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Table 2 Association between baseline characteristics and the trajectories of frailty, cognitive impairment, and depressive symptoms in older adults in China (2011–2018)

From: Frailty, cognitive impairment, and depressive symptoms in Chinese older adults: an eight-year multi-trajectory analysis

  

Trajectories of frailty, cognitive impairment, and depressive symptoms

 

(Ref: Physically robust, declining cognition, no depression)

 

Worsening frailty, worsening cognitive impairment, depression

Declining pre-frailty, declining cognition, borderline depression

Pre-frailty, worsening cognitive impairment, no depression

 
 

aOR

95% CI

aOR

95% CI

aOR

95% CI

 

Age (every 5-year increase; continuous)

1.93*

(1.77–2.13)

1.16*

(1.07–1.26)

1.68*

(1.55–1.83)

 

Female (ref: Male)

2.66*

(2.11–3.36)

1.67*

(1.41–1.98)

2.31*

(1.93–2.77)

 

Human capital

         

Education (ref: Elementary school or higher)

         
 

No formal education

12.99*

(9.84–17.15)

1.37

(1.06–1.76)

23.14*

(18.43–29.07)

 
 

Less than elementary school

2.43*

(1.83–3.24)

1.39*

(1.14–1.69)

4.31*

(3.48–5.35)

 

Work status (ref: Currently working)

         
 

Retired

2.66*

(2.08–3.40)

1.49*

(1.23–1.80)

1.12

(0.92–1.37)

 
 

Not employed/Never worked

3.05*

(1.57–5.92)

2.19*

(1.31–3.66)

1.17

(0.63–2.17)

 

Social capital

         

Not marrieda (ref: Married)

1.39

(1.07–1.80)

1.22

(0.98–1.51)

1.33

(1.06–1.66)

 

Empty nester (ref: Living with children)

0.88

(0.71–1.08)

0.99

(0.84–1.16)

0.89

(0.75–1.06)

 

No participation in any social activities (ref: Any social activity participation)

1.98*

(1.61–2.45)

1.26

(1.07–1.47)

1.69*

(1.43–2.01)

 

Financial capital

         

Childhood family financial situationb (ref: Same)

         
 

A lot better off/somewhat better off

1.28

(0.85–1.93)

1.23

(0.93–1.64)

1.22

(0.90–1.67)

 
 

Somewhat worse off/A lot worse off

1.66*

(1.33–2.07)

1.28

(1.08–1.52)

1.15

(0.96–1.38)

 

Per capita household consumption (ref: Quartile 4)

         
 

Quartile 1

1.18

(0.83–1.66)

0.97

(0.74–1.27)

1.58*

(1.19–2.10)

 
 

Quartile 2

1.28

(0.91–1.78)

1.06

(0.83–1.37)

1.65*

(1.26–2.18)

 
 

Quartile 3

1.08

(0.78–1.50)

1.17

(0.93–1.47)

1.27

(0.97–1.68)

 

Health capital

         

Childhood healthc (ref: About average)

         
 

Much healthier/somewhat healthier

0.75

(0.59–0.95)

0.85

(0.72–1.02)

0.75*

(0.62–0.90)

 
 

Somewhat less healthy/Much less healthy

1.34

(0.97–1.84)

1.47

(1.13–1.91)

1.12

(0.84–1.48)

 

Self-rated health (ref: Fair)

         
 

Very good/good

0.32*

(0.23–0.46)

0.31*

(0.24–0.40)

0.60*

(0.48–0.74)

 
 

Poor/very poor

9.76*

(7.69–12.39)

4.59*

(3.83–5.51)

2.23*

(1.81–2.75)

 

Structural factor

       

Hukouand residence (ref: Urban hukou, urban residence)

         
 

Rural hukou, rural residence

3.98*

(2.83–5.61)

1.40

(1.11–1.75)

4.21*

(3.17–5.60)

 
 

Rural hukou, urban residence

2.02*

(1.38–2.95)

0.92

(0.71–1.19)

2.65*

(1.94–3.63)

 
 

Urban hukou, rural residence

1.58

(0.75–3.35)

1.13

(0.73–1.74)

1.71

(0.97–3.01)

 
  1. Notes. Ref = reference. aOR = adjusted odds ratio. 95% CI = 95% confidence interval
  2. * P-value adjusted for multiple comparisons (Holm step-down method) < 0.05. For specific P-values, both original and adjusted for multiple comparisons, see Supplemental Table 6.
  3. a Included widowed, divorced, separated, and never married.
  4. b Self-rated family financial situation before age 17 years, compared to average family in the same community/village.
  5. c Self-rated health before age 16 years compared to other children of the same age.