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Frailty and use of health and community services by community-dwelling older men: the Concord Health and Ageing in Men Project

Background: frailty is a concept used to describe older people at high risk of adverse outcomes, including falls, functional decline, hospital or nursing home admission and death. The associations between frailty and use of specific health and community services have not been investigated. Methods:... Full description

Journal Title: Age and ageing 2010-03, Vol.39 (2), p.228-233
Main Author: Rochat, Stephane
Other Authors: Cumming, Robert G , Blyth, Fiona , Creasey, Helen , Handelsman, David , Le Couteur, David G , Naganathan, Vasi , Sambrook, Philip N , Seibel, Markus J , Waite, Louise
Format: Electronic Article Electronic Article
Language: English
Subjects:
Men
Publisher: England: Oxford University Press
ID: ISSN: 0002-0729
Link: https://www.ncbi.nlm.nih.gov/pubmed/20075036
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title: Frailty and use of health and community services by community-dwelling older men: the Concord Health and Ageing in Men Project
format: Article
creator:
  • Rochat, Stephane
  • Cumming, Robert G
  • Blyth, Fiona
  • Creasey, Helen
  • Handelsman, David
  • Le Couteur, David G
  • Naganathan, Vasi
  • Sambrook, Philip N
  • Seibel, Markus J
  • Waite, Louise
subjects:
  • Accidental Falls
  • Activities of Daily Living
  • Adults
  • Aged
  • Aged, 80 and over
  • Ageing
  • Aging
  • Australia
  • Care
  • Care and treatment
  • Cohort
  • Community health services
  • Community Health Services - utilization
  • Community living
  • Community service
  • Comorbidity
  • Consequences
  • Cross-Sectional Studies
  • Demographic aspects
  • Disability
  • Disability Evaluation
  • Doctors
  • Elder care
  • Elderly
  • Fear
  • Frail elderly
  • Frail Elderly - statistics & numerical data
  • Frailty
  • Geriatric Assessment
  • Geriatric psychology
  • Health
  • Health aspects
  • Health behavior
  • Health behaviour
  • health services
  • Health Status
  • Humans
  • Logistic Models
  • Male
  • Medicine, Preventive
  • Men
  • Mens health
  • Multiple Chronic Conditions
  • older men
  • Outcome Assessment
  • Prevalence
  • Preventive health services
  • Preventive medicine
  • Questionnaires
  • Research
  • Residence Characteristics
  • Surveys and Questionnaires
  • User statistics
ispartof: Age and ageing, 2010-03, Vol.39 (2), p.228-233
description: Background: frailty is a concept used to describe older people at high risk of adverse outcomes, including falls, functional decline, hospital or nursing home admission and death. The associations between frailty and use of specific health and community services have not been investigated. Methods: the cross-sectional relationship between frailty and use of several health and community services in the last 12 months was investigated in 1,674 community-dwelling men aged 70 or older in the Concord Health and Ageing in Men study, a population-based study conducted in Sydney, Australia. Frailty was assessed using a modified version of the Cardiovascular Health Study criteria. Results: overall, 158 (9.4%) subjects were frail, 679 (40.6%) were intermediate (pre-frail) and 837 (50.0%) were robust. Frailty was associated with use of health and community services in the last 12 months, including consulting a doctor, visiting or being visited by a nurse or a physiotherapist, using help with meals or household duties and spending at least one night in a hospital or nursing home. Frail men without disability in activities of daily living were twice more likely to have seen a doctor in the previous 2 weeks than robust men (adjusted odds ratio 2.04, 95% confidence interval 1.21–3.44), independent of age, comorbidity and socio-economic status. Conclusion: frailty is strongly associated with use of health and community services in community-dwelling older men. The high level of use of medical services suggests that doctors and nurses could play a key role in implementation of preventive interventions.
language: eng
source:
identifier: ISSN: 0002-0729
fulltext: no_fulltext
issn:
  • 0002-0729
  • 1468-2834
url: Link


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titleFrailty and use of health and community services by community-dwelling older men: the Concord Health and Ageing in Men Project
creatorRochat, Stephane ; Cumming, Robert G ; Blyth, Fiona ; Creasey, Helen ; Handelsman, David ; Le Couteur, David G ; Naganathan, Vasi ; Sambrook, Philip N ; Seibel, Markus J ; Waite, Louise
creatorcontribRochat, Stephane ; Cumming, Robert G ; Blyth, Fiona ; Creasey, Helen ; Handelsman, David ; Le Couteur, David G ; Naganathan, Vasi ; Sambrook, Philip N ; Seibel, Markus J ; Waite, Louise
descriptionBackground: frailty is a concept used to describe older people at high risk of adverse outcomes, including falls, functional decline, hospital or nursing home admission and death. The associations between frailty and use of specific health and community services have not been investigated. Methods: the cross-sectional relationship between frailty and use of several health and community services in the last 12 months was investigated in 1,674 community-dwelling men aged 70 or older in the Concord Health and Ageing in Men study, a population-based study conducted in Sydney, Australia. Frailty was assessed using a modified version of the Cardiovascular Health Study criteria. Results: overall, 158 (9.4%) subjects were frail, 679 (40.6%) were intermediate (pre-frail) and 837 (50.0%) were robust. Frailty was associated with use of health and community services in the last 12 months, including consulting a doctor, visiting or being visited by a nurse or a physiotherapist, using help with meals or household duties and spending at least one night in a hospital or nursing home. Frail men without disability in activities of daily living were twice more likely to have seen a doctor in the previous 2 weeks than robust men (adjusted odds ratio 2.04, 95% confidence interval 1.21–3.44), independent of age, comorbidity and socio-economic status. Conclusion: frailty is strongly associated with use of health and community services in community-dwelling older men. The high level of use of medical services suggests that doctors and nurses could play a key role in implementation of preventive interventions.
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subjectAccidental Falls ; Activities of Daily Living ; Adults ; Aged ; Aged, 80 and over ; Ageing ; Aging ; Australia ; Care ; Care and treatment ; Cohort ; Community health services ; Community Health Services - utilization ; Community living ; Community service ; Comorbidity ; Consequences ; Cross-Sectional Studies ; Demographic aspects ; Disability ; Disability Evaluation ; Doctors ; Elder care ; Elderly ; Fear ; Frail elderly ; Frail Elderly - statistics & numerical data ; Frailty ; Geriatric Assessment ; Geriatric psychology ; Health ; Health aspects ; Health behavior ; Health behaviour ; health services ; Health Status ; Humans ; Logistic Models ; Male ; Medicine, Preventive ; Men ; Mens health ; Multiple Chronic Conditions ; older men ; Outcome Assessment ; Prevalence ; Preventive health services ; Preventive medicine ; Questionnaires ; Research ; Residence Characteristics ; Surveys and Questionnaires ; User statistics
ispartofAge and ageing, 2010-03, Vol.39 (2), p.228-233
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0Oxford University Press © The Author 2010. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org 2010
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descriptionBackground: frailty is a concept used to describe older people at high risk of adverse outcomes, including falls, functional decline, hospital or nursing home admission and death. The associations between frailty and use of specific health and community services have not been investigated. Methods: the cross-sectional relationship between frailty and use of several health and community services in the last 12 months was investigated in 1,674 community-dwelling men aged 70 or older in the Concord Health and Ageing in Men study, a population-based study conducted in Sydney, Australia. Frailty was assessed using a modified version of the Cardiovascular Health Study criteria. Results: overall, 158 (9.4%) subjects were frail, 679 (40.6%) were intermediate (pre-frail) and 837 (50.0%) were robust. Frailty was associated with use of health and community services in the last 12 months, including consulting a doctor, visiting or being visited by a nurse or a physiotherapist, using help with meals or household duties and spending at least one night in a hospital or nursing home. Frail men without disability in activities of daily living were twice more likely to have seen a doctor in the previous 2 weeks than robust men (adjusted odds ratio 2.04, 95% confidence interval 1.21–3.44), independent of age, comorbidity and socio-economic status. Conclusion: frailty is strongly associated with use of health and community services in community-dwelling older men. The high level of use of medical services suggests that doctors and nurses could play a key role in implementation of preventive interventions.
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1Activities of Daily Living
2Adults
3Aged
4Aged, 80 and over
5Ageing
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7Australia
8Care
9Care and treatment
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18Demographic aspects
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44Outcome Assessment
45Prevalence
46Preventive health services
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48Questionnaires
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50Residence Characteristics
51Surveys and Questionnaires
52User statistics
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titleFrailty and use of health and community services by community-dwelling older men: the Concord Health and Ageing in Men Project
authorRochat, Stephane ; Cumming, Robert G ; Blyth, Fiona ; Creasey, Helen ; Handelsman, David ; Le Couteur, David G ; Naganathan, Vasi ; Sambrook, Philip N ; Seibel, Markus J ; Waite, Louise
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4Aged, 80 and over
5Ageing
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8Care
9Care and treatment
10Cohort
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12Community Health Services - utilization
13Community living
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19Disability
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50Residence Characteristics
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52User statistics
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7Sambrook, Philip N
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atitleFrailty and use of health and community services by community-dwelling older men: the Concord Health and Ageing in Men Project
jtitleAge and ageing
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risdate2010
volume39
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pages228-233
issn0002-0729
eissn1468-2834
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abstractBackground: frailty is a concept used to describe older people at high risk of adverse outcomes, including falls, functional decline, hospital or nursing home admission and death. The associations between frailty and use of specific health and community services have not been investigated. Methods: the cross-sectional relationship between frailty and use of several health and community services in the last 12 months was investigated in 1,674 community-dwelling men aged 70 or older in the Concord Health and Ageing in Men study, a population-based study conducted in Sydney, Australia. Frailty was assessed using a modified version of the Cardiovascular Health Study criteria. Results: overall, 158 (9.4%) subjects were frail, 679 (40.6%) were intermediate (pre-frail) and 837 (50.0%) were robust. Frailty was associated with use of health and community services in the last 12 months, including consulting a doctor, visiting or being visited by a nurse or a physiotherapist, using help with meals or household duties and spending at least one night in a hospital or nursing home. Frail men without disability in activities of daily living were twice more likely to have seen a doctor in the previous 2 weeks than robust men (adjusted odds ratio 2.04, 95% confidence interval 1.21–3.44), independent of age, comorbidity and socio-economic status. Conclusion: frailty is strongly associated with use of health and community services in community-dwelling older men. The high level of use of medical services suggests that doctors and nurses could play a key role in implementation of preventive interventions.
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pmid20075036
doi10.1093/ageing/afp257
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