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Development and Validation of a Social Frailty Index Among Older Adults in the Philippines

Bibliographic Data

ID12797407
AuthorsEdina YQ Tan (0000-0002-6678-6355, Duke-NUS Medical School, Singapore, Singapore, corresponding author), Hanzhang Xu (0000-0001-9617-247X, Duke University), Rajeev Malhotra (0000-0002-9978-4276, Duke-NUS Medical School, Singapore, Singapore), Mark Ryan B Paguirigan (0000-0003-2248-6542, Population Institute, University of the Philippines, Quezon City, Philippines), Grace T Cruz (0000-0002-8675-457X, University of the Philippines System), Yasuhiko Saito (0000-0002-0148-6597, Nihon University, Tokyo, Japan), Truls Østbye (0000-0002-0662-7440, Duke-NUS Medical School, Singapore, Singapore)
Year2025
Pages8982643251356716-8982643251356716
Publication date2025-06-29
Open AccessYes
TypeARTICLE
VenueJournal of Aging and Health (JOURNAL)
Journal identifiersISSN: 1552-6887 • E-ISSN: 0898-2643
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/08982643251356716
PMID40583154
OpenAlexW4411928161
LanguageEN
References cited31

BackgroundSocial frailty has not been studied in the Philippines, a Southeast Asian country with distinct sociocultural characteristics.ObjectiveTo (i) develop and validate the Social Frailty Index-Philippines (SFI-Phil), using all-cause mortality (up to 4 years) as the outcome and (ii) evaluate performance of SFI-Phil across age, sex, and residence.MethodsPerforming regression analyses on baseline and 4-year follow-up data from 5153 older adults aged 60+ from the nationally representative Longitudinal Study of Ageing and Health in the Philippines (LSAHP), we selected and validated a parsimonious model of social predictors.ResultsThe resulting 6-item SFI-Phil demonstrated satisfactory accuracy in predicting mortality up to 4 years (C-statistic 0.640, 95% confidence interval [CI]: 0.608-0.673) in a validation sample and across demographic strata, although better amongst 60-69 year olds, men, and urban residents.ConclusionSFI-Phil, developed considering Philippines's sociocultural context, can be used to assess social frailty among older adults in the Philippines

Confidence interval · Context (archaeology · Geography · Residence · Social environment · Sociology · Statistic · Statistics · Demography · Frailty in Older Adults · Health disparities and outcomes · Medicine · Nutrition and Health in Aging · Gerontology

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