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Journal article
Frailty in Older Adults and Internal and Forced Migration in Urban Neighborhood Contexts in Colombia
International journal of public health, v 68
01 May 2023
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: We investigated the association between the density of internal human migration, in the urban neighborhood, on frailty in the older adult population in Colombia.
Methods: The data used in this study are from four Colombian population surveys. We analyzed 633 census tracts with a sample of 2,194 adults 60 years and over for frailty (measured using the Fried criteria). We considered the proportion of inhabitants in a census tract with a history of internal migration as the exposure variable considering three temporalities. For contextual forced migration, we identified two types: 5-year, and 1-year. Poisson multivariable regression models with two hierarchical levels (individual and census tracts) were estimated.
Results: The prevalence of pre-fragile/frailty was 80.63% [CI 95%: 77.67, 83.28]. The prevalence ratio were significantly higher for the older adults who live in neighborhoods where a higher proportion of internal migrants reside.
Conclusion: We conclude that older adults who lived in neighborhoods with a high proportion of internal migrants experience more frailty. Potential explanations are that neighborhoods with high internal migration could experience social (l increase in cultural heterogeneity, in the perception of insecurity, violence and physical conditions (pressure on local economies and services, leading elderly residents to compete for neighborhood resources), translated into social stress.
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Details
- Title
- Frailty in Older Adults and Internal and Forced Migration in Urban Neighborhood Contexts in Colombia
- Creators
- Herney Rengifo-Reina - Center for Population Health Research, National Institute of Public Health (Mexico), Cuernavaca, MexicoTonatiuh Barrientos-Gutiérrez - Center for Population Health Research, National Institute of Public Health (Mexico), Cuernavaca, MexicoNancy López-Olmedo - Center for Population Health Research, National Institute of Public Health (Mexico), Cuernavaca, MexicoBrisa N. Sánchez - Drexel UniversityAna Diez Roux - Drexel University
- Publication Details
- International journal of public health, v 68
- Publisher
- Frontiers Media S.A
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000990535300001
- Scopus ID
- 2-s2.0-85159841282
- Other Identifier
- 991020494496204721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health