TY - JOUR
T1 - Elder self-neglect is associated with increased risk for elder abuse in a community-dwelling population
T2 - Findings from the Chicago health and aging project
AU - Dong, Xinqi
AU - Simon, Melissa
AU - Evans, Denis
N1 - Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by National Institute on Aging grant (R01 AG042318, R01 MD006173, R01 AG11101 & RC4 AG039085), Paul B. Beeson Award in Aging (K23 AG030944), The Starr Foundation, John A. Hartford Foundation and The Atlantic Philanthropies.
PY - 2013/2
Y1 - 2013/2
N2 - Objective: We examined the relationship between self-neglect and risk for subsequent elder abuse report to social services agency. Method: Population-based cohort study conducted Chicago. Primary predictor was elder self-neglect at baseline without concurrent elder abuse. Cox proportional hazard models were used to assess independent associations of elder self-neglect with the risk of subsequent elder abuse using time-varying covariate analyses. Results: Of 10,333 participants, 1,460 were reported for self-neglect and 180 were reported for elder abuse. The median time from self-neglect to elder abuse was 3.5 years. In multivariable analyses, elder self-neglect was associated with increased risk for subsequent elder abuse (odds ratio, OR, 1.75[1.18-2.59]). Elder self-neglect was also associated with increased risk for subsequent caregiver neglect (OR, 2.09[1.24-3.52]), financial exploitation (OR, 1.73[1.01-2.95]), and multiple forms of elder abuse (HR, 2.06[1.22-3.48]). Conclusion: Elder self-neglect report is associated with increased risk for subsequent elder abuse report to social services agency.
AB - Objective: We examined the relationship between self-neglect and risk for subsequent elder abuse report to social services agency. Method: Population-based cohort study conducted Chicago. Primary predictor was elder self-neglect at baseline without concurrent elder abuse. Cox proportional hazard models were used to assess independent associations of elder self-neglect with the risk of subsequent elder abuse using time-varying covariate analyses. Results: Of 10,333 participants, 1,460 were reported for self-neglect and 180 were reported for elder abuse. The median time from self-neglect to elder abuse was 3.5 years. In multivariable analyses, elder self-neglect was associated with increased risk for subsequent elder abuse (odds ratio, OR, 1.75[1.18-2.59]). Elder self-neglect was also associated with increased risk for subsequent caregiver neglect (OR, 2.09[1.24-3.52]), financial exploitation (OR, 1.73[1.01-2.95]), and multiple forms of elder abuse (HR, 2.06[1.22-3.48]). Conclusion: Elder self-neglect report is associated with increased risk for subsequent elder abuse report to social services agency.
KW - aging
KW - elder abuse report
KW - elderly
KW - population-based study
KW - self-neglect report
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U2 - 10.1177/0898264312467373
DO - 10.1177/0898264312467373
M3 - Article
C2 - 23223207
AN - SCOPUS:84872404604
VL - 25
SP - 80
EP - 96
JO - Journal of Aging and Health
JF - Journal of Aging and Health
SN - 0898-2643
IS - 1
ER -