A newer version of this project is available. See below for other available versions.
Racial/Ethnic Group Differences in the Incidence of Self-Neglect: Variation Across Metropolitan and Rural Regions
Principal Investigator(s): View help for Principal Investigator(s) Kenneth Steinman, The Ohio State University
Version: View help for Version V1
Project Citation:
Steinman, Kenneth. Racial/Ethnic Group Differences in the Incidence of Self-Neglect: Variation Across Metropolitan and Rural Regions. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2025-04-23. https://doi.org/10.3886/E227541V1
Project Description
Summary:
View help for Summary
This study examines racial/ethnic group differences in self-neglect incidence and describes how these differences varied across eleven regions of Texas. The county-based regions are used by state agencies and include both metropolitan (e.g., Houston) as well as rural (e.g., Abilene) areas. The data included 134,538 cases of self-neglect validated by adult protective services among people 65+ years old from 2020 to 2023. We aggregated county population figures from US Census Bureau estimates and calculated incidence and incident rate ratios (IRRs) stratified by gender, race/ethnicity, and region. Self-neglect incidence among Black older adults was nearly twice that of White older adults, a difference that persisted across metropolitan regions. Yet, Black-White differences were much more pronounced in certain rural regions. Hispanic-White IRRs varied across both metropolitan and rural regions. In one rural region, for example, self-neglect incidence among Hispanic older adults was more than twice that of White older adults; in others it was less than half that of White older adults. Addressing self-neglect among Black and Hispanic older adults should anticipate that different communities may require distinct approaches. Future studies with more geographic units should build on this descriptive study to explain variation in racial/ethnic group differences in self-neglect incidence.
Scope of Project
Subject Terms:
View help for Subject Terms
self neglect;
adult protective services;
adminstrative data;
aged;
healthcare disparities
Geographic Coverage:
View help for Geographic Coverage
State of Texas
Time Period(s):
View help for Time Period(s)
2020 – 2023
Collection Date(s):
View help for Collection Date(s)
2020 – 2023
Universe:
View help for Universe
The data included 134,538 cases of self-neglect validated by adult protective services among people 65+ years old from 2020 to 2023
Data Type(s):
View help for Data Type(s)
administrative records data;
aggregate data;
census/enumeration data
Methodology
Response Rate:
View help for Response Rate
The data set included 134,538 validated cases of self-neglect involving persons 65+ years of age. Analysis omitted cases with unknown gender (N = 545) or where the person lived out of state (N = 71)
Data Source:
View help for Data Source
Aggregated county population figures from US Census Bureau estimates.
Unit(s) of Observation:
View help for Unit(s) of Observation
Individuals
Related Publications
Published Versions
Report a Problem
Found a serious problem with the data, such as disclosure risk or copyrighted content? Let us know.
This material is distributed exactly as it arrived from the data depositor. ICPSR has not checked or processed this material. Users should consult the investigator(s) if further information is desired.