Frailty in Indigenous Populations: A Scoping Review

Background: Indigenous populations experience high rates of age-related illness when compared to their non-Indigenous counterparts. Frailty is a challenging expression of aging and an important public health priority. The purpose of this review was to map what the existing literature reports around...

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Autores principales:	Ebony T. Lewis, Leanne Howard, Magnolia Cardona, Kylie Radford, Adrienne Withall, Adam Howie, Kenneth Rockwood, Ruth Peters
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	frailty indigenous frail elderly aging prevalence Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/27715d74a7154c45975c0c8134aaf690
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spelling	oai:doaj.org-article:27715d74a7154c45975c0c8134aaf6902021-11-22T07:20:23ZFrailty in Indigenous Populations: A Scoping Review2296-256510.3389/fpubh.2021.785460https://doaj.org/article/27715d74a7154c45975c0c8134aaf6902021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.785460/fullhttps://doaj.org/toc/2296-2565Background: Indigenous populations experience high rates of age-related illness when compared to their non-Indigenous counterparts. Frailty is a challenging expression of aging and an important public health priority. The purpose of this review was to map what the existing literature reports around frailty in Indigenous populations and to highlight the current gaps in frailty research within the Indigenous landscape.Method: Scoping review of English language original research articles focusing on frailty within Indigenous adult populations in settler colonial countries (Australia, Canada, New Zealand and USA). Ten electronic databases and eight relevant institutional websites were searched from inception to October 2020.Results: Nine articles met our inclusion criteria, finding this population having a higher prevalence of frailty and frailty occurring at younger ages when compared to their non-Indigenous counterparts, but two did not use a formal frailty tool. Females presented with higher levels of frailty. No culturally specific frailty tool was identified, and the included articles did not assess strategies or interventions to manage or prevent frailty in Indigenous peoples.Conclusions: There was little definitive evidence of the true frailty prevalence, approaches to frailty screening and of potential points of intervention to manage or prevent the onset of frailty. Improvements in the quality of evidence are urgently needed, along with further research to determine the factors contributing to higher rates of frailty within Indigenous populations. Incorporation of Indigenous views of frailty, and instruments and programs that are led and designed by Indigenous communities, are crucial to address this public health priority.Ebony T. LewisEbony T. LewisEbony T. LewisLeanne HowardMagnolia CardonaMagnolia CardonaKylie RadfordKylie RadfordAdrienne WithallAdam HowieKenneth RockwoodRuth PetersRuth PetersFrontiers Media S.A.articlefrailtyindigenousfrail elderlyagingprevalencePublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	frailty indigenous frail elderly aging prevalence Public aspects of medicine RA1-1270
spellingShingle	frailty indigenous frail elderly aging prevalence Public aspects of medicine RA1-1270 Ebony T. Lewis Ebony T. Lewis Ebony T. Lewis Leanne Howard Magnolia Cardona Magnolia Cardona Kylie Radford Kylie Radford Adrienne Withall Adam Howie Kenneth Rockwood Ruth Peters Ruth Peters Frailty in Indigenous Populations: A Scoping Review
description	Background: Indigenous populations experience high rates of age-related illness when compared to their non-Indigenous counterparts. Frailty is a challenging expression of aging and an important public health priority. The purpose of this review was to map what the existing literature reports around frailty in Indigenous populations and to highlight the current gaps in frailty research within the Indigenous landscape.Method: Scoping review of English language original research articles focusing on frailty within Indigenous adult populations in settler colonial countries (Australia, Canada, New Zealand and USA). Ten electronic databases and eight relevant institutional websites were searched from inception to October 2020.Results: Nine articles met our inclusion criteria, finding this population having a higher prevalence of frailty and frailty occurring at younger ages when compared to their non-Indigenous counterparts, but two did not use a formal frailty tool. Females presented with higher levels of frailty. No culturally specific frailty tool was identified, and the included articles did not assess strategies or interventions to manage or prevent frailty in Indigenous peoples.Conclusions: There was little definitive evidence of the true frailty prevalence, approaches to frailty screening and of potential points of intervention to manage or prevent the onset of frailty. Improvements in the quality of evidence are urgently needed, along with further research to determine the factors contributing to higher rates of frailty within Indigenous populations. Incorporation of Indigenous views of frailty, and instruments and programs that are led and designed by Indigenous communities, are crucial to address this public health priority.
format	article
author	Ebony T. Lewis Ebony T. Lewis Ebony T. Lewis Leanne Howard Magnolia Cardona Magnolia Cardona Kylie Radford Kylie Radford Adrienne Withall Adam Howie Kenneth Rockwood Ruth Peters Ruth Peters
author_facet	Ebony T. Lewis Ebony T. Lewis Ebony T. Lewis Leanne Howard Magnolia Cardona Magnolia Cardona Kylie Radford Kylie Radford Adrienne Withall Adam Howie Kenneth Rockwood Ruth Peters Ruth Peters
author_sort	Ebony T. Lewis
title	Frailty in Indigenous Populations: A Scoping Review
title_short	Frailty in Indigenous Populations: A Scoping Review
title_full	Frailty in Indigenous Populations: A Scoping Review
title_fullStr	Frailty in Indigenous Populations: A Scoping Review
title_full_unstemmed	Frailty in Indigenous Populations: A Scoping Review
title_sort	frailty in indigenous populations: a scoping review
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/27715d74a7154c45975c0c8134aaf690
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Frailty in Indigenous Populations: A Scoping Review

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