This contribution highlights the importance of social determinants of individual frailty among older people and how, especially in Italy (Giarelli, 2013), the frailty in the ageing experience arises more and more from the hybridisation of multiple generative factors (Poli, Pandolfini, 2016; Poli et al., 2016; Ferrucci, Giallauriaf, Guralnik, 2008), related to social and structural dimensions (for instance, education, income, status, employment in life), combined with individual characteristics (age, sex, genetic background) and lifestyles (nutrition, physical activity, daily habits, etc.). Focusing on such social determinants and considering the diffused demographic ageing, underlines how the early recognition of frailty among elderly people becomes a priority, both as a matter of public health and in terms of methodology, due to the deep and complex multi- dimensionality of the phenomenon requiring screening modalities able to combine the clinical aspects with the social determinants of frailty itself (Metzelthin et al., 2010). To this aim, adopting such a multidimensional perspective, this article aims to explore frailty among a sample of community-dwelling elderly people observing its possible association with social factors, while also offering an opportunity to examine the results of a first application in Italy of the frail scale, an important self-report instrument recently realised in the United States by the International Association of Nutrition and Ageing (Morley, Malmstrom, Miller, 2012).
Il contributo illustra l'impatto dei fattori socioeconomici sulle condizioni di fragilità di salute della popolazione anziana, riportando una classificazione per profili senior deerivanti dalla combinazione delle condizione di salute e della situazione socioeconomica e risultante dall'analisi di dati empirici ricavati da una prima somministrazione della Scala FRAIL in Italia.
The Impact of Inequality Factors on Frailty Conditions Among Older Population
S. Poli
2019-01-01
Abstract
This contribution highlights the importance of social determinants of individual frailty among older people and how, especially in Italy (Giarelli, 2013), the frailty in the ageing experience arises more and more from the hybridisation of multiple generative factors (Poli, Pandolfini, 2016; Poli et al., 2016; Ferrucci, Giallauriaf, Guralnik, 2008), related to social and structural dimensions (for instance, education, income, status, employment in life), combined with individual characteristics (age, sex, genetic background) and lifestyles (nutrition, physical activity, daily habits, etc.). Focusing on such social determinants and considering the diffused demographic ageing, underlines how the early recognition of frailty among elderly people becomes a priority, both as a matter of public health and in terms of methodology, due to the deep and complex multi- dimensionality of the phenomenon requiring screening modalities able to combine the clinical aspects with the social determinants of frailty itself (Metzelthin et al., 2010). To this aim, adopting such a multidimensional perspective, this article aims to explore frailty among a sample of community-dwelling elderly people observing its possible association with social factors, while also offering an opportunity to examine the results of a first application in Italy of the frail scale, an important self-report instrument recently realised in the United States by the International Association of Nutrition and Ageing (Morley, Malmstrom, Miller, 2012).
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