Prevalence and Factors Associated With Elder Self-Neglect Among Community-Dwelling Older Adults: A Cross-Sectional Study.

IF 1.1 4区医学 Q4 GERIATRICS & GERONTOLOGY

Journal of gerontological nursing Pub Date : 2025-01-10 DOI:10.3928/00989134-20250103-01

Yanhong Wang, Ke Zhang, Haihui Ruan, Xiaodan Niu, Jing Zhang, Yaxin Chen, Hongxia Tao

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Abstract

Purpose: To report the prevalence and risk factors of elder self-neglect (ESN) among community-dwelling older adults (N = 604).

Method: The current cross-sectional study was conducted from July 2019 to October 2020 in Lanzhou City, China. ESN was determined by the Scale of Elderly Self-Neglect, which evaluates five dimensions: (a) medical health and care, (b) environmental sanitation and personal hygiene, (c) mental health, (d) safety, and (e) social engagement. Frailty was assessed using the Physical Frailty Phenotype scale. Participants were asked whether they had bothersome and activity-limiting pain over the past 1 month. Characteristics associated with ESN were identified through multiple linear regression analyses.

Results: Mean age of participants was 71.34 years (SD = 7.15 years), and 255 (57.8%) were female. The prevalence of ESN among participants was 16.2%. Among the five dimensions of ESN, medical health and care accounted for the largest proportion (44%). Approximately 58% of participants were pre-frail and 11.4% were frail, and 45% reported experiencing bothersome pain. Older adults with a household monthly income per capita <2,000 RMB (β = -0.112, p < 0.05), larger waist circumference (β = 0.185, p < 0.001), pre-frailty (β = 0.176, p < 0.001), frailty (β = 0.420, p < 0.001), and pain (β = 0.102, p < 0.05) were more prone to ESN.

Conclusion: ESN is a prevalent issue among community-dwelling older adults. Frailty, pain, low economic status, and larger waist circumference are identified as independent risk factors for ESN. There is a need to improve the understanding of ESN among health care providers and policymakers. Personalized interventions aimed at preventing or addressing these risk factors may lead to improvements in ESN outcomes. [Journal of Gerontological Nursing, xx(x), xx-xx.].

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社区居住老年人自我忽视的患病率及相关因素：一项横断面研究。

目的：了解604名社区老年人自我忽视（ESN）的患病率及其危险因素。方法：本横断面研究于2019年7月至2020年10月在中国兰州市进行。ESN由老年人自我忽视量表确定，该量表评估五个方面：(a)医疗健康和护理，(b)环境卫生和个人卫生，(c)心理健康，(d)安全，以及(e)社会参与。虚弱程度采用物理虚弱表型量表进行评估。参与者被问及在过去的一个月里是否有令人烦恼和活动受限的疼痛。通过多元线性回归分析确定ESN的相关特征。结果：参与者平均年龄71.34岁（SD = 7.15岁），女性255人（57.8%）。参与者中ESN的患病率为16.2%。在ESN的五个维度中，医疗健康和护理所占比例最大（44%）。大约58%的参与者处于前期虚弱状态，11.4%的参与者处于虚弱状态，45%的参与者报告经历了令人烦恼的疼痛。家庭人均月收入较高（p < 0.05）、腰围较大（β = 0.185, p < 0.001）、身体虚弱前（β = 0.176, p < 0.001）、身体虚弱（β = 0.420, p < 0.001）、身体疼痛（β = 0.102, p < 0.05）的老年人更易发生ESN。结论：ESN是社区老年人普遍存在的问题。体弱多病、疼痛、经济地位低下、腰围较大被认为是ESN的独立危险因素。有必要提高卫生保健提供者和政策制定者对ESN的理解。旨在预防或解决这些风险因素的个性化干预措施可能导致ESN结果的改善。老年护理杂志，xx(x), xx-xx。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of gerontological nursing 医学-护理

CiteScore

2.00

自引率

7.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.