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Frailty among Older Adults and Its Distribution in England
D R Sinclair1, A Maharani, T Chandola
1David R Sinclair, National Institute for Health Research (NIHR) Older People and Frailty Policy Research Unit, Population Health Sciences Institute, Newcastle University, Newcastle-upon-Tyne, NE4 5PL, UK, Email address: David.R.Sinclair@newcastle.ac.uk.
The Journal of Frailty & Aging
|April 20, 2022
Summary
Frailty prevalence in England is 8.1%, with significant geographic disparities. Urban and coastal areas show higher frailty rates, necessitating targeted interventions for healthy ageing inequalities.
Area of Science:
- Gerontology
- Public Health
- Spatial Epidemiology
Background:
- Understanding the spatial distribution of frailty is essential for effective health and social care planning.
- Geographic variations in frailty prevalence can highlight areas needing targeted support.
Purpose of the Study:
- To estimate small-area frailty prevalence in older adults across England.
- To investigate differences in frailty prevalence between urban, rural, coastal, and inland regions.
Main Methods:
- Utilized data from the English Longitudinal Study of Ageing (ELSA).
- Employed ordinal logistic regression to predict frailty probability based on age, sex, and area deprivation.
- Applied predicted probabilities to 2020 population projections for district-level frailty prevalence estimation.
Main Results:
- Estimated frailty prevalence in adults aged 50+ in England (2020) was 8.1%.
- Observed a four-fold variation in frailty prevalence between the most and least affected areas.
- Found higher frailty prevalence in urban compared to rural areas, and in coastal compared to inland areas.
Conclusions:
- Significant geographic inequalities in healthy ageing exist in England.
- Older adults in urban and coastal areas experience disproportionately higher frailty.
- Interventions to reduce inequalities in healthy ageing should prioritize urban and coastal regions for maximum impact.
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