Dong XinQi, Simon Melissa
Rush University Medical Center, Chicago, IL, USA.
Northwestern University Medical Center, Chicago, IL, USA.
Geriatr Gerontol Int. 2016 Sep;16(9):1051-62. doi: 10.1111/ggi.12598. Epub 2015 Sep 3.
The present study examined the cognitive, physical and psychological characteristics associated with elder self-neglect in a USA Chinese older population.
The Population Study of Chinese Elderly in Chicago is a population-based epidemiological study of Chinese older adults in the greater Chicago area. In total, 3159 Chinese older adults aged 60 years and older were interviewed from 2011 to 2013. Personal and home environment was rated on hoarding, personal hygiene, house in need of repair, unsanitary conditions and inadequate utility.
The prevalence of elder self-neglect of all severities was higher among older adults who were with worsening health status, lower cognitive function, lower physical function and more depressive symptoms. Poorer health status (mild self-neglect OR 1.20, 95% CI 1.06-1.35; moderate/severe self-neglect: OR 1.52, 95% CI 1.30-1.77), lower physical function (activities of daily living moderate/severe self-neglect OR 1.09, 95% CI 1.05-1.13; instrumental activities of daily living mild OR 1.04, 95% CI 1.03-1.06; instrumental activities of dailiy living moderate/severe OR 1.06, 95% CI 1.04-1.07), lower cognitive function (mild self-neglect OR 1.05, 95% CI 1.03-1.07; moderate/severe self-neglect OR 1.07, 95% CI 1.04-1.09) and more depressive symptoms (mild self-neglect OR 1.05, 95% CI 1.02-1.07; moderate/severe self-neglect OR 1.08, 95% CI 1.06-1.11) were significantly associated with increased risk for elder self-neglect of all severities.
Older adults with lower levels of cognitive, physical, and psychological health were more likely to report elder self-neglect and its phenotypes. Future research is required to examine risk/protective factors associated with elder self-neglect. Geriatr Gerontol Int 2016; 16: 1051-1062.
本研究调查了美国华裔老年人群中与老年人自我忽视相关的认知、身体和心理特征。
芝加哥华裔老年人人口研究是一项基于人群的对大芝加哥地区华裔老年人的流行病学研究。2011年至2013年期间，共对3159名60岁及以上的华裔老年人进行了访谈。根据囤积、个人卫生、房屋需要维修、不卫生状况和设施不足对个人和家庭环境进行评分。
在健康状况恶化、认知功能较低、身体功能较低和抑郁症状较多的老年人中，各种严重程度的老年人自我忽视患病率更高。健康状况较差（轻度自我忽视：比值比1.20，95%置信区间1.06 - 1.35；中度/重度自我忽视：比值比1.52，95%置信区间1.30 - 1.77）、身体功能较低（日常生活活动中度/重度自我忽视：比值比1.09，95%置信区间1.05 - 1.13；工具性日常生活活动轻度：比值比1.04，95%置信区间1.03 - 1.06；工具性日常生活活动中度/重度：比值比1.06，95%置信区间1.04 - 1.07）、认知功能较低（轻度自我忽视：比值比1.05，95%置信区间1.03 - 1.07；中度/重度自我忽视：比值比1.07，95%置信区间1.04 - 1.09）以及抑郁症状较多（轻度自我忽视：比值比1.05，95%置信区间1.02 - 1.07；中度/重度自我忽视：比值比1.08，95%置信区间1.06 - 1.11）均与各种严重程度的老年人自我忽视风险增加显著相关。
认知、身体和心理健康水平较低的老年人更有可能报告老年人自我忽视及其表现型。未来需要进行研究以调查与老年人自我忽视相关的风险/保护因素。《老年医学与老年病学国际杂志》2016年；16：1051 - 1062。
