TY - JOUR
T1 - The prevalence of elder self-neglect in a community-dwelling population
T2 - Hoarding, hygiene, and environmental hazards
AU - Dong, Xinqi
AU - Simon, Melissa A.
AU - Mosqueda, Laura
AU - Evans, Denis A.
N1 - Funding Information:
This work was supported by National Institute on Aging Grant (R01 AG11101, R21AG038815 & RC4 AG039085), Paul B. Beeson Award in Aging (K23 AG030944), The Starr Foundation, John A. Hartford Foundation, and The Atlantic Philanthropies.
PY - 2012/4
Y1 - 2012/4
N2 - Objectives: To examine the prevalence of self-neglect and its specific behaviors in a community-dwelling population of older adults. Method: A population-based cohort study conducted between 2007 and 2010 rated participant's personal and home environment, particularly with regard to hoarding, personal hygiene, house in need of repair, unsanitary conditions, and inadequate utility. Prevalence estimates were presented across health-related variables of health status, physical function, and cognitive function. Results: There were 4,627 older adults (1,645 men and 2,982 women). Prevalence of self-neglect in older adults increased with lower health status in both men (4.7% in very good/excellent health, 7.9% in good health, and 14.9% in fair/poor health) and women (4.5% in very good/excellent health, 7.9% in good health, and 10.6% in fair/poor health). For those with ≥3 Katz impairments, the prevalence of self-neglect in older adults was 12.8% in men and 13.8% in women. For those with MMSE (Mini-Mental State Examination) ≤20, the prevalence of self-neglect in older adults was 18.8% in men and 13.6% in women. Discussion: Self-neglect was clearly prevalent among older adults, especially among those with lower health status and physical and cognitive function.
AB - Objectives: To examine the prevalence of self-neglect and its specific behaviors in a community-dwelling population of older adults. Method: A population-based cohort study conducted between 2007 and 2010 rated participant's personal and home environment, particularly with regard to hoarding, personal hygiene, house in need of repair, unsanitary conditions, and inadequate utility. Prevalence estimates were presented across health-related variables of health status, physical function, and cognitive function. Results: There were 4,627 older adults (1,645 men and 2,982 women). Prevalence of self-neglect in older adults increased with lower health status in both men (4.7% in very good/excellent health, 7.9% in good health, and 14.9% in fair/poor health) and women (4.5% in very good/excellent health, 7.9% in good health, and 10.6% in fair/poor health). For those with ≥3 Katz impairments, the prevalence of self-neglect in older adults was 12.8% in men and 13.8% in women. For those with MMSE (Mini-Mental State Examination) ≤20, the prevalence of self-neglect in older adults was 18.8% in men and 13.6% in women. Discussion: Self-neglect was clearly prevalent among older adults, especially among those with lower health status and physical and cognitive function.
KW - aging
KW - environmental hazards
KW - hoarding
KW - hygiene
KW - population-based study
KW - self-neglect
KW - squalor
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U2 - 10.1177/0898264311425597
DO - 10.1177/0898264311425597
M3 - Article
C2 - 22187089
AN - SCOPUS:84858198956
SN - 0898-2643
VL - 24
SP - 507
EP - 524
JO - Journal of Aging and Health
JF - Journal of Aging and Health
IS - 3
ER -