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Published January 2021 | Supplemental Material
Journal Article Open

Subjective cognitive decline and elder mistreatment in Mexican community-dwelling older adults

Abstract

Background and objectives: Elder mistreatment in individuals with subjective cognitive decline is an understudied public health problem that violates human rights. Design and Methods: Cross-sectional study of 386 Mexican community-dwelling older adults. Individuals with episodic memory, executive function, language, visuospatial skills or attention cognitive complaints without low cognitive performance scores in the Mini-Mental State Examination and the Isaacs Set Test that were considered positive for subjective cognitive decline (SCD). Elder mistreatment (EM) was considered positive if any of the questions on the Geriatric Mistreatment Scale were answered affirmatively. Logistic regression models were created to test the association between SCD and EM. Results: After adjustments made by age, sex, education and depressive symptoms a positive association was found between SCD and EM (OR = 2.226; 95%CI = 1.296 to 3.822 ; p = 0.004). This association was observed in all subtypes of cognitive complaints except excecutive function: episodic memory (OR = 2.219 ; 95%CI = 1.321 to 3.728 ; p = 0.003), language (OR = 2.500 ; 95% CI = 1.422 to 4.396 ; p = 0.001), visuospatial (OR = 2.158 ; 95%CI = 1.162 to 4.007 ; p = 0.015), attention (OR = 2.197 ; 95%CI = 1.206 to 4.001 ; p = 0.010) and executive (OR = 1 2.062 ; 95%CI = 0.981 to 4.333 ; p = 0.056). Discussion and Implications: This study brings to light the relation between SCD and EM in a population where it has been understudied. Exploring mistreatment in older adults who experience subjective cognitive decline might help preserve their safety and create future prevention and intervention strategies.

Additional Information

© 2020 Elsevier B.V. Received 5 December 2019, Revised 28 July 2020, Accepted 21 August 2020, Available online 2 September 2020. The Mexican Study of Nutritional and Psychosocial Markers of Frailty among Community-Dwelling Elderly was funded by the National Council for Science and Technology of Mexico (CONACyT) (SALUD-2006-C01-45075). CRediT authorship contribution statement: Stefanie Danielle Piña-Escudero: Conceptualization, Writing - review & editing. Anna Chodos: Methodology. Cindy A. Weinstein: Writing - review & editing. Isabel Elaine Allen: Formal analysis. José Alberto Ávila-Funes: Data curation, Formal analysis. Christine Ritchie: Writing - review & editing, Supervision. The authors report no declarations of interest.

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Created:
August 22, 2023
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