研究进展

老年期生活不稳定性与纵向衰弱轨迹

来源:Ageing and society · PMID 42974631 · DOI 10.1017/S0144686X26100543 · 来源:IMA 知识库《文献层·文献监控卡片》2026-11-05 期 · 全文级(file_id dAlZBwueyWSz,实际下载核验 1,395,640 B) · 全文已获取并通过三重归属校验

时间标签:数据日期 2026-11-05 · 生成时间 2026-11-05 05:30(Asia/Shanghai)| 检索窗口 PubMed edat 2026/11/02 – 2026/11/06 | 情报发生日期 2026-11-05

研究问题

We calculated the FI at each of the eight waves used in our analysis.Modelling individual social risks and frailtyIn the first stage of the analysis, we identified social risks that may contribute to precarity and tested whether they were associated with frailty.;For risks relating to employment, such as job loss, measures referred to whether the respondent had ever experienced such an event either at the current or previous ELSA waves (or as reported in the life-history module for certain variables).;For similar reasons, risks relating to care-giving also referred to whether the respondent had ever reported such risks at the current or previous ELSA waves.

方法

Again, individual dimensions of precarity have been studied – such as the effects of housing insecurity on biological ageing (Clair et al. 2023) or of care-giving on physical and mental health (Brimblecombe and Cartagena Farias 2022) – but the effect of overall precarity has not been examined.In this study, we therefore develop a measure of later life precarity and examine its association with frailty in older adults.;Grenier (2020) has explicitly linked frailty and precarity, arguing that precarity offers a framework through which we can better understand the frail state as one that arises in a social and political context marked by features such as the marketisation of formal care services, rather than it being purely a biomedical product.;Here, we build on this argument by explicitly modelling the association between frailty and the social risks faced by older adults in such precarious social and political contexts.

核心结论

There is also a substantial literature demonstrating the inequalities in frailty prevalence by socio-economic status (e.g.;Notably, they demonstrate that the level of income precarity is determined not only by employment-related factors but also by factors such as martial status, care-giving responsibilities and housing tenure.;Full model results are provided in Supplementary Table 6.DiscussionSeveral key findings emerge from these results.

局限

However, precarity has also been used to understand growing exposure to risk in other social domains.;As such, precarity does not just represent insecurity faced by older adults in a single domain; rather, it represents a generalised exposure to risk across multiple domains that results in ‘life worlds that are inflected with uncertainty and instability’ (Waite 2009, p. 416) and which arise out of policy contexts shaped by a retrenchment of the welfare state, rearrangement of labour market conditions and a decline in state-provided services (Phillipson 2020).However, in existing research, few studies have attempted to quantitatively capture precarity as it pertains to older adults.;However, unweighted estimates may not be representative of the population, especially due to bias introduced through sample attrition across waves.

对本项目的价值

中等价值:属「衰弱 / 肌少症功能结局」方向;肌肉骨骼 / 衰弱 / 肌少症栏目可用作本项目文献库与综述素材。 | 价值分 2.6/5(★★★☆☆)

全文来源

PubMed PMC JATS(正文 42,928 字符,题名指纹 1.0,已过 PubMed PMCID 官方关联 + 题名指纹 + 正文长度归属校验)

原文题录

  • 中文题名:老年期生活不稳定性与纵向衰弱轨迹
  • 英文标题:Later life precarity and longitudinal frailty trajectories in older adults.
  • 期刊与标识:Ageing and society · PMID 42974631 · DOI 10.1017/S0144686X26100543 · PMC PMC7619687

A 级证据分级:A 级(同行评议人体研究)

本文属人体研究证据,但需注意:观察性或小样本干预的结论不等于已证实临床获益;效应量与长期安全性仍需更大规模、更长随访的试验验证。

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