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Patterns of Frailty in Older Adults: Comparing Results from Higher and Lower Income Countries Using the Survey of Health, Ageing and Retirement in Europe (SHARE) and the Study on Global AGEing and Adult Health (SAGE)

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  • Kenneth Harttgen
  • Paul Kowal
  • Holger Strulik
  • Somnath Chatterji
  • Sebastian Vollmer

Abstract

We use the method of deficit accumulation to describe prevalent and incident levels of frailty in community-dwelling older persons and compare prevalence rates in higher income countries in Europe, to prevalence rates in six lower income countries. Two multi-country data collection efforts, SHARE and SAGE, provide nationally representative samples of adults aged 50 years and older. Forty items were used to construct the frailty index in each data set. Our study shows that the level of frailty was distributed along the socioeconomic gradient in both higher and lower income countries such that those individuals with less education and income were more likely to be frail. Frailty increased with age and women were more likely to be frail in most countries. Across samples we find that the level of frailty was higher in the higher income countries than in the lower income countries.

Suggested Citation

  • Kenneth Harttgen & Paul Kowal & Holger Strulik & Somnath Chatterji & Sebastian Vollmer, 2013. "Patterns of Frailty in Older Adults: Comparing Results from Higher and Lower Income Countries Using the Survey of Health, Ageing and Retirement in Europe (SHARE) and the Study on Global AGEing and Adu," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-11, October.
    • Handle: RePEc:plo:pone00:0075847
    DOI: 10.1371/journal.pone.0075847
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    References listed on IDEAS

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    1. Satariano, W.A., 1997. "The disabilities of aging--looking to the physical environment," American Journal of Public Health, American Public Health Association, vol. 87(3), pages 331-332.
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    Cited by:

    1. Holger Strulik & Volker Grossmann, 2022. "Life Cycle Economics with Infectious and Chronic Diseases," CESifo Working Paper Series 10141, CESifo.
    2. Ana Lucia Abeliansky & Holger Strulik, 2018. "How We Fall Apart: Similarities of Human Aging in 10 European Countries," Demography, Springer;Population Association of America (PAA), vol. 55(1), pages 341-359, February.
    3. Abeliansky, Ana Lucia & Strulik, Holger, 2018. "How season of birth affects health and aging," University of Göttingen Working Papers in Economics 352, University of Goettingen, Department of Economics.
    4. Carl‐Johan Dalgaard & Casper Worm Hansen & Holger Strulik, 2021. "Fetal origins—A life cycle model of health and aging from conception to death," Health Economics, John Wiley & Sons, Ltd., vol. 30(6), pages 1276-1290, June.
    5. Abeliansky, Ana Lucia & Strulik, Holger, 2018. "Hungry children age faster," Economics & Human Biology, Elsevier, vol. 29(C), pages 211-220.
    6. Strulik, Holger, 2015. "Frailty, mortality, and the demand for medical care," The Journal of the Economics of Ageing, Elsevier, vol. 6(C), pages 5-12.
    7. Strulik, Holger, 2017. "The Health Hump," Journal of Demographic Economics, Cambridge University Press, vol. 83(2), pages 245-258, June.
    8. McGovern, Mark E., 2014. "Comparing the relationship between stature and later life health in six low and middle income countries," The Journal of the Economics of Ageing, Elsevier, vol. 4(C), pages 128-148.
    9. Strulik, Holger, 2018. "Smoking kills: An economic theory of addiction, health deficit accumulation, and longevity," Journal of Health Economics, Elsevier, vol. 62(C), pages 1-12.
    10. Ana Lucia Abeliansky & Holger Strulik, 2023. "Health and aging before and after retirement," Journal of Population Economics, Springer;European Society for Population Economics, vol. 36(4), pages 2825-2855, October.
    11. Supa Pengpid & Karl Peltzer, 2019. "Prevalence and Associated Factors of Frailty in Community-Dwelling Older Adults in Indonesia, 2014–2015," IJERPH, MDPI, vol. 17(1), pages 1-13, December.
    12. Strulik, Holger, 2022. "A health economic theory of occupational choice, aging, and longevity," Journal of Health Economics, Elsevier, vol. 82(C).
    13. Strulik, Holger, 2022. "Medical progress and life cycle choices," The Journal of the Economics of Ageing, Elsevier, vol. 23(C).
    14. Kelly, Mark & Kuhn, Michael, 2022. "Congestion in a public health service: A macro approach," Journal of Macroeconomics, Elsevier, vol. 74(C).
    15. Schünemann, Johannes & Strulik, Holger & Trimborn, Timo, 2017. "The gender gap in mortality: How much is explained by behavior?," Journal of Health Economics, Elsevier, vol. 54(C), pages 79-90.
    16. Trimborn, Timo & Schünemann, Johannes & Strulik, Holger, 2016. "Disentangling the Gender Gap in Longevity," VfS Annual Conference 2016 (Augsburg): Demographic Change 145570, Verein für Socialpolitik / German Economic Association.
    17. Sergi Blancafort Alias & César Cuevas-Lara & Nicolás Martínez-Velilla & Fabricio Zambom-Ferraresi & Maria Eugenia Soto & Neda Tavassoli & Céline Mathieu & Eva Heras Muxella & Pablo Garibaldi & Maria A, 2021. "A Multi-Domain Group-Based Intervention to Promote Physical Activity, Healthy Nutrition, and Psychological Wellbeing in Older People with Losses in Intrinsic Capacity: AMICOPE Development Study," IJERPH, MDPI, vol. 18(11), pages 1-13, June.
    18. Volker Grossmann & Johannes Schünemann & Holger Strulik, 2021. "Fair Pension Policies with Occupation-Specific Aging," CESifo Working Paper Series 9180, CESifo.
    19. S. Bunt & N. Steverink & J. Olthof & C. P. Schans & J. S. M. Hobbelen, 2017. "Social frailty in older adults: a scoping review," European Journal of Ageing, Springer, vol. 14(3), pages 323-334, September.
    20. Carl-Johan Dalgaard & Casper Worm Hansen & Holger Strulik, 2017. "Accounting for Fetal Origins: Health Capital vs. Health Deficits," Discussion Papers 17-11, University of Copenhagen. Department of Economics.
    21. Strulik, Holger, 2021. "Intertemporal choice with health-dependent discounting," Mathematical Social Sciences, Elsevier, vol. 111(C), pages 19-25.
    22. Abeliansky, Ana Lucia & Strulik, Holger, 2019. "Long-run improvements in human health: Steady but unequal," The Journal of the Economics of Ageing, Elsevier, vol. 14(C).
    23. Abeliansky, Ana Lucia & Strulik, Holger, 2020. "Season of birth, health and aging," Economics & Human Biology, Elsevier, vol. 36(C).
    24. Ruby Yu & Wan-Chi Wu & Jason Leung & Susan C. Hu & Jean Woo, 2017. "Frailty and Its Contributory Factors in Older Adults: A Comparison of Two Asian Regions (Hong Kong and Taiwan)," IJERPH, MDPI, vol. 14(10), pages 1-16, September.

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