Table 2:
Study characteristics
Author, Journal, Year | Study Design | Setting, Location | Sample, Subjects | Proportion of OA without Family or Friend Guardian in Total Sample | Sample Demographic Characteristics | Statistical Analysis |
---|---|---|---|---|---|---|
Janofsky, Journal of Geriatric Psychiatry & Neurology, 1993 | Cross-sectional survey | Nursing home (n
= 1) Country: USA |
Emergency contact or family
member of resident (n = 191 respondents) |
n = 63
residents lacked durable power of attorney or
guardian Prevalence = 33% |
n = 46 (73%)
were not considered mentally capable of
decision-making n = 16 (25.4%) were considered mentally capable of decision-making |
None |
Teaster, dissertation, 1997 | Qualitative interviews, document review | Qualitative interviews, document
review of court petitions, and case files from older
adults under public guardianship Country: USA |
Case files from older adults
included in qualitative interviews and
observations (n = 19 ) |
NA |
n = 10 (52.6%)
able to communicate verbally n = 9 (47.4%) unable to communicate verbally Average age = 80.7 years n = 13 (68.4%) lived in a nursing home, 1 (5.5%) in hospital, 1 (5.3%) in own home, 3 (15.8%) in group home, 1 (5.5%) home for adults n = 10 (52.6%) have a dementia All had at least one major medical diagnosis; the average number of major medical diagnoses was 3+ |
NA |
Author, Journal, Year | Study Design | Setting, Location | Sample, Subjects | Proportion of OA without Family or Friend Guardian in Total Sample | Sample Demographic Characteristics with Comparison Groups | Statistical Analysis |
Reynolds, Aging and Mental Health, 1997 a | Cross-sectional survey | Records from Los Angeles County
Department of Mental Health’s Office of Public
Guardian Country: USA |
Wards who were 70+
(n = 623) Total # of records: n = 2,151 |
n = 623 older
adults under public guardianship Prevalence = 29% |
Public Conservatees vs.
Nationally Representative Sample of Older
Adults Age 85+: Public = 30.2%; National = 13.6% Married: Public = 6%; National = 54.9% Single: Public = 38%; National = 2.9% Separated or divorced: Public = 19.8%; National = 5% Childless: Public = 73.2%; National = 14.9% No Siblings: Public = 71.3%; National = 23.6% High School Graduate +: Public = 65.1%; National = 55.9% Wealth (None): Public = 31.9%; National = 6.5% Real estate value (None): Public = 83.2%; National = 25.5% |
Pearson χ2 p < .05 reported |
Reynolds, Aging and Mental Health, 1999 | Cross-sectional survey | Court records in two
counties Country: USA |
n = 406 court files |
n = 167 had
family guardians n = 147 had professional guardians Prevalence = 41% |
Public Conservatees vs.
Family Conservatees Age (mean): Public = 74.26; Family = 63.45 With Spouse (Yes): Public = 7.60%; Family = 20.2% Number of children: Public = 0.29; Family = 0.96 Number of siblings: Public = 0.41; Family = 0.71 |
Pearson χ2 p < .05 reported |
Reynolds, Research on Aging, 1997 | Cross-sectional survey | Records from Los Angeles County
Department of Mental Health’s Office of Public
Guardian Country: USA |
Wards who were 60+
(n = 894) Total # of records: n = 2,118 |
42.2% |
Older (60+) vs. Young
(<60) Female: Old = (0.63); Young = (0.33) Married: Old = (0.06); Young = (0.04) Single: Old = (0.39); Young = (0.74) Widowed: Old = (0.24); Young = (0.01) Divorced/Separated: Old = (0.29); Young = (0.18) Indications of Severe Disability: Old = (0.35); Young = (0.14) ADL Impairments: Old = (2.56); Young = (0.14) Diagnosis of schizophrenia or other psychosis: Old = (0.28); Young = (0.74) Diagnosis of dementia/OBS: Old = (0.46); Young = (0.05) |
No tests for significant
differences; Conducted regression model with age as predictor of placement in locked facility |
OA = older adults
OBS = organic brain syndrome
The comparative data set of a nationally representative sample of older adults came from the Asset and Health Dynamics Among the Oldest Old (AHEAD) study described here: https://www.aeaweb.org/rfe/showRes.php?rfe_id=72&cat_id=5