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Racial/Ethnic Group Differences in the Incidence of Self-Neglect: Variation Across Metropolitan and Rural Regions.

Kenneth J Steinman1, Jim Pellerin1

  • 1College of Education and Human Ecology, The Ohio State University, Columbus, USA.

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|June 11, 2025
PubMed
Summary

Self-neglect incidence in older adults varies by race/ethnicity and region. Black older adults had higher rates than White older adults, with significant regional differences observed for both Black and Hispanic populations.

Keywords:
Black or African AmericanHispanic or LatinoSelf-neglectadministrative dataadult protective servicesagedhealthcare disparities

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Area of Science:

  • Gerontology
  • Public Health
  • Sociology

Background:

  • Self-neglect is a growing concern among older adults, impacting health and well-being.
  • Understanding disparities in self-neglect incidence is crucial for targeted interventions.
  • Previous research has not fully explored geographic variations in self-neglect by race/ethnicity.

Purpose of the Study:

  • To examine racial/ethnic group differences in self-neglect incidence across metropolitan and rural areas in Texas.
  • To identify how these disparities vary based on geographic location and region type.
  • To inform the development of tailored strategies for addressing self-neglect in diverse older adult populations.

Main Methods:

  • Utilized a dataset of 134,538 validated self-neglect cases among individuals aged 65+ in Texas (2020-2023).
  • Aggregated county population data from the US Census Bureau.
  • Employed negative binomial regression models to analyze associations between race/ethnicity, gender, region type, and self-neglect counts.

Main Results:

  • Self-neglect incidence was approximately double for Black older adults compared to White older adults, a trend consistent in metropolitan areas.
  • Racial disparities in self-neglect were more pronounced in Northwest rural regions but absent in the El Paso region.
  • Hispanic-White differences in self-neglect incidence showed considerable variation across both metropolitan and rural Texas regions.

Conclusions:

  • Racial and ethnic disparities in self-neglect among older adults are geographically variable.
  • Distinct community-specific approaches are necessary to address self-neglect in Black and Hispanic older populations.
  • Further research with finer geographic granularity is needed to elucidate the drivers of these observed variations.