Abstract
Objectives: To examine the prevalence of dementia in the absence of a reported dementia diagnosis and whether potentially unsafe activities and living conditions vary as a function of dementia diagnosis status in a nationally representative sample of older adults. Design: Observational cohort study. Setting: Community. Participants: Medicare beneficiaries aged 65 and older enrolled in the National Health and Aging Trends Study (N = 7,609). Measurements: Participants were classified into four groups based on self-report of dementia diagnosis, proxy screening interview, and cognitive testing: probable dementia with reported dementia diagnosis (n = 457), probable dementia without reported dementia diagnosis (n = 581), possible dementia (n = 996), or no dementia (n = 5,575). Potentially unsafe activities (driving, preparing hot meals, managing finances or medications, attending doctor visits alone) and living conditions (falls, living alone, and unmet needs) were examined according to dementia status subgroups in stratified analyses and multivariate models, adjusting for sociodemographic factors, medical comorbidities, and physical capacity. Results: The prevalence of driving (22.9%), preparing hot meals (31.0%), managing finances (21.9%), managing medications (36.6%), and attending doctor visits alone (20.6%) was lowest in persons with probable dementia; however, but in persons with probable dementia, the covariate-adjusted rates of driving, preparing hot meals, managing finances, managing medications, and attending doctor visits alone were significantly higher in those without reported dementia diagnosis than in those with reported diagnosis (all odds ratios ≥2.00, all P
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1223-1232 |
| Number of pages | 10 |
| Journal | Journal of the American Geriatrics Society |
| Volume | 64 |
| Issue number | 6 |
| DOIs | |
| State | Published - Jun 1 2016 |
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Keywords
- dementia
- observational study
- safety
ASJC Scopus subject areas
- Geriatrics and Gerontology
Cite this
Potentially Unsafe Activities and Living Conditions of Older Adults with Dementia. / Amjad, Halima; Roth, David L; Samus, Quincy Miles; Yasar, Sevil; Wolff, Jennifer.
In: Journal of the American Geriatrics Society, Vol. 64, No. 6, 01.06.2016, p. 1223-1232.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Potentially Unsafe Activities and Living Conditions of Older Adults with Dementia
AU - Amjad, Halima
AU - Roth, David L
AU - Samus, Quincy Miles
AU - Yasar, Sevil
AU - Wolff, Jennifer
PY - 2016/6/1
Y1 - 2016/6/1
N2 - Objectives: To examine the prevalence of dementia in the absence of a reported dementia diagnosis and whether potentially unsafe activities and living conditions vary as a function of dementia diagnosis status in a nationally representative sample of older adults. Design: Observational cohort study. Setting: Community. Participants: Medicare beneficiaries aged 65 and older enrolled in the National Health and Aging Trends Study (N = 7,609). Measurements: Participants were classified into four groups based on self-report of dementia diagnosis, proxy screening interview, and cognitive testing: probable dementia with reported dementia diagnosis (n = 457), probable dementia without reported dementia diagnosis (n = 581), possible dementia (n = 996), or no dementia (n = 5,575). Potentially unsafe activities (driving, preparing hot meals, managing finances or medications, attending doctor visits alone) and living conditions (falls, living alone, and unmet needs) were examined according to dementia status subgroups in stratified analyses and multivariate models, adjusting for sociodemographic factors, medical comorbidities, and physical capacity. Results: The prevalence of driving (22.9%), preparing hot meals (31.0%), managing finances (21.9%), managing medications (36.6%), and attending doctor visits alone (20.6%) was lowest in persons with probable dementia; however, but in persons with probable dementia, the covariate-adjusted rates of driving, preparing hot meals, managing finances, managing medications, and attending doctor visits alone were significantly higher in those without reported dementia diagnosis than in those with reported diagnosis (all odds ratios ≥2.00, all P
AB - Objectives: To examine the prevalence of dementia in the absence of a reported dementia diagnosis and whether potentially unsafe activities and living conditions vary as a function of dementia diagnosis status in a nationally representative sample of older adults. Design: Observational cohort study. Setting: Community. Participants: Medicare beneficiaries aged 65 and older enrolled in the National Health and Aging Trends Study (N = 7,609). Measurements: Participants were classified into four groups based on self-report of dementia diagnosis, proxy screening interview, and cognitive testing: probable dementia with reported dementia diagnosis (n = 457), probable dementia without reported dementia diagnosis (n = 581), possible dementia (n = 996), or no dementia (n = 5,575). Potentially unsafe activities (driving, preparing hot meals, managing finances or medications, attending doctor visits alone) and living conditions (falls, living alone, and unmet needs) were examined according to dementia status subgroups in stratified analyses and multivariate models, adjusting for sociodemographic factors, medical comorbidities, and physical capacity. Results: The prevalence of driving (22.9%), preparing hot meals (31.0%), managing finances (21.9%), managing medications (36.6%), and attending doctor visits alone (20.6%) was lowest in persons with probable dementia; however, but in persons with probable dementia, the covariate-adjusted rates of driving, preparing hot meals, managing finances, managing medications, and attending doctor visits alone were significantly higher in those without reported dementia diagnosis than in those with reported diagnosis (all odds ratios ≥2.00, all P
KW - dementia
KW - observational study
KW - safety
UR - http://www.scopus.com/inward/record.url?scp=84975300002&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84975300002&partnerID=8YFLogxK
U2 - 10.1111/jgs.14164
DO - 10.1111/jgs.14164
M3 - Article
C2 - 27253366
AN - SCOPUS:84975300002
VL - 64
SP - 1223
EP - 1232
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
SN - 0002-8614
IS - 6
ER -