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Social Psychiatry and Psychiatric Epidemiology
Erschienen in: Social Psychiatry and Psychiatric Epidemiology 3/2014

01.03.2014 | Original Paper

Cognitive impairment in public housing residents living in Western New York

verfasst von: Adam Simning, Yeates Conwell, Edwin van Wijngaarden

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 3/2014

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Abstract

Purpose

Many older adults in the USA live in public housing facilities and have characteristics that may place them at risk for cognitive impairment. Cognitive impairment has been largely unexamined in this socioeconomically disadvantaged population, however. We therefore aim to characterize its prevalence and correlates, which may help determine which residents could benefit from additional assistance to optimize their ability to function independently.

Methods

We interviewed 190 English-speaking public housing residents aged 60 years and older in Rochester, a city in Western New York, to assess socio-demographics, mental health, physical health and disability, coping strategies and social support, and service utilization. The Mini-Cog dementia screen evaluated cognitive status.

Results

Twenty-seven percent of residents screened positive for cognitive impairment. In bivariate analyses, older age, less education, greater duration of residence, worse health, less reliance on adaptive coping strategies, and greater utilization of health services were associated with cognitive impairment; age and worse health remained correlated with cognitive impairment in multivariable analyses. Anxiety, depression, and history of substance misuse were not associated with cognitive impairment.

Conclusions

The high level of cognitive impairment in public housing could threaten residents’ continued ability to live independently. Further examination is needed on how such threats to their independence are best accommodated so that public housing residents at risk for needing higher levels of care can successfully age in place.
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Metadaten
Titel
Cognitive impairment in public housing residents living in Western New York
verfasst von
Adam Simning
Yeates Conwell
Edwin van Wijngaarden
Publikationsdatum
01.03.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 3/2014
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-013-0712-0

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