Consequences of Self-Neglect in a Biracial Population of Older People

混血老年人群中自我忽视的后果

• 批准号: 7547508
• 负责人: XINQI DONG
• 金额: $ 9.26万
• 依托单位: RUSH UNIVERSITY MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-08-01 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7547508
• 关键词: Accident and Emergency department; Accounting; Admission activity; Age; Aging; Alzheimer' s Disease; Caregivers; Chicago; Classification; Clinical; Cognitive aging; Communities; Custodial Care; Data; Development; Elder Abuse; Elderly; Environment; Epidemiologic Studies; Frequencies; Goals; Health; Home Health Agency; Hospitalization; Investigation; Longitudinal Studies; Measurable; Mentored Clinical Oncology Award; Mentored Clinical Scientist Award; Mentored Patient-Oriented Research Career Development Award; Methodology; Morbidity - disease rate; Not Hispanic or Latino; Nursing Homes; Older Population; Outcome; Outpatients; Physicians; Placement; Policies; Population; Population Heterogeneity; Public Health; Rate; Reporting; Research; Research Personnel; Risk; Risk Factors; Severities; Sexual abuse; Skilled Nursing Facilities; Social Work; United States; Visit; Work; base; emotional abuse; financial exploitation; functional disability; maltreatment; mortality; neglect; nursing skill; physical abuse; prospective; racial and ethnic; racial/ethnic difference; self-neglect; socioeconomics

DESCRIPTION (provided by applicant): 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.

描述（由申请人提供）：本申请建议对自我对重要健康结果的关系的关系进行大量前瞻性，基于人群的流行病学研究。这项研究的具体目的是量化自我确定的严重性与1）医师和家庭健康局访问的频率的关系； 2）急诊室就诊和住院； 3）入学熟练的护理设施和长期疗养院安置； 4）总体死亡的风险； 5）比较同一社区中的黑人和白人中上述关系。 有证据表明，每年在美国报告超过120万例老年人自我批准，比其他任何形式的虐待（身体虐待，心理虐待，性虐待，经济剥削，经济剥削，照料者忽视，遗弃和自我拒绝）更多。 先前的研究表明，以严重形式的自我忽视具有与死亡率和死亡率相关的，但是从直接纵向研究中几乎没有系统的信息，以阐明自我判断性的全部严重程度到不良健康结果，尤其是这些健康状况的种族/族裔差异。 该项目将在芝加哥健康与衰老项目（CHAP）的背景下严格研究这些关系：自1993年以来对混血儿人口的纵向流行病学研究。这项基于人群的研究的总体目标是为新信息提供新的信息，使老年人在混血儿人群中的自我认识的结果是为不良临床的发展而产生不良临床的发展。这项研究的广泛，长期目标是制定策略，以确定具有高度陷入自我风险的老年人。候选人在培育跨学科环境中的非常成功的调查员包围。 Beeson Award（K23）将允许候选人快速成熟到独立研究者和领导者中，谁将在临床和政策相关的老龄化研究中进行。