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Journal of Aging and Health
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Is Greater Self-Neglect Severity Associated With Lower Levels of Physical Function?

XinQi Dong, MD

Rush University Medical Center, Chicago, xinqi_dong{at}rush.edu

Carlos F. Mendes de Leon, PhD

Rush University Medical Center, Chicago

Denis A. Evans, MD

Rush University Medical Center, Chicago

Objective: This study examined the association between severity of self-neglect and physical function in a population of community-dwelling older adults. Method: Participants were older adults (N = 1,094) reported to the Chicago Department on Aging for suspected self-neglect from 1993 to 2005, who also participated in the Chicago Health Aging Project. The primary outcome of physical function was assessed using physical performance tests. Secondary outcomes were assessed using the Katz, Nagi, and Rosow-Breslau scales. Multiple regression models were used to assess these associations. Results: After adjusting for confounders, higher self-neglect severity scores were associated with lower physical performance testing (coefficient = —.062, p = .001). Greater self-neglect severity was also correlated with the reported number of impairments on the Katz, Nagi, and Rosow-Breslau scales (coefficients = .024, .024, and .016, respectively, p = .001). Discussion: Higher self-neglect severity is associated with lower levels of physical function among older adults.

Key Words: self-neglect severity • physical function • elderly • cross-sectional study

This version was published on June 1, 2009

Journal of Aging and Health, Vol. 21, No. 4, 596-610 (2009)
DOI: 10.1177/0898264309333323
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X. Dong, M. Simon, C. Mendes de Leon, T. Fulmer, T. Beck, L. Hebert, C. Dyer, G. Paveza, and D. Evans
Elder Self-neglect and Abuse and Mortality Risk in a Community-Dwelling Population
JAMA, August 5, 2009; 302(5): 517 - 526.
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