Accelerated aging in people experiencing homelessness: A rapid review of frailty prevalence and determinants
IntroductionOlder people experiencing homelessness (PEH) are a rapidly growing population at risk of accelerated aging and the early onset of geriatric conditions. One construct that shows promise in predicting age-related decline is frailty. Better understanding the rates and causes of frailty in P...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1086215/full |
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| author | Rhys Mantell Ye In Jane Hwang Ye In Jane Hwang Kylie Radford Kylie Radford Kylie Radford Silvija Perkovic Patricia Cullen Patricia Cullen Patricia Cullen Adrienne Withall Adrienne Withall |
| author_facet | Rhys Mantell Ye In Jane Hwang Ye In Jane Hwang Kylie Radford Kylie Radford Kylie Radford Silvija Perkovic Patricia Cullen Patricia Cullen Patricia Cullen Adrienne Withall Adrienne Withall |
| author_sort | Rhys Mantell |
| collection | DOAJ |
| description | IntroductionOlder people experiencing homelessness (PEH) are a rapidly growing population at risk of accelerated aging and the early onset of geriatric conditions. One construct that shows promise in predicting age-related decline is frailty. Better understanding the rates and causes of frailty in PEH may improve understanding of its antecedents, thereby facilitating more targeted health and aged care service interventions. The aim of this study was to conduct a rapid review on the prevalence and determinants of frailty in adult PEH.MethodsWe conducted a rapid review of primary research papers studying PEH and frailty or frailty-related concepts.ResultsFourteen studies were included, which indicate that frailty presents earlier and at higher rates in PEH than community-dwelling cohorts. A notable difficulty for many aging PEH was early-onset cognitive impairment which was associated with a range of negative functional outcomes. Another recurrent theme was the negative impact that drug and alcohol use and dependence can have on the health of PEH. Further, psychosocial and structural determinants such as loneliness, living in an impoverished neighborhood and being female had statistically significant associations with frailty and functional decline in PEH.Discussion and implicationsPEH in their 40s and 50s can be frail and experience geriatric conditions, including cognitive impairment. Factors that have important relationships to frailty and functional decline in PEH include cognitive deficits, drug and alcohol dependence and loneliness, as well as upstream determinants such as gender and ethnicity. More targeted data and research on these factors, including cohort studies to better investigate their potentially causal effects, is important for researchers and practitioners assessing and treating frailty in PEH, particularly those interested in early intervention and prevention.Prospero registration IDCRD42022292549. |
| first_indexed | 2024-04-10T00:13:53Z |
| format | Article |
| id | doaj.art-ef4ee547910c4e0c9eeed4bfe6b6da23 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-10T00:13:53Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-ef4ee547910c4e0c9eeed4bfe6b6da232023-03-16T07:20:15ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-03-011110.3389/fpubh.2023.10862151086215Accelerated aging in people experiencing homelessness: A rapid review of frailty prevalence and determinantsRhys Mantell0Ye In Jane Hwang1Ye In Jane Hwang2Kylie Radford3Kylie Radford4Kylie Radford5Silvija Perkovic6Patricia Cullen7Patricia Cullen8Patricia Cullen9Adrienne Withall10Adrienne Withall11School of Population Health, Faculty of Medicine and Health, University of New South Wales (UNSW), Sydney, NSW, AustraliaSchool of Population Health, Faculty of Medicine and Health, University of New South Wales (UNSW), Sydney, NSW, AustraliaUNSW Ageing Futures Institute, University of New South Wales (UNSW), Sydney, NSW, AustraliaUNSW Ageing Futures Institute, University of New South Wales (UNSW), Sydney, NSW, AustraliaSchool of Psychology, Faculty of Science, University of New South Wales (UNSW), Sydney, NSW, AustraliaNeuroscience Research Australia (NeuRA), Sydney, NSW, AustraliaSchool of Population Health, Faculty of Medicine and Health, University of New South Wales (UNSW), Sydney, NSW, AustraliaSchool of Population Health, Faculty of Medicine and Health, University of New South Wales (UNSW), Sydney, NSW, AustraliaThe George Institute for Global Health, University of New South Wales (UNSW), Sydney, NSW, AustraliaNgarruwan Ngadju: First Peoples Health and Wellbeing Research Centre, University of Wollongong, Wollongong, NSW, AustraliaSchool of Population Health, Faculty of Medicine and Health, University of New South Wales (UNSW), Sydney, NSW, AustraliaUNSW Ageing Futures Institute, University of New South Wales (UNSW), Sydney, NSW, AustraliaIntroductionOlder people experiencing homelessness (PEH) are a rapidly growing population at risk of accelerated aging and the early onset of geriatric conditions. One construct that shows promise in predicting age-related decline is frailty. Better understanding the rates and causes of frailty in PEH may improve understanding of its antecedents, thereby facilitating more targeted health and aged care service interventions. The aim of this study was to conduct a rapid review on the prevalence and determinants of frailty in adult PEH.MethodsWe conducted a rapid review of primary research papers studying PEH and frailty or frailty-related concepts.ResultsFourteen studies were included, which indicate that frailty presents earlier and at higher rates in PEH than community-dwelling cohorts. A notable difficulty for many aging PEH was early-onset cognitive impairment which was associated with a range of negative functional outcomes. Another recurrent theme was the negative impact that drug and alcohol use and dependence can have on the health of PEH. Further, psychosocial and structural determinants such as loneliness, living in an impoverished neighborhood and being female had statistically significant associations with frailty and functional decline in PEH.Discussion and implicationsPEH in their 40s and 50s can be frail and experience geriatric conditions, including cognitive impairment. Factors that have important relationships to frailty and functional decline in PEH include cognitive deficits, drug and alcohol dependence and loneliness, as well as upstream determinants such as gender and ethnicity. More targeted data and research on these factors, including cohort studies to better investigate their potentially causal effects, is important for researchers and practitioners assessing and treating frailty in PEH, particularly those interested in early intervention and prevention.Prospero registration IDCRD42022292549.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1086215/fullfrailtyhomelessnessmarginalized and vulnerable groupsaccelerated agingcognitive impairmentsocial determinants of health |
| spellingShingle | Rhys Mantell Ye In Jane Hwang Ye In Jane Hwang Kylie Radford Kylie Radford Kylie Radford Silvija Perkovic Patricia Cullen Patricia Cullen Patricia Cullen Adrienne Withall Adrienne Withall Accelerated aging in people experiencing homelessness: A rapid review of frailty prevalence and determinants Frontiers in Public Health frailty homelessness marginalized and vulnerable groups accelerated aging cognitive impairment social determinants of health |
| title | Accelerated aging in people experiencing homelessness: A rapid review of frailty prevalence and determinants |
| title_full | Accelerated aging in people experiencing homelessness: A rapid review of frailty prevalence and determinants |
| title_fullStr | Accelerated aging in people experiencing homelessness: A rapid review of frailty prevalence and determinants |
| title_full_unstemmed | Accelerated aging in people experiencing homelessness: A rapid review of frailty prevalence and determinants |
| title_short | Accelerated aging in people experiencing homelessness: A rapid review of frailty prevalence and determinants |
| title_sort | accelerated aging in people experiencing homelessness a rapid review of frailty prevalence and determinants |
| topic | frailty homelessness marginalized and vulnerable groups accelerated aging cognitive impairment social determinants of health |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1086215/full |
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