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  11. Prevalence And Influencing Factors Of Self-neglect In Older Adults: A Systematic Review And Meta-analysis

Prevalence and influencing factors of self-neglect in older adults: a systematic review and meta-analysis

Huiqin Li1, Jing Wang2, Yuyao Zhang1

  • 1School of Nursing, Anhui University of Chinese Medicine, Anhui 230012, China.

Geriatric Nursing (New York, N.Y.)
|June 13, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Self-neglect affects 28% of older adults, with higher prevalence in China. Factors like depression and cognitive impairment increase risk, while income and social support offer protection.

Area of Science:

  • Gerontology
  • Public Health
  • Mental Health Research

Background:

  • Self-neglect in older adults is a growing concern, impacting their health and well-being.
  • Understanding its prevalence and contributing factors is crucial for effective intervention strategies.

Purpose of the Study:

  • To conduct a meta-analysis evaluating the prevalence of self-neglect among older adults.
  • To identify key factors influencing the occurrence of self-neglect in this population.

Main Methods:

  • A comprehensive literature search was performed across multiple databases (PubMed, Embase, Web of Science, CINAHL, Cochrane Library, and Chinese databases) up to May 2024.
  • Data from 23 studies, encompassing 54,610 older adults, were analyzed for prevalence and influencing factors using STATA 15.
Keywords:
Influencing factorsOlder adultsRisk factorsSelf-neglect

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Main Results:

  • The overall prevalence of self-neglect was found to be 28% (95% CI: 0.21, 0.36).
  • Prevalence varied significantly by region (14% in the US vs. 45% in China) and assessment tools used.
  • Risk factors included older age, poor self-care, depression, and cognitive impairment; higher income and social support were protective.

Conclusions:

  • The findings highlight the significant prevalence of self-neglect in older adults and underscore the importance of identified risk and protective factors.
  • Future interventions should target these factors, involving families, healthcare providers, and society for early recognition and mitigation of adverse outcomes.
Systematic review