This application proposes to conduct a large prospective, population-based epidemiological study of the relations of the continuum of self-neglect to important health outcomes in a biracial population of older adults.
The specific aims of this research are to quantify the relations of self-neglect severity to the frequency of 1) physician and home health agency visits;2) emergency room visits and hospitalizations;3) admissions to skilled nursing facilities and long-term nursing home placements;4) the risk of overall mortality;and 5) to compare the relations noted above among blacks and whites in the same community. Evidence suggests that over 1.2 million cases of elder self-neglect are reported annually in the US, more than any other forms of elder mistreatment (physical abuse, psychological abuse, sexual abuse, financial exploitation, caregiver neglect, abandonment and self-neglect). Prior research indicates self neglect in severe forms has associated morbidity &mortality, but there is very little systematic information from direct longitudinal studies to elucidate the full spectrum of self-neglect severity to adverse health outcomes, particularly the racial/ethnic differences in these health outcomes. The project will rigorously investigate these relations within the context of the Chicago Health and Aging Project (CHAP): a longitudinal epidemiologic study of a biracial population since 1993. The overall goal of this population-based study is to provide new information the consequences of elder self-neglect in a biracial population for the development of adverse clinical outcomes. The broad, long-term objective of this research is to develop strategies to identify older adults at high risk for self-neglect. Candidate is surrounded by highly successful investigators in a nurturing interdisciplinary environment. The Beeson award (K23) will permit the candidate?s rapid maturation into independent investigator and leader who will conduct clinically and policy relevant aging research.
|Wang, Jinjiao; Kong, Dexia; Sun, Benjamin C et al. (2018) Health Services Utilization Among Chinese American Older Adults: Moderation of Social Support With Functional Limitation. J Appl Gerontol :733464818787716|
|Chao, Ying-Yu; Katigbak, Carina; Zhang, Ning Jackie et al. (2018) Association Between Perceived Social Support and Depressive Symptoms Among Community-Dwelling Older Chinese Americans. Gerontol Geriatr Med 4:2333721418778194|
|Dong, XinQi (2016) Sociodemographic and socioeconomic characteristics of elder self-neglect in an US Chinese aging population. Arch Gerontol Geriatr 64:82-9|
|Dong, XinQi; Simon, Melissa (2015) Association between Elder Abuse and Metabolic Syndromes: Findings from the Chicago Health and Aging Project. Gerontology 61:389-98|
|Dong, XinQi; Simon, Melissa A (2015) Elder self-neglect is associated with an increased rate of 30-day hospital readmission: findings from the Chicago Health and Aging Project. Gerontology 61:41-50|
|Dong, XinQi; Chen, Ruijia; Li, Chengyue et al. (2014) Understanding depressive symptoms among community-dwelling Chinese older adults in the Greater Chicago area. J Aging Health 26:1155-71|
|Dong, XinQi; Chen, Ruijia; Simon, Melissa A (2014) Elder abuse and dementia: a review of the research and health policy. Health Aff (Millwood) 33:642-9|
|Dong, XinQi; Wong, Esther; Simon, Melissa A (2014) Study design and implementation of the PINE study. J Aging Health 26:1085-99|
|Dong, Xinqi (2014) Elder abuse: research, practice, and health policy. The 2012 GSA Maxwell Pollack award lecture. Gerontologist 54:153-62|
|Dong, Xinqi; Simon, Melissa; Beck, Todd et al. (2014) Decline in cognitive function and elder mistreatment: findings from the Chicago Health and Aging Project. Am J Geriatr Psychiatry 22:598-605|
Showing the most recent 10 out of 48 publications