Predictors of Self-Neglect in Community-Dwelling Elders

Abrams, Robert C.; Lachs, Mark S.; McAvay, Gail; Keohane, Denis; Bruce, Martha L.

doi:10.1176/appi.ajp.159.10.1724

Cited by 174 publications

(148 citation statements)

References 20 publications

Supporting

Mentioning

137

Contrasting

Order By: Relevance

“…Of the 2,812 community-dwelling adults aged 65 years and older in the New Haven EPESE cohort, dataset matching found a total of 202 reports of elder selfneglect. From this data linkage, the study found that older age, being men, lower income, medical comorbidities and psychological impairment were associated with elder self-neglect [12] . The difference in our findings, suggesting women were more commonly reported, remains unclear.…”

Section: Discussionmentioning

confidence: 93%

See 1 more Smart Citation

Cross-Sectional Study of the Characteristics of Reported Elder Self-Neglect in a Community-Dwelling Population: Findings from a Population-Based Cohort

2009

View full text Add to dashboard Cite

Background: Elder self-neglect is an important public health issue. However, little is known about the characteristics of self-neglect and its association with social factors among community-dwelling populations. Objectives: (1) To examine the sociodemographic, health-related and psychosocial characteristics of reported elder self-neglect; (2) to examine the association of social network and social engagement with reported self-neglect. Methods: Population-based study conducted from 1993 to 2005 of community-dwelling subjects (n = 9,056) participating in the Chicago Health and Aging Project (CHAP). Subsets of the CHAP subjects (n = 1,812) were identified for suspected self-neglect by the social services agency, which also assessed the severity. This reported group was compared with the unreported group in the CHAP across the sociodemographic, health-related and psychosocial variables. Logistical regressions were used to assess the association of social factors and self-neglect. Results: Older age, women, African-Americans, and those with lower education or lower income were more likely to be reported for self-neglect. Those reported for self-neglect were more likely to have lower levels of cognitive and physical function, nutritional status, psychosocial function and a higher number of medical comorbidities. After adjusting for confounders, lower levels of social network and social engagement were significantly associated with an increased risk of reported self-neglect. Among the reported cases of self-neglect, the study found increased trends of older age, women, African-American, lower income, lower cognitive and physical function, lower social engagement and a higher number of chronic medical conditions with self-neglect severity. Conclusion: Reported self-neglect elders have multiple sociodemographic, health- related and psychosocial characteristics that are different than elders not reported. Lower levels of social network and social engagement were associated with increased risk of self-neglect.

show abstract

Section: Discussionmentioning

confidence: 93%

“…We are aware of only 1 population-based cohort that has been used to understand this issue [11,12] . Furthermore, self-neglect has been difficult to study, in part because self-neglect cases include a wide spectrum of severity, from very mild to extremely severe.…”

Section: Introductionmentioning

confidence: 99%

Cross-Sectional Study of the Characteristics of Reported Elder Self-Neglect in a Community-Dwelling Population: Findings from a Population-Based Cohort

2009

View full text Add to dashboard Cite

show abstract

“…In Chong's study, the prevalence rate was 21.2%. In Abrams's study (Abrams et al, 2002), data were drawn from the New Haven Established Populations for Epidemiologic Studies of the Elderly cohort, which included 2,812 community residents aged 65 years and older in 1982. The prevalence of clinically significant depressive symptoms at baseline (score > OR ¼ 16 on the Center for Epidemiologic Studies Depression Scale [CES-D]) was 15.4%.…”

Section: Discussionmentioning

confidence: 99%

Religious attendance and depressive symptoms among community dwelling elderly in Taiwan

Hahn

Yang

et al. 2004

Int J Geriat Psychiatry

View full text Add to dashboard Cite

show abstract

“…Depression among older adults is also associated with excess utilization of health care, increased nursing home placement, greater burden to medical care providers, and higher annual health care costs [10-14]. Of gravest concern, depression is the condition most commonly associated with suicide in older adults [15].…”

Section: Introductionmentioning

confidence: 99%

Racial Differences in Adherence to Antidepressant Treatment in Later Life

Kales

Nease

Sirey

et al. 2013

The American Journal of Geriatric Psychiatry

View full text Add to dashboard Cite

Objective Although antidepressants are an effective treatment for later-life depression, older patients often choose not to initiate or to discontinue medication treatment prematurely. While racial differences in depression treatment preferences have been reported, little is known about racial differences in antidepressant medication adherence among older patients. Design Prospective, observational study comparing antidepressant adherence for older African-American and white primary care patients. Participants One hundred and eighty-eight subjects aged 60 and older, diagnosed with clinically significant depression with a new recommendation for antidepressant treatment by their primary care physician. Measurement Study participants were assessed at study entry and at four-month follow-up (encompassing the acute treatment phase). Depression medication adherence was based on a well-validated self-report measure. Results At four-month follow-up, 61.2% of subjects reported that they were adherent to their antidepressant medication. In unadjusted and two of the three adjusted analyses, African-American subjects (n=82) had significantly lower rates of four-month antidepressant adherence than white subjects (n=106). African-American females had the lowest adherence rates (44.4%) followed by African-American males (56.8%), white males (65.3%) and white females (73.7%). In logistic regression models controlling for demographic, illness, and functional status variables, significant differences persisted between African-American women and white women in reported four-month antidepressant adherence (OR 3.58, 95% CI 1.27-10.07, Wald Chi-square =2.42, df=1, p<0.02). Conclusions The results demonstrate racial and gender differences in antidepressant adherence in older adults. Depression treatment interventions for the older adults should take into account the potential impact of race and gender on adherence to prescribed medications.

show abstract

Predictors of Self-Neglect in Community-Dwelling Elders

Abstract: Elderly individuals living in the community who experience clinically significant depressive symptoms and/or cognitive impairment may be at risk for the development of self-neglect and may become candidates for intervention.

Cited by 174 publications

References 20 publications

Cross-Sectional Study of the Characteristics of Reported Elder Self-Neglect in a Community-Dwelling Population: Findings from a Population-Based Cohort

Cross-Sectional Study of the Characteristics of Reported Elder Self-Neglect in a Community-Dwelling Population: Findings from a Population-Based Cohort

Religious attendance and depressive symptoms among community dwelling elderly in Taiwan

Racial Differences in Adherence to Antidepressant Treatment in Later Life

Contact Info

Product

Resources

About