@article {10868,
	title = {Difficulty and help with activities of daily living among older adults living alone with cognitive impairment},
	journal = {Alzheimer{\textquoteright}s \& DementiaAlzheimer{\textquoteright}s \& DementiaAlzheimer{\textquoteright}s Dement.},
	year = {2020},
	month = {2020/06/26},
	abstract = {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.},
	keywords = {Activities of Daily Living, Aging in place, CIND, Dementia, Disability, limitations, Living arrangement, population-based study, service gaps},
	isbn = {1552-5260},
	doi = {10.1002/alz.12102},
	author = {Ryan D. Edwards and Willa D Brenowitz and Portacolone, Elena and Kenneth E Covinsky and Bindman, Andrew and M. Maria Glymour and Jacqueline M Torres}
}
