efforts to reduce frailty of older people within communities. Geriatr Gerontol Int 2013; 13: 759–763.</description><subject>Aged</subject><subject>Aging - psychology</subject><subject>belonging</subject><subject>community study</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Frail Elderly - statistics & numerical data</subject><subject>Frailty</subject><subject>Geriatric Assessment - methods</subject><subject>Health Status</subject><subject>Humans</subject><subject>Interpersonal Relations</subject><subject>Male</subject><subject>Mental Health</subject><subject>Neighborhoods</subject><subject>Netherlands</subject><subject>Older people</subject><subject>Questionnaires</subject><subject>Residence Characteristics</subject><subject>Security</subject><subject>social cohesion</subject><subject>Social networks</subject><subject>Socioeconomic Factors</subject><subject>Surveys and Questionnaires</subject><issn>1444-1586</issn><issn>1447-0594</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUGP0zAQhSMEYpeFv4AsceFAgh0nsS1xQQuUlUqRKhBHy3EmrYtjFztR2yu_HGe79MAJXzzy-9547JdliOCCpPV2V5CqYjmuRVWUmJQFxqJhxfFRdn0RHt_XVU5q3lxlz2LcYUyYIORpdlVSInBVNtfZ7zVYNRrv4tbsI2phPAA41Adl7Hh6gxyYzbb1Yet9hyLoKZj5OHptlEXabyEmM1JuVl0E5PvUxHq3MW6D1JCKRA3D5JIv7w5g7Sx420FAe_B7C8-zJ72yEV487DfZ908fv91-zpdfF3e375e5rsv0Jk2rHmvKG8BaMdK3ZSeEIqLmrBKC9JxjzntesvQVXde3ouGMCYoJZoIz0PQme33uuw_-1wRxlIOJOg2kHPgpSkIF5WVV1TShr_5Bd34KLk2XKEZLJhipEsXPlA4-xgC93AczqHCSBMs5J7mTcxxyjkPOOcn7nOQxWV8-XDC1A3QX499gEvDuDByMhdN_N5aLxV0qkj0_200c4Xixq_BTJpXV8sdqIVfrD-vlF9zIFf0D_DKxMw</recordid><startdate>201307</startdate><enddate>201307</enddate><creator>Cramm, Jane M</creator><creator>Nieboer, Anna P</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201307</creationdate><title>Relationships between frailty, neighborhood security, social cohesion and sense of belonging among community-dwelling older people</title><author>Cramm, Jane M ; Nieboer, Anna P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5247-c34f0c386e0ca71fb2d99a195874991f88088f827096ddfb96877930107987ec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Aging - psychology</topic><topic>belonging</topic><topic>community study</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Frail Elderly - statistics & numerical data</topic><topic>Frailty</topic><topic>Geriatric Assessment - methods</topic><topic>Health Status</topic><topic>Humans</topic><topic>Interpersonal Relations</topic><topic>Male</topic><topic>Mental Health</topic><topic>Neighborhoods</topic><topic>Netherlands</topic><topic>Older people</topic><topic>Questionnaires</topic><topic>Residence Characteristics</topic><topic>Security</topic><topic>social cohesion</topic><topic>Social networks</topic><topic>Socioeconomic Factors</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cramm, Jane M</creatorcontrib><creatorcontrib>Nieboer, Anna P</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Geriatrics & gerontology international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cramm, Jane M</au><au>Nieboer, Anna P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationships between frailty, neighborhood security, social cohesion and sense of belonging among community-dwelling older people</atitle><jtitle>Geriatrics & gerontology international</jtitle><addtitle>Geriatrics & Gerontology International</addtitle><date>2013-07</date><risdate>2013</risdate><volume>13</volume><issue>3</issue><spage>759</spage><epage>763</epage><pages>759-763</pages><issn>1444-1586</issn><eissn>1447-0594</eissn><abstract>Aim
The relationships between frailty and neighborhood social resources and neighborhood quality among community‐dwelling older people are poorly understood. We therefore enquired into these associations while controlling for important individual characteristics.
Methods
Our cross‐sectional study included 945 out of 1440 (66% response rate) community‐dwelling older people (aged ≥70 years) in Rotterdam. The sample included approximately 430 older adults per district and was proportional with respect to neighborhood and age. Potential participants were mailed questionnaires, non‐respondents were first sent a reminder, then asked by telephone and finally visited at home to complete the questionnaire.
Results
Age, sex, marital status and level of education varied between the frail and non‐frail. A significantly larger proportion of the frail was female (64.4% vs 48.0%; P ≤ 0.001), fewer were married (22.1% vs 48.4%; P ≤ 0.001) and the frail were, on average, older than the non‐frail (78.8 vs 76.0 years; P ≤ 0.001). A significantly larger proportion of the frail were poorly educated (25.9% vs 18.6%; P ≤ 0.01). Multilevel regression analyses showed that older age (P < 0.001) was associated with higher likelihood of frailty and marital status (P < 0.001) with lower likelihood of frailty. Feeling more secure (P < 0.001) and having a stronger sense of social cohesion and neighborhood belonging (P < 0.05) seemed to protect against frailty.
Conclusion
The results of this study support the importance of feeling safe, social cohesion and a sense of belonging within the neighborhood. These findings could have important implications for efforts to reduce frailty of older people within communities. Geriatr Gerontol Int 2013; 13: 759–763.</abstract><cop>Japan</cop><pub>Blackwell Publishing Ltd</pub><pmid>23190426</pmid><doi>10.1111/j.1447-0594.2012.00967.x</doi><tpages>5</tpages></addata></record> |
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| subjects | Aged Aging - psychology belonging community study Cross-Sectional Studies Female Frail Elderly - statistics & numerical data Frailty Geriatric Assessment - methods Health Status Humans Interpersonal Relations Male Mental Health Neighborhoods Netherlands Older people Questionnaires Residence Characteristics Security social cohesion Social networks Socioeconomic Factors Surveys and Questionnaires |
| title | Relationships between frailty, neighborhood security, social cohesion and sense of belonging among community-dwelling older people |
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