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

Name: Racial/Ethnic Group Differences in the Incidence of Self-Neglect: Variation Across Metropolitan and Rural Regions
Published: 2025-04-23
License: https://creativecommons.org/licenses/by/4.0

Principal Investigator(s): View help for Principal Investigator(s) Kenneth Steinman, The Ohio State University

Version: View help for Version V2

Name	File Type	Size	Last Modified
tx_self_neglect_aps public data.xlsx	application/vnd.openxmlformats-officedocument.spreadsheetml.sheet	9.6 MB	04/23/2025 05:55:PM

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/E227541V2

Project Description

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: self neglect; adult protective services; adminstrative data; aged; healthcare disparities

Geographic Coverage: State of Texas

Time Period(s): 2020 – 2023

Collection Date(s): 2020 – 2023

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): administrative records data; aggregate data; census/enumeration data

Methodology

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: Aggregated county population figures from US Census Bureau estimates.

Unit(s) of Observation: Individuals

Related Publications

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Published Versions

V3 [2025-06-17]

V2 [2025-04-23]

V1 [2025-04-23]

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