PREVALENCE AND RISK FACTORS FOR SELF-NEGLECT AMONG OLDER ADULTS LIVING ALONE IN SOUTH KOREA

被引:62
作者
Lee, Minhong [1 ]
Kim, Kyeongmo [2 ]
机构
[1] Dong Eui Univ, Pusan 614714, South Korea
[2] Univ Maryland, Baltimore, MD 21201 USA
关键词
COMMUNITY-DWELLING POPULATION; ELDER ABUSE; GERIATRIC SYNDROME; CARE; MORTALITY; DEMENTIA; PEOPLE; HEALTH;
D O I
10.2190/AG.78.2.b
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
This study aimed to explore the prevalence of and risk factors for self-neglect among older adults who live alone. Data were obtained through face-to-face interview responses of 1,023 older adults living alone in a metropolitan area in South Korea, selected via stratified random sampling, which considered the population variables gender, age group, and district. Descriptive statistics were used to characterize the prevalence of self-neglect, and hierarchical multiple regression analysis was conducted to identify significant risk factors of self-neglect. At least 22.8% of the participants could be considered to have one form of elder self-neglect. Consistent with previous research, self-neglect was more prevalent in the older people living alone who had higher levels of depressive symptoms or a lack of family social support. Unexpectedly, self-neglect was more prevalent among respondents with higher levels of education and cognitive abilities, lower levels of medical comorbidities, and more children. Additionally, social networks of friends and use of social services (formal social support) did not affect the frequency of self-neglect. The findings have implications for gerontological practice and policy, especially for older people living alone in South Korea.
引用
收藏
页码:115 / 131
页数:17
相关论文
共 40 条
[1]   Predictors of self-neglect in community-dwelling elders [J].
Abrams, RC ;
Lachs, M ;
McAvay, G ;
Keohane, DJ ;
Bruce, ML .
AMERICAN JOURNAL OF PSYCHIATRY, 2002, 159 (10) :1724-1730
[2]  
[Anonymous], 2009, COMPREHENSIVE STUDY
[3]   Development of the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients [J].
Bac, JN ;
Cho, MJ .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2004, 57 (03) :297-305
[4]   Elder self neglect: A geriatric syndrome or a life course story? [J].
Band-Winterstein, Tova ;
Doron, Israel ;
Nairn, Sigal .
JOURNAL OF AGING STUDIES, 2012, 26 (02) :109-118
[5]   Self-neglect among the elderly: A model based on more than 500 patients seen by a geriatric medicine team [J].
Bitondo, Carmel ;
Goodwin, James S. ;
Pickens-Pace, Sabrina ;
Burnett, Jason ;
Kelly, P. Adam .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2007, 97 (09) :1671-1676
[6]   Elder Abuse as a Risk Factor for Hospitalization in Older Persons [J].
Dong, XinQi ;
Simon, Melissa A. .
JAMA INTERNAL MEDICINE, 2013, 173 (10) :911-917
[7]   Prospective study of the elder self-neglect and ED use in a community population [J].
Dong, XinQi ;
Simon, Melissa A. ;
Evans, Denis .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2012, 30 (04) :553-561
[8]   The Prevalence of Elder Self-Neglect in a Community-Dwelling Population: Hoarding, Hygiene, and Environmental Hazards [J].
Dong, XinQi ;
Simon, Melissa A. ;
Mosqueda, Laura ;
Evans, Denis A. .
JOURNAL OF AGING AND HEALTH, 2012, 24 (03) :507-524
[9]   Decline in Cognitive Function and Risk of Elder Self-Neglect: Finding from the Chicago Health Aging Project [J].
Dong, XinQi ;
Simon, Melissa A. ;
Wilson, Robert S. ;
de Leon, Carlos F. Mendes ;
Rajan, K. Bharat ;
Evans, Denis A. .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2010, 58 (12) :2292-2299
[10]   A cross-sectional population-based study of elder self-neglect and psychological, health, and social factors in a biracial community [J].
Dong, XinQi ;
Simon, Melissa ;
Beck, Todd ;
Evans, Denis .
AGING & MENTAL HEALTH, 2010, 14 (01) :74-84