Table 6.
Reported Elder Self-neglect and Cause-Specific Mortality
| Type of Disease | Definition | Follow-up, Median (IQR), y |
No Abuse Reported, Death per 100 Person- Years |
Reported Self-neglect | |||
|---|---|---|---|---|---|---|---|
| Mortality Intervals, y |
Deaths per 100 Person-Years |
Adjusted HR (95% CI)a |
P Value |
||||
| Cardiovascular | All diseases of circulatory system | 0.69 (0.29–1.75) | 1.33 | ≤1 | 54.72 | 8.34 (6.72–10.34) | <.001 |
| >1 | 2.43 | 3.09 (2.28–4.22) | <.001 | ||||
| Pulmonary | All diseases of respiratory system | 0.74 (0.43–1.70) | 0.27 | ≤1 | 13.00 | 8.95 (5.71–14.03) | <.001 |
| >1 | 0.62 | 2.94 (1.51–5.75) | <.001 | ||||
| Neoplasm | All types of solid and nonsolid cancers | 0.29 (0.07–0.96) | 0.71 | ≤1 | 44.43 | 15.26 (11.73–19.84) | <.001 |
| >1 | 0.94 | 2.84 (1.78–4.54) | <.001 | ||||
| Endocrine | All endocrine, nutritional, and metabolic diseases |
0.48 (0.17–0.85) | 0.19 | ≤1 | 15.71 | 13.75 (8.65–21.85) | <.001 |
| >1 | 0.29 | 1.60 (0.58–4.46) | .18 | ||||
| Neuropsychiatric | All diseases of nervous system and mental and behavior disorders |
1.16 (0.57–1.91) | 0.18 | ≤1 | 4.88 | 8.00 (4.23–15.12) | <.001 |
| >1 | 0.45 | 4.02 (1.92–8.42) | <.001 | ||||
Abbreviations: CI, confidence interval; HR, hazard ratio; IQR, interquartile range.
a
Adjusted for age, sex, race, cohort (refers to the original cohort or the successive cohort of the Chicago Health and Aging Project [CHAP]), education (years completed), income, age × education, sex× education, medical conditions, global cognition, Katz activities of daily living, Nagi impairment score, physical performance testing, marital status, weight loss, alcohol use (>12 drinks in last 12 months), cigarette smoking (ever), Center for Epidemiologic Studies Depression score, and social network.