A community-based survey of 507 African Americans aged 60 and older from So
uth Central Los Angeles was conducted to estimate the prevalence of frailty
and describe the correlation between frailty, social support from family a
nd church, and use of community services.:Persons were considered frail if
they met criteria for any of four conditions:functional impairment, depress
ion, urinary incontinence, falls. Sixty-seven percent met criteria for frai
lty. Analyses revealed that frail elderly were significantly less likely to
report feeling very close to family Family contact, feeling that church wa
s important, and receiving church support were similar for the frail and no
nfrail. Frail elderly were more likely to use community services. These fin
dings suggest that frail elderly in this population may not receive more su
pport from family and church than nonfrail elderly. There is a need for cau
tion when assuming families and churches in urban African American communit
ies are able to support the most vulnerable elderly.