The Devil is in the Details: Self-Neglect in Australia

McDermott, Shannon

doi:10.1080/08946560801973077

Cited by 30 publications

(22 citation statements)

References 29 publications

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“…In addition, the study did not have specific indicators of self-neglect to further explore the specific phenotypes of self-neglect and its associated factors. Prior work by McDermott [32] has also suggested the value of understanding specific behaviors of self-neglect. However, we believe that our present findings will set the groundwork for future studies to rigorously investigate these issues.…”

Section: Discussionmentioning

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

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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.

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Section: Discussionmentioning

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

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“…There is an immense diversity in the type of living conditions that are categorised as squalor (McDermott, 2008). Partly because of this diversity, these situations can pose tricky ethical and practical dilemmas for professionals whose role it is to support older people in the community.…”

Section: Dilemmas In Situations Of Squalormentioning

confidence: 99%

Older People Living in Squalor: Ethical and Practical Dilemmas

McDermott

Linahan

Squires

2009

Australian Social Work

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“…Sixth, we did not have specific indicators of self-neglect to further explore the relations between personality traits with specific phenotypes of self-neglect. Prior work by McDermott et al (47) has also suggested the values of understanding specific behaviors of self-neglect. Lastly, our study definition for elder self-neglect differs from prior studies.…”

Section: Discussionmentioning

confidence: 99%

Association of Personality Traits With Elder Self-neglect in a Community-Dwelling Population

Dong

Simon

Wilson

et al. 2011

The American Journal of Geriatric Psychiatry

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Objective-Elder self-neglect is an important public health issue. However, little is known about the association between personality traits and risk of elder self-neglect among communitydwelling populations. The objectives of this study are: 1) to examine the association of personality traits with elder self-neglect and 2) to examine the association of personality traits with elder selfneglect severity.Methods-Population-based study conducted from 1993-2005 of community-dwelling older adults (N=9,056) participating in the Chicago Health Aging Project (CHAP). Subsets of the CHAP participants (N=1,820) were identified for suspected self-neglect by social services agency, which assessed the severity. Personality traits assessed included neuroticism, extraversion, rigidity and information processing. Logistic and linear regressions were used to assess these associations.Results-In the bivariate analyses, personality traits (neuroticism, extraversion, information processing, and rigidity) were significantly associated with increased risk of elder self-neglect. However, after adjusting for potential confounders, the above associations were no longer statistically significant. In addition, personality traits were not associated with increased risk of greater self-neglect severity. Furthermore, interaction term analyses of personality traits with health and psychosocial factors were not statistically significant with elder self-neglect outcomes.Conclusion-Neuroticism, extraversion, rigidity and information processing were not associated with significantly increased risk of elder self-neglect after consideration of potential confounders. Keywordselder self-neglect; personality traits; population-based study Corresponding Author: XinQi Dong, MD, MPH Rush Institute for Health Aging, 1645 West Jackson, Suite 675 Chicago, IL 60612 Phone: 312 942 3350 Fax: 312 942 2861 xinqi_dong@rush.edu. Authors declare no conflict of interest and no disclosure to report. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access Author ManuscriptAm J Geriatr Psychiatry. Author manuscript; available in PMC 2012 August 1. ObjectivesElder self-neglect is a pervasive public health issue. The National Centers on Elder Abuse define self-neglect "…as the behavior of an elderly person that threatens his/her own health and safety. Self-neglect generally manifests itself in an older person as a refusal or failure to provide himself/herself with adequate food, water, clothing, shelter, personal hygiene, medication (when indicated), and safety precautions" (1). Evidence suggests elder selfneglect accounts for approxima...

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The Devil is in the Details: Self-Neglect in Australia

Cited by 30 publications

References 29 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

Older People Living in Squalor: Ethical and Practical Dilemmas

Association of Personality Traits With Elder Self-neglect in a Community-Dwelling Population

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