TY - JOUR
T1 - Physical function decline and the risk of elder self-neglect in a community-dwelling population
AU - Dong, Xinqi
AU - Simon, Melissa
AU - Fulmer, Terry
AU - Mendes De Leon, Carlos F.
AU - Rajan, Bharat
AU - Evans, Denis A.
N1 - Funding Information:
This work was supported by National Institute on Aging grant (R01 AG11101), Paul B. Beeson Career Development Award in Aging (K23 AG030944), The Starr Foundation, John A. Hartford Foundation, and The Atlantic Philanthropies.
PY - 2010/6
Y1 - 2010/6
N2 - Purpose: This longitudinal study examines the association between physical function decline and the risk of elder self-neglect in a community-dwelling population.Design and Methods: Of the 5,570 participants in the Chicago Health Aging Project, 1,068 were reported to social services agency for suspected elder self-neglect from 1993 to 2005. The primary predictor was objectively assessed physical function using decline in physical performance testing. Secondary predictors were assessed using the decline in self-reported Katz, Nagi, and Rosow-Breslau scales. Outcome of interest was elder self-neglect. Logistic and linear regression models were used to assess these associations.Results: After adjusting for confounding factors, every 1-point decline in physical performance testing was associated with increased risk of reported elder self-neglect (odds ratio [OR], 1.05, confidence interval [CI], 1.03-1.07, p < .001). Decline in Katz (OR, 1.05, CI, 1.00-1.10, p < .05) and decline in Rosow-Breslau (OR, 1.19, CI, 1.11-1.27, p < .001) were associated with increased risk of reported elder self-neglect. Decline in physical performance testing (standardized parameter estimate [PE]: 0.19, SE: 0.06, p = .002), Katz (PE: 0.65, SE: 0.14, p < .001), Nagi (PE: 0.48, SE: 0.14, p < .001), and Rosow-Breslau (PE: 0.57, SE: 0.21, p = .006) scales were associated with increased risk of greater self-neglect severity.Implications: Decline in physical function was associated with increased risk of reported elder self-neglect and greater self-neglect severity in this community-dwelling population.
AB - Purpose: This longitudinal study examines the association between physical function decline and the risk of elder self-neglect in a community-dwelling population.Design and Methods: Of the 5,570 participants in the Chicago Health Aging Project, 1,068 were reported to social services agency for suspected elder self-neglect from 1993 to 2005. The primary predictor was objectively assessed physical function using decline in physical performance testing. Secondary predictors were assessed using the decline in self-reported Katz, Nagi, and Rosow-Breslau scales. Outcome of interest was elder self-neglect. Logistic and linear regression models were used to assess these associations.Results: After adjusting for confounding factors, every 1-point decline in physical performance testing was associated with increased risk of reported elder self-neglect (odds ratio [OR], 1.05, confidence interval [CI], 1.03-1.07, p < .001). Decline in Katz (OR, 1.05, CI, 1.00-1.10, p < .05) and decline in Rosow-Breslau (OR, 1.19, CI, 1.11-1.27, p < .001) were associated with increased risk of reported elder self-neglect. Decline in physical performance testing (standardized parameter estimate [PE]: 0.19, SE: 0.06, p = .002), Katz (PE: 0.65, SE: 0.14, p < .001), Nagi (PE: 0.48, SE: 0.14, p < .001), and Rosow-Breslau (PE: 0.57, SE: 0.21, p = .006) scales were associated with increased risk of greater self-neglect severity.Implications: Decline in physical function was associated with increased risk of reported elder self-neglect and greater self-neglect severity in this community-dwelling population.
KW - Longitudinal study
KW - Physical function decline
KW - Self-neglect
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U2 - 10.1093/geront/gnp164
DO - 10.1093/geront/gnp164
M3 - Article
C2 - 20019180
AN - SCOPUS:77952504024
VL - 50
SP - 316
EP - 326
JO - The Gerontologist
JF - The Gerontologist
SN - 0016-9013
IS - 3
ER -