AI Article Synopsis
- The study explores the link between neighborhood cohesion and self-neglect among Chinese-American seniors living in community settings.
- Researchers analyzed data from over 3,100 participants aged 60 and up, gathered between 2011 and 2013 in the Chicago area.
- Findings suggest that stronger neighborhood ties are connected to a reduced risk of self-neglect, particularly in areas like personal hygiene and home repairs, indicating that fostering neighborhood cohesion could aid in preventing self-neglect in older adults.
Article Abstract
Objectives: To examine the association between neighborhood cohesion and risk of self-neglect in a community-dwelling Chinese-American older population.
Setting: Community.
Participants: Chinese-American older adults aged 60 and older interviewed from 2011 to 2013 (N = 3,159).
Design: Data were drawn from the Population Study of Chinese Elderly, a cross-sectional community-engaged study in the greater Chicago area.
Measurements: Self-neglect was assessed with systematic observations of a participant's personal and home environment. Neighborhood cohesion was measured using six questions.
Results: After controlling for potential confounders, greater neighborhood cohesion was significantly associated with lower risk of overall self-neglect (odds ratio (OR) = 0.87, 95% confidence interval (CI) = 0.77-0.98) and moderate to severe self-neglect (OR = 0.70, 95% CI = 0.58-0.85) but not significantly associated with mild self-neglect (OR = 0.94, 95% CI = 0.82-1.09). Regarding the phenotypes of self-neglect, greater neighborhood cohesion was significantly associated with lower risk of poor personal hygiene (OR = 0.80, 95% CI = 0.67-0.96) and need for home repair (OR = 0.70, 95% CI = 0.60-0.83) but not significantly for hoarding (OR = 1.04, 95% CI = 0.89-1.21), unsanitary conditions (OR = 0.88, 95% CI = 0.76-1.02), and inadequate utilities (OR = 1.00, 95% CI = 0.77-1.31).
Conclusion: This study highlights the association between greater neighborhood cohesion and lower risk of overall self-neglect in Chinese-American older adults. Enhancing neighborhood cohesion may enhance elder self-neglect prevention and intervention.
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| http://dx.doi.org/10.1111/jgs.15147 | DOI Listing |
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