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 V3
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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], 2025-06-17. https://doi.org/10.3886/E227541V3
Project Description
Summary:
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This study describes how racial/ethnic group differences in self-neglect incidence varied across metropolitan and rural regions of Texas. 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 used negative binomial regression models to estimate the association of race/ethnicity, gender, and region type with self-neglect case counts. Self-neglect incidence among Black older adults was about twice that of White older adults, a difference that persisted across metropolitan regions. Black-White differences were more pronounced in Northwest rural regions but were absent in the El Paso region. Hispanic-White differences varied across both metropolitan and rural regions. In the Arlington region, for example, self-neglect incidence among Hispanic older adults was less than that of White older adults, whereas in San Antonio it was greater. 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:
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self neglect;
adult protective services;
adminstrative data;
aged;
healthcare disparities
Geographic Coverage:
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State of Texas
Universe:
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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):
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administrative records data;
aggregate data;
census/enumeration data
Methodology
Response Rate:
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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:
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Aggregated county population figures from US Census Bureau estimates.
Unit(s) of Observation:
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Individuals
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