Area Deprivation Index and Frailty Among Older People With HIV
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Date
2024
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Abstract
We evaluated the relationship between neighborhood disadvantage (measured by the Area Deprivation Index [ADI]) and frailty.
We performed a secondary analysis, pooling cross-sectional data collected from 209 people with HIV (PWH) aged ≥50 years
enrolled in studies in Colorado (CO) and Missouri (MO). MO participants (N = 137) had a higher ADI (µ= 70, ơ2 = 25)
compared to CO (µ= 32, ơ2 = 15; p < .001). No significant differences in ADI were observed between frailty categories when
cohorts were examined either separately or combined; however, when comparing individual frailty criteria, the most apparent
differences by neighborhood disadvantage were seen among those with limited physical activity (μ = 67, ơ2 = 28) compared to
those without (μ = 55, ơ2 = 29, p = .03). Neighborhood disadvantage was associated with low physical activity but not with
overall frailty status. Future research should examine how access to physical activity spaces varies based on ADI, as this could be
crucial in preventing frailty.
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Keywords
Frailty, HIV, Older, Neighborhood disadvantage, Area deprivation index