PDF(Pubmed)
Abstract：
UNASSIGNED: Frailty is a significant healthcare challenge worldwide, increasing interest in developing more assessment tools covering for frailty. Recently, there has been a growing awareness of a correlation between social variables and frailty in older people. However, there is a lack of understanding of the social domains of frailty and the related adverse outcomes, particularly in the Asia-Pacific settings. This study aimed to characterize the social frailty domains and their health outcomes by overviewing the frailty screening tools in older people living in the Asia-Pacific region.
UNASSIGNED: A systematic review, using the PRISMA guideline, was conducted on articles published between 2002 and 2023 from three electronic databases: PubMed, Scopus, and ScienceDirect. A manual search was conducted for the references of the included articles using Google Scholar. Included articles must be in English and were based on empirical evidence published in peer-reviewed journals and focus on the assessment of domains of social frailty in older people aged 60 or over in the Asia-Pacific (East Asia, Southeast Asia, and Oceania).
UNASSIGNED: A total of 31 studies were included in the thematic analysis, from which 16 screening tools measuring six social domains were reviewed. The six domains were: social networks, followed by social activities, social support, financial difficulties, social roles, and socioeconomic, arranged in four categories: social resources, social needs, social behaviors (or social activities), and general resources. The six social domains predicted mortality, physical difficulties, and disability incidence. Other adverse health outcomes were also associated with these social domains, including cognitive disorders, mental illness, and nutritional disorders (n = 5 domains each), dementia (n = 4 domains), and oral frailty, hearing loss, obesity, and chronic pain (n = 3 domains each).
UNASSIGNED: Overall, social frailty is a complex construct with multiple dimensions, including the frailty of social and general resources, social behaviors, and social needs, leading to several health disorders. The findings contribute to understanding the conceptual framework of social frailty in older people and its related health outcomes. Therefore, it could facilitate professionals and researchers to monitor and reduce the risks of adverse health outcomes related to each domain of social frailty, contributing to a better aging process.
UNASSIGNED: A systematic review, using the PRISMA guideline, was conducted on articles published between 2002 and 2023 from three electronic databases: PubMed, Scopus, and ScienceDirect. A manual search was conducted for the references of the included articles using Google Scholar. Included articles must be in English and were based on empirical evidence published in peer-reviewed journals and focus on the assessment of domains of social frailty in older people aged 60 or over in the Asia-Pacific (East Asia, Southeast Asia, and Oceania).
UNASSIGNED: A total of 31 studies were included in the thematic analysis, from which 16 screening tools measuring six social domains were reviewed. The six domains were: social networks, followed by social activities, social support, financial difficulties, social roles, and socioeconomic, arranged in four categories: social resources, social needs, social behaviors (or social activities), and general resources. The six social domains predicted mortality, physical difficulties, and disability incidence. Other adverse health outcomes were also associated with these social domains, including cognitive disorders, mental illness, and nutritional disorders (n = 5 domains each), dementia (n = 4 domains), and oral frailty, hearing loss, obesity, and chronic pain (n = 3 domains each).
UNASSIGNED: Overall, social frailty is a complex construct with multiple dimensions, including the frailty of social and general resources, social behaviors, and social needs, leading to several health disorders. The findings contribute to understanding the conceptual framework of social frailty in older people and its related health outcomes. Therefore, it could facilitate professionals and researchers to monitor and reduce the risks of adverse health outcomes related to each domain of social frailty, contributing to a better aging process.
摘要：
■脆弱是全球范围内的重大医疗保健挑战，对开发更多针对脆弱的评估工具的兴趣日益增加。最近,人们越来越意识到社会变量与老年人的虚弱之间存在相关性。然而,对虚弱的社会领域和相关的不良后果缺乏了解，特别是在亚太地区。这项研究旨在通过概述亚太地区老年人的脆弱筛查工具来表征社会脆弱领域及其健康结果。
■系统评价，使用PRISMA指南，是在2002年至2023年之间发表的来自三个电子数据库的文章上进行的：PubMed，Scopus,和科学直接。使用GoogleScholar对所包含文章的参考文献进行了手动搜索。收录的文章必须是英文的，并且基于在同行评审期刊上发表的经验证据，并着重于评估亚太地区60岁或以上老年人的社会脆弱领域（东亚，东南亚,和大洋洲）。
■共有31项研究被纳入主题分析，其中回顾了16种测量6个社会领域的筛查工具。这六个领域是：社交网络，其次是社会活动，社会支持,财政困难,社会角色,社会经济,分为四类:社会资源，社会需要,社会行为（或社会活动），和一般资源。六个社会领域预测死亡率，身体上的困难,和残疾发生率。其他不良健康结果也与这些社会领域有关，包括认知障碍,精神疾病,和营养障碍（每个n=5个领域），痴呆（n=4域），和口腔脆弱，听力损失,肥胖，和慢性疼痛（每个n=3个结构域）。
■总的来说，社会脆弱是一个具有多个维度的复杂结构，包括社会和一般资源的脆弱，社会行为,和社会需求，导致几种健康障碍。这些发现有助于理解老年人社会脆弱的概念框架及其相关的健康结果。因此,它可以促进专业人员和研究人员监测和减少与社会脆弱的每个领域相关的不良健康结果的风险，有助于更好的衰老过程。
■系统评价，使用PRISMA指南，是在2002年至2023年之间发表的来自三个电子数据库的文章上进行的：PubMed，Scopus,和科学直接。使用GoogleScholar对所包含文章的参考文献进行了手动搜索。收录的文章必须是英文的，并且基于在同行评审期刊上发表的经验证据，并着重于评估亚太地区60岁或以上老年人的社会脆弱领域（东亚，东南亚,和大洋洲）。
■共有31项研究被纳入主题分析，其中回顾了16种测量6个社会领域的筛查工具。这六个领域是：社交网络，其次是社会活动，社会支持,财政困难,社会角色,社会经济,分为四类:社会资源，社会需要,社会行为（或社会活动），和一般资源。六个社会领域预测死亡率，身体上的困难,和残疾发生率。其他不良健康结果也与这些社会领域有关，包括认知障碍,精神疾病,和营养障碍（每个n=5个领域），痴呆（n=4域），和口腔脆弱，听力损失,肥胖，和慢性疼痛（每个n=3个结构域）。
■总的来说，社会脆弱是一个具有多个维度的复杂结构，包括社会和一般资源的脆弱，社会行为,和社会需求，导致几种健康障碍。这些发现有助于理解老年人社会脆弱的概念框架及其相关的健康结果。因此,它可以促进专业人员和研究人员监测和减少与社会脆弱的每个领域相关的不良健康结果的风险，有助于更好的衰老过程。
