Frailty in Indigenous Populations: A Scoping Review
Background: Indigenous populations experience high rates of age-related illness when compared to their non-Indigenous counterparts. Frailty is a challenging expression of aging and an important public health priority. The purpose of this review was to map what the existing literature reports around...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-11-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2021.785460/full |
| _version_ | 1818344485322489856 |
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| author | Ebony T. Lewis Ebony T. Lewis Ebony T. Lewis Leanne Howard Magnolia Cardona Magnolia Cardona Kylie Radford Kylie Radford Adrienne Withall Adam Howie Kenneth Rockwood Ruth Peters Ruth Peters |
| author_facet | Ebony T. Lewis Ebony T. Lewis Ebony T. Lewis Leanne Howard Magnolia Cardona Magnolia Cardona Kylie Radford Kylie Radford Adrienne Withall Adam Howie Kenneth Rockwood Ruth Peters Ruth Peters |
| author_sort | Ebony T. Lewis |
| collection | DOAJ |
| description | Background: Indigenous populations experience high rates of age-related illness when compared to their non-Indigenous counterparts. Frailty is a challenging expression of aging and an important public health priority. The purpose of this review was to map what the existing literature reports around frailty in Indigenous populations and to highlight the current gaps in frailty research within the Indigenous landscape.Method: Scoping review of English language original research articles focusing on frailty within Indigenous adult populations in settler colonial countries (Australia, Canada, New Zealand and USA). Ten electronic databases and eight relevant institutional websites were searched from inception to October 2020.Results: Nine articles met our inclusion criteria, finding this population having a higher prevalence of frailty and frailty occurring at younger ages when compared to their non-Indigenous counterparts, but two did not use a formal frailty tool. Females presented with higher levels of frailty. No culturally specific frailty tool was identified, and the included articles did not assess strategies or interventions to manage or prevent frailty in Indigenous peoples.Conclusions: There was little definitive evidence of the true frailty prevalence, approaches to frailty screening and of potential points of intervention to manage or prevent the onset of frailty. Improvements in the quality of evidence are urgently needed, along with further research to determine the factors contributing to higher rates of frailty within Indigenous populations. Incorporation of Indigenous views of frailty, and instruments and programs that are led and designed by Indigenous communities, are crucial to address this public health priority. |
| first_indexed | 2024-12-13T16:47:14Z |
| format | Article |
| id | doaj.art-27715d74a7154c45975c0c8134aaf690 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-13T16:47:14Z |
| publishDate | 2021-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-27715d74a7154c45975c0c8134aaf6902022-12-21T23:38:07ZengFrontiers Media S.A.Frontiers in Public Health2296-25652021-11-01910.3389/fpubh.2021.785460785460Frailty in Indigenous Populations: A Scoping ReviewEbony T. Lewis0Ebony T. Lewis1Ebony T. Lewis2Leanne Howard3Magnolia Cardona4Magnolia Cardona5Kylie Radford6Kylie Radford7Adrienne Withall8Adam Howie9Kenneth Rockwood10Ruth Peters11Ruth Peters12School of Population Health, Faculty of Medicine and Health, University of New South Wales, Kensington, NSW, AustraliaSchool of Psychology, Faculty of Science, University of New South Wales, Kensington, NSW, AustraliaNeuroscience Research Australia, Randwick, NSW, AustraliaSchool of Population Health, Faculty of Medicine and Health, University of New South Wales, Kensington, NSW, AustraliaGold Coast Hospital and Health Service, Southport, QLD, AustraliaInstitute for Evidence-Based Healthcare, Bond University, Robina, QLD, AustraliaSchool of Psychology, Faculty of Science, University of New South Wales, Kensington, NSW, AustraliaNeuroscience Research Australia, Randwick, NSW, AustraliaSchool of Population Health, Faculty of Medicine and Health, University of New South Wales, Kensington, NSW, AustraliaSchool of Population Health, Faculty of Medicine and Health, University of New South Wales, Kensington, NSW, AustraliaGeriatric Medicine Research Unit, Department of Medicine, Dalhousie University, Nova Scotia Health Authority, Halifax, NS, CanadaSchool of Psychology, Faculty of Science, University of New South Wales, Kensington, NSW, AustraliaNeuroscience Research Australia, Randwick, NSW, AustraliaBackground: Indigenous populations experience high rates of age-related illness when compared to their non-Indigenous counterparts. Frailty is a challenging expression of aging and an important public health priority. The purpose of this review was to map what the existing literature reports around frailty in Indigenous populations and to highlight the current gaps in frailty research within the Indigenous landscape.Method: Scoping review of English language original research articles focusing on frailty within Indigenous adult populations in settler colonial countries (Australia, Canada, New Zealand and USA). Ten electronic databases and eight relevant institutional websites were searched from inception to October 2020.Results: Nine articles met our inclusion criteria, finding this population having a higher prevalence of frailty and frailty occurring at younger ages when compared to their non-Indigenous counterparts, but two did not use a formal frailty tool. Females presented with higher levels of frailty. No culturally specific frailty tool was identified, and the included articles did not assess strategies or interventions to manage or prevent frailty in Indigenous peoples.Conclusions: There was little definitive evidence of the true frailty prevalence, approaches to frailty screening and of potential points of intervention to manage or prevent the onset of frailty. Improvements in the quality of evidence are urgently needed, along with further research to determine the factors contributing to higher rates of frailty within Indigenous populations. Incorporation of Indigenous views of frailty, and instruments and programs that are led and designed by Indigenous communities, are crucial to address this public health priority.https://www.frontiersin.org/articles/10.3389/fpubh.2021.785460/fullfrailtyindigenousfrail elderlyagingprevalence |
| spellingShingle | Ebony T. Lewis Ebony T. Lewis Ebony T. Lewis Leanne Howard Magnolia Cardona Magnolia Cardona Kylie Radford Kylie Radford Adrienne Withall Adam Howie Kenneth Rockwood Ruth Peters Ruth Peters Frailty in Indigenous Populations: A Scoping Review Frontiers in Public Health frailty indigenous frail elderly aging prevalence |
| title | Frailty in Indigenous Populations: A Scoping Review |
| title_full | Frailty in Indigenous Populations: A Scoping Review |
| title_fullStr | Frailty in Indigenous Populations: A Scoping Review |
| title_full_unstemmed | Frailty in Indigenous Populations: A Scoping Review |
| title_short | Frailty in Indigenous Populations: A Scoping Review |
| title_sort | frailty in indigenous populations a scoping review |
| topic | frailty indigenous frail elderly aging prevalence |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2021.785460/full |
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