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.

National Institute of Health (NIH)
National Institute on Aging (NIA)
Mentored Patient-Oriented Research Career Development Award (K23)
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Special Emphasis Panel (ZAG1-ZIJ-4 (M1))
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Haaga, John G
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Rush University Medical Center
United States
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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

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