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Centre for Policy on Ageing | |
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Alone and confused
— community-residing older African Americans with dementia | | Author(s) | Dorothy F Edwards, John C Morris |
| Journal title | Dementia: the international journal of social research and practice, vol 6, no 4, November 2007 |
| Pages | pp 489-506 |
| Source | http://dem.sagepub.com/ |
| Keywords | Black people ; Dementia ; Living in the community ; Living alone ; Informal care ; Domiciliary services ; Usage [services] ; Social surveys ; United States of America. |
| Annotation | Despite significant increases in the number of adults who live alone, little is known about adults with cognitive impairment who live without co-resident caregivers. In this study, the authors examined demographic, cognitive, and functional characteristics and service use patterns of a sample (n=343) of older community-residing African Americans with dementia who were referred for assessment. Of this group, 179 (52%) lived alone. Adults who lived alone were compared with those who had co-resident caregivers to determine differences in cognitive and functional status and formal service use. Comprehensive multidisciplinary assessment included diagnosis and staging of dementia, status evaluation of activities of daily living (ADLs) and instrumental activities of daily living (IADLs), and informal and formal support. Adults living alone had significantly more caregivers than those with co-resident caregivers. Neighbours and friends were more common primary care providers for live-alone adults. A significant proportion of adults had inadequate care, given their cognitive and functional deficits. Although formal service use was low in both groups, live-alone adults were more likely to receive social services than were adults with a co-resident caregiver. Predictors of formal service use included the presence of a caseworker, Medicaid certification, mild dementia and living alone. The results indicate the need for better identification of, and supportive services for, older African Americans with dementia who live alone. (KJ/RH). |
| Accession Number | CPA-08013110 A |
| Classmark | TKE: EA: K4: K8: P6: N: QLD: 3F: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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