Is Greater Self-Neglect Severity Associated With Lower Levels of Physical Function?

Objective: This study examined the association between severity of self-neglect and physical function in a population of community-dwelling older adults. Method: Participants were older adults (N = 1,094) reported to the Chicago Department on Aging for suspected self-neglect from 1993 to 2005, who a...

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Bibliographic Details
Published in:Journal of aging and health 2009-06, Vol.21 (4), p.596-610
Main Authors: XinQi Dong, Mendes de Leon, Carlos F., Evans, Denis A.
Format: Article
Language:English
Subjects:
Activities of Daily Living
Aged
Aged, 80 and over
Aging
Chicago
Elder Abuse
Female
Frail Elderly
Health behavior
Health technology assessment
Humans
Male
Older people
Personal health
Regression analysis
Self Care
Severity of Illness Index
Studies
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Summary:Objective: This study examined the association between severity of self-neglect and physical function in a population of community-dwelling older adults. Method: Participants were older adults (N = 1,094) reported to the Chicago Department on Aging for suspected self-neglect from 1993 to 2005, who also participated in the Chicago Health Aging Project. The primary outcome of physical function was assessed using physical performance tests. Secondary outcomes were assessed using the Katz, Nagi, and Rosow-Breslau scales. Multiple regression models were used to assess these associations. Results: After adjusting for confounders, higher self-neglect severity scores were associated with lower physical performance testing (coefficient = —.062, p = .001). Greater self-neglect severity was also correlated with the reported number of impairments on the Katz, Nagi, and Rosow-Breslau scales (coefficients = .024, .024, and .016, respectively, p = .001). Discussion: Higher self-neglect severity is associated with lower levels of physical function among older adults.
ISSN:0898-2643
1552-6887
DOI:10.1177/0898264309333323