Social Inequalities in Grip Strength, Physical Function, and Falls Among Community Dwelling Older Men and Women Findings From the Hertfordshire Cohort Study

被引:38
|
作者
Syddall, Holly [1 ]
Evandrou, Maria [1 ]
Cooper, Cyrus [1 ]
Sayer, Avan Aihie [1 ]
机构
[1] Univ Southampton, Southampton Gen Hosp, MRC Epidemiol Resource Ctr, Southampton SO16 6YD, Hants, England
基金
英国医学研究理事会;
关键词
social inequalities; material deprivation; grip strength; physical function; falls; older people; BODY-MASS INDEX; ELDERLY-PEOPLE; MUSCLE STRENGTH; SOCIOECONOMIC CONDITIONS; SUBSEQUENT DISABILITY; HEALTH INEQUALITIES; PREVENTING FALLS; RISK-FACTORS; BRITISH MEN; DEPRIVATION;
D O I
10.1177/0898264309340793
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Objectives: To explore social inequalities in grip strength, SF-36 physical functioning (PF), and falls among older people. Methods: We analyzed data from 3,225 men and women (age 59-73 years) who participated in the Hertfordshire Cohort Study, United Kingdom. Car availability and home ownership were used as markers of material deprivation. Results: A total of 6.4% of men (17.7% women) had no car and 19.3% of men (23.1% women) did not own their home. Having fewer cars was associated with lower grip and poorer PF among men and women (p < .001), and increased falls among men (p < .001). Not owning one's home was associated with lower grip in men and women (p < .001) and poorer PF in men (p < .001). Lower social class was associated with falls among women only (p = .01). Discussion: There are social inequalities in grip strength, PF, and falls among older people. Interventions should consider the contribution of social inequalities to the problem.
引用
收藏
页码:913 / 939
页数:27
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