title: Elder self-neglect is associated with increased risk for elder abuse in a community-dwelling population: findings from the Chicago Health and Aging Project.
abstract: OBJECTIVE
  We examined the relationship between self-neglect and risk for subsequent elder abuse report to social services agency.
  
  
  METHODS
  Population-based cohort study conducted Chicago. Primary predictor was elder self-neglect at baseline without concurrent elder abuse. Cox proportional hazard models were used to assess independent associations of elder self-neglect with the risk of subsequent elder abuse using time-varying covariate analyses.
  
  
  RESULTS
  Of 10,333 participants, 1,460 were reported for self-neglect and 180 were reported for elder abuse. The median time from self-neglect to elder abuse was 3.5 years. In multivariable analyses, elder self-neglect was associated with increased risk for subsequent elder abuse (odds ratio, OR, 1.75[1.18-2.59]). Elder self-neglect was also associated with increased risk for subsequent caregiver neglect (OR, 2.09[1.24-3.52]), financial exploitation (OR, 1.73[1.01-2.95]), and multiple forms of elder abuse (HR, 2.06[1.22-3.48]).
  
  
  CONCLUSIONS
  Elder self-neglect report is associated with increased risk for subsequent elder abuse report to social services agency.
authors.affiliation: Institute for Healthy Aging, Rush University Medical Center, Chicago, IL 60612, USA. xinqi_dong@rush.edu
authors.forename: XinQi
authors.initials: X
authors.lastname: Dong
authors.forename: Melissa
authors.initials: M
authors.lastname: Simon
authors.forename: Denis
authors.initials: D
authors.lastname: Evans
mesh_terms: D000368:Aged; D002641:Chicago; D004552:Elder Abuse / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D057187:Independent Living; D008297:Male; D016016:Proportional Hazards Models; D011446:Prospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D012648:Self Care / Q000592:standards*; D012947:Social Work / Q000706:statistics & numerical data*; D013997:Time Factors