Predictors of self-neglect among community-dwelling older adults living alone in China

Yu, Mingming; Gu, Libin; Jiao, Wenjuan; Xia, Haozhi; Wang, Wenru

doi:10.1016/j.gerinurse.2019.02.002

Cited by 31 publications

(24 citation statements)

References 27 publications

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“…As for sociodemographic characteristics, we found that marital status, or education level, was not associated with self-neglect, while monthly income had a strong negative association with self-neglect. The result of our study are similar to a cross-sectional study reported by Yu et al, which showed that elderly with lower monthly income predicting higher levels of self-neglect [7]. It might bedue to elderly with high levels of monthly income have greater opportunities to get healthcare service and take part in more social activities, which may reduce the risk of selfneglect [7].On the contrary, this outcome was in contrast with the ndings of Dong et al, which reported that monthly income have no signi cant association with self-neglect [20].Our study did not show differences in the risk of self-neglect based on the participant's gender or age.In contrast, in a North American study,Abrams et al [21] observed that male gender and older age reported suffering self-neglect more frequently.Further studies are needed to better examine the associations between sociodemographic variables and self-neglect.…”

Section: Discussionsupporting

confidence: 92%

Prevalence of Self-Neglect and Associated Factors Among Disability Elderly in China

Sun

2021

Preprint

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Purpose: To assess the prevalence of self-neglect and associated factors among disability elderly(age≥65 years) in China.Patients and methods: Patients aged 65 years or above were enrolled from two communities in Shenyang,China. A convenience sample of 230 disability elderly responded to the questionnaire survey. The data were collected by a series of questionnaires consisting of socio-economic and demographic characteristics, Barthel Index(BI), Elder Self-Neglect Assessment(ESNA), Geriatric Depression Scale-Short Form(GDS-SF), Multidimensional Scale of Perceived Social Support(MSPSS), and Mini-Mental State Examination(MMSE). Kruskal-Wallis test or Mann-Whitney U test was used to examine the differences of self-neglect among different demographic characteristics as appropriate.Multiple linear regression model was performed to identify which factors were independent predictors of self-neglect.Results: An overall self-neglect rate of 86.0% was registered. The study reveals that disability elderly's self-neglect correlates positively with the degree of disability and depressive symptoms. On the contrary, monthly income and perceived social support were negatively associated with self-neglect.Conclusion: In this study, the prevalence of self-neglect is high among disability elderly. Lower monthly income, decreased physical functioning, depressive symptoms, and poor perceived social support were contributing factors for self-neglect among disability elderly.

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Section: Discussionsupporting

confidence: 92%

Prevalence of Self-Neglect and Associated Factors Among Disability Elderly in China

Sun

2021

Preprint

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“…Dementia and depression were two main factors believed by professionals to contribute to ESN. While numerous cross‐sectional studies in the literature have identified an association between ESN and depression and dementia (Dong & Simon, 2016; Lee & Kim, 2014; Yu et al, 2019, 2020), it must be noted that cognitive impairment and mental health issues are not preconditions for ESN. Older adults who self‐neglect may not necessarily have a diagnosis of dementia or depression, even though they may have manifestations.…”

Section: Discussionmentioning

confidence: 99%

Understanding professionals’ perspectives and experiences of elder self‐neglect: A systematic review and meta‐synthesis of qualitative studies

Ramachandran

Qian

et al. 2021

J of Nursing Scholarship

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Purpose To systematically review and synthesize the findings on various professionals’ perspectives of elder self‐neglect (ESN) and/or their experiences with ESN. Design A systematic qualitative review was used. Methods Primary qualitative studies published either in English or Chinese until August 2020 were systematically searched in the following databases: PubMed, Web of Science, Embase, CINAHL Plus, PsycINFO, Wanfang Data, and China National Knowledge Infrastructure (CNKI). Findings Eleven studies were included. Five subthemes including retaining a sense of normalcy/identity, service refusal, isolation, contributing factors in ESN, and manifestations and consequences of ESN were included in the overarching theme of ESN features. Another two subthemes, emotional and ethical dilemmas in caring for self‐neglecters and management strategies, were included under the second overarching theme of complicated experiences managing cases of ESN. Conclusions This qualitative synthesis provides a deep and comprehensive insight into professionals’ perspectives and experiences of self‐neglect in older adults. Understanding professionals’ perspectives of ESN can help with the knowledge and theory development pertinent to this particular phenomenon. Clinical relevance Findings are valuable in informing the provision of funds and structural, informational, and emotional support systems development for professionals managing ESN cases. Establishing a strong link between ESN case management and improved outcomes in older self‐neglecters is essential to establish a definite need for the provision of support, resource, and stardardized guidelines for these professionals.

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“…16 Literature also showed that compared with those living family members, older adults living alone usually receive less attention and resources from the public or their relatives, 17 are less likely to adopt health-promoting behaviors, 18 and self-neglect is pervasive among them. 19 Social Support. Social support is defined as information leading the subject to believe that they are cared for and loved, esteemed, and a member of a network of mutual obligations.…”

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Review Factors Influencing the Swb Of The Elderlymentioning

confidence: 99%

The Relationship Between WeChat Use by Chinese Urban Older Adults Living Alone and Their Subjective Well-Being: The Mediation Role of Intergenerational Support and Social Activity

Ge¹,

Zhang²

2021

PRBM

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Purpose WeChat is China’ biggest social media platform. In addition to instant messaging, it has a great many useful functions that can help Chinese citizens adapt to an increasingly digitized society. This study aimed to examine the effect of WeChat use on the subjective well-being (SWB) of Chinese older adults living alone, and how the effect could occur. Participants and Methods A total of 415 Chinese older adults living alone participated in the survey. Participants filled out questionnaires (scales) measuring their SWB, proficiency in WeChat use, social activity levels and self-esteem respectively. Mean scores of SWB were used to determine the difference in SWB between the users and non-users, and correlation test was performed to find out the association between proficiency in WeChat use and SWB among the users. Results The mean score of WeChat users was 34.68 (SD = 7.301), significantly higher than that of the non-users, which was 32.73 (SD = 7.168) ( t = 2.741, p = 0.006). Among the users, the more proficient in WeChat use one was, the higher their SWB score ( r = 0.458, p < 0.01). The results combined to demonstrate that WeChat use has a positive effect on the SWB of Chinese older adults living alone. The findings also showed that the increase in SWB was obtained through the mediation of intergenerational support and social activities. Conclusion This study suggests that WeChat use by Chinese older adults living alone could increase their intergenerational support and social activities; the increased intergenerational support and social activities then enhance the SWB of Chinese older adults living alone.

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Predictors of self-neglect among community-dwelling older adults living alone in China

Cited by 31 publications

References 27 publications

Prevalence of Self-Neglect and Associated Factors Among Disability Elderly in China

Prevalence of Self-Neglect and Associated Factors Among Disability Elderly in China

Understanding professionals’ perspectives and experiences of elder self‐neglect: A systematic review and meta‐synthesis of qualitative studies

The Relationship Between WeChat Use by Chinese Urban Older Adults Living Alone and Their Subjective Well-Being: The Mediation Role of Intergenerational Support and Social Activity

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