Elder Self-Neglect and Hospitalization: Findings from the Chicago Health and Aging Project
Elder Self-Neglect and Hospitalization: Findings from the Chicago Health and Aging Project
复制标题
DOI：
10.1111/j.1532-5415.2011.03821.x
复制
发表时间：
2012-02-01
影响因子：
6.3
通讯作者：
Evans, Denis
中科院分区：
文献类型：
--
作者：
Dong, XinQi;Simon, Melissa A.;Evans, Denis
目的：量化老年人自我忽视与社区老年人住院率之间的关系。产品设计：前瞻性人群基础研究。地点：芝加哥的地理定义的社区。参与者：社区居住的老年人谁参加了芝加哥健康和老龄化项目。在芝加哥健康与老龄化项目的6,864名参与者中，有1165人被报告给社会服务机构，怀疑老年人自我忽视。研究结果是从医疗保险和医疗补助服务中心获得的年住院率。Poisson回归模型被用来评估这些纵向relationships.RESULTS：平均每年住院率为0.6 +/- 1.3为参与者没有老年自我忽视和1.8 +/- 3.2为那些报告老年自我忽视。在调整社会人口学和社会经济特征、医疗并发症以及认知和身体功能后，忽视自己的老年人的住院率显著较高（率比= 1.47，95%置信区间= 1.39-1.55）。自我忽视的严重程度更高（轻度：标准化参数估计（PE）= 0.24，标准误（0.05）;中度：PE = 0.45（0.03）;重度：PE = 0.54，（0.11），所有P
OBJECTIVES: To quantify the relation between reported elder self-neglect and rate of hospitalization in a community population of older adults. DESIGN: Prospective population-based study.SETTING: Geographically defined community in Chicago.PARTICIPANTS: Community dwelling older adults who participated in the Chicago Health and Aging Project. One thousand one hundred sixty-five of the 6,864 participants in the Chicago Health and Aging Project was reported to social services agency for suspected elder self-neglect.MEASUREMENTS: The primary predictor was elder selfneglect reported to social services agency. The outcome of interest was the annual rate of hospitalization, obtained from the Centers for Medicare and Medicaid Services. Poisson regression models were used to assess these longitudinal relationships.RESULTS: The average annual rate of hospitalization was 0.6 +/- 1.3 for participants without elder self-neglect and 1.8 +/- 3.2 for those with reported elder self-neglect. After adjusting for sociodemographic and socioeconomic characteristics, medical commorbidities, and cognitive and physical function, older adults who neglected themselves had significantly higher rate of hospitalization (rate ratio = 1.47, 95% confidence interval = 1.39-1.55). Greater severity of self-neglect (mild: standardized parameter estimate (PE) = 0.24, standard error (0.05); moderate: PE = 0.45 (0.03); severe: PE = 0.54, (0.11), all P