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Physical Function Decline and the Risk of Elder Self-neglect in a Community-Dwelling Population

Physical Function Decline and the Risk of Elder Self-neglect in a Community-Dwelling Population 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 RosowBreslau 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], 1.031.07, p < .001). Decline in Katz (OR, 1.05, CI, 1.001.10, p < .05) and decline in RosowBreslau (OR, 1.19, CI, 1.111.27, 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 RosowBreslau (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. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The Gerontologist Oxford University Press

Physical Function Decline and the Risk of Elder Self-neglect in a Community-Dwelling Population

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References (41)

Publisher
Oxford University Press
Copyright
The Author 2009. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.
ISSN
0016-9013
eISSN
1758-5341
DOI
10.1093/geront/gnp164
pmid
20019180
Publisher site
See Article on Publisher Site

Abstract

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 RosowBreslau 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], 1.031.07, p < .001). Decline in Katz (OR, 1.05, CI, 1.001.10, p < .05) and decline in RosowBreslau (OR, 1.19, CI, 1.111.27, 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 RosowBreslau (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.

Journal

The Gerontologist – Oxford University Press

Published: Jun 17, 2010

Keywords: Self-neglect Physical function decline Longitudinal study

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