|Title||Difficulty and help with activities of daily living among older adults living alone with cognitive impairment|
|Publication Type||Journal Article|
|Year of Publication||2020|
|Authors||Edwards, RD, Brenowitz, WD, Portacolone, E, Covinsky, KE, Bindman, A, M. Glymour, M, Torres, JM|
|Journal||Alzheimer's & DementiaAlzheimer's & DementiaAlzheimer's Dement.|
|Keywords||Activities of Daily Living, Aging in place, CIND, Dementia, Disability, limitations, Living arrangement, population-based study, service gaps|
Abstract Introduction There is limited research on difficulties with activities of daily living (I/ADLs) among older adults living alone with cognitive impairment, including differences by race/ethnicity. Methods For U.S. Health and Retirement Study (2000?2014) participants aged 55+ living alone with cognitive impairment (4,666 individuals; 9,091 observations), we evaluated I/ADL difficulty and help. Results Among 4.3 million adults aged 55+ living alone with cognitive impairment, an estimated 46% reported an I/ADL difficulty; 72% reported not receiving help with an I/ADL. Women reported more difficulty than men. Compared to white women, black women were 22% more likely to report a difficulty without help, and Latina women were 36% more likely to report a difficulty with help. Among men, racial/ethnic differences in outcomes were not significant. Patterns of difficulty without help by race/ethnicity were similar among Medicaid beneficiaries. Discussion Findings call for targeted efforts to support older adults living alone with cognitive impairment.