Difficulty and help with activities of daily living among older adults living alone with cognitive impairment.

Autor:	Edwards RD; Department of Epidemiology and Biostatistics, University of California, San Francisco, California, USA., Brenowitz WD; Department of Epidemiology and Biostatistics, University of California, San Francisco, California, USA., Portacolone E; Institute for Health & Aging, University of California, San Francisco, California, USA., Covinsky KE; Division of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA., Bindman A; Phillip R. Lee Institute for Health Policy Studies, University of California, San Francisco, California, USA., Glymour MM; Department of Epidemiology and Biostatistics, University of California, San Francisco, California, USA., Torres JM; Department of Epidemiology and Biostatistics, University of California, San Francisco, California, USA.
Jazyk:	angličtina
Zdroj:	Alzheimer's & dementia : the journal of the Alzheimer's Association [Alzheimers Dement] 2020 Aug; Vol. 16 (8), pp. 1125-1133. Date of Electronic Publication: 2020 Jun 26.
DOI:	10.1002/alz.12102
Abstrakt:	Introduction: There is limited research on difficulties with activities of daily living (I/ADLs) among older adults living alone with cognitive impairment, including differences by race/ethnicity. Methods: For U.S. Health and Retirement Study (2000-2014) participants aged 55+ living alone with cognitive impairment (4,666 individuals; 9,091 observations), we evaluated I/ADL difficulty and help. Results: Among 4.3 million adults aged 55+ living alone with cognitive impairment, an estimated 46% reported an I/ADL difficulty; 72% reported not receiving help with an I/ADL. Women reported more difficulty than men. Compared to white women, black women were 22% more likely to report a difficulty without help, and Latina women were 36% more likely to report a difficulty with help. Among men, racial/ethnic differences in outcomes were not significant. Patterns of difficulty without help by race/ethnicity were similar among Medicaid beneficiaries. Discussion: Findings call for targeted efforts to support older adults living alone with cognitive impairment. (© 2020 the Alzheimer's Association.)
Databáze:	MEDLINE
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