A cross-lagged analysis of self-neglect and frailty among older adults
10.3760/cma.j.cn115682-20241212-06837
- VernacularTitle:老年人自我忽视与衰弱的交叉滞后分析
- Author:
Qianping LI
1
;
Yaping DING
;
Tianyue SHI
;
Ling ZHU
;
Hongfei JIA
;
Yueheng YIN
;
Xianwen LI
;
Yayi ZHAO
Author Information
1. 南京医科大学护理学院，南京 211166
- Publication Type:Journal Article
- Keywords:
Aged;
Self-neglect;
Frailty;
Cross-lagged analysis
- From:
Chinese Journal of Modern Nursing
2025;31(29):4044-4049
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the longitudinal predictive relationship between self-neglect and frailty among older adults.Methods:Data were drawn from the Chinese Longitudinal Healthy Longevity Survey conducted in 2011 (T1), 2014 (T2), and 2018 (T3). A total of 1 495 older adults aged≥65 years at T1 who participated in three consecutive surveys and had no missing key variables were included. General demographic information, self-neglect scores, and frailty status were extracted. Spearman correlation analysis was used to examine the association between self-neglect and frailty. Cross-lagged analysis was employed to investigate the potential causal relationship between the two variables.Results:The self-neglect scores for 1 495 older adults at T1, T2, and T3 were (2.84±1.39), (2.47±1.30), and (2.41±1.20), respectively, showing a declining trend. The frailty scores at T1, T2, and T3 were 0 (0, 1.00), 0 (0, 2.00), and 1.00 (0, 2.00), respectively, indicating an increasing trend. Cross-lagged analysis revealed that self-neglect at T1 positively predicted frailty at T2 (β=0.076, P=0.004). Frailty at both T1 and T2 positively predicted self-neglect at T2 (β=0.057, P=0.044) and T3 (β=0.058, P=0.029), respectively. Conclusions:Frailty among older adults positively predicts self-neglect, and self-neglect also has a certain predictive effect on frailty. Medical staff should strengthen early screening and intervention for frailty in older adults to delay the occurrence and progression of self-neglect.
