%0 Journal Article %J Journal of Alzheimer's Disease %D 2022 %T Difficulties with Activities of Daily Living and Receipt of Care Among Older Adults with Cognitive Impairment: Differences Between Those Living Alone and Those Living with Others. %A Yang, Yulin %A Swinnerton, Kaitlin %A Portacolone, Elena %A Allen, Isabel Elaine %A Torres, Jacqueline M %A Duchowny, Kate %K Activities of Daily Living %K Cognitive Dysfunction %K home environment %K Independent Living %K Prevalence %X

We compared the prevalence of reporting difficulty with basic and instrumental activities of daily living without help received for persons with cognitive impairment living alone versus those living with others. We used data on 13,782 community-dwelling participants aged 55+ with cognitive impairment in the Health and Retirement Study (2000-2016). Models were stratified by gender and race/ethnicity. Among cognitively impaired older adults, those living alone were more likely to report difficulty without help received than those living with others. Results were similar by gender and race/ethnicity. Providers and policymakers might focus their efforts on ensuring the adequate provision of home and community-based services for older adults living alone with cognitive impairment.

%B Journal of Alzheimer's Disease %V 89 %P 31-37 %G eng %N 1 %R 10.3233/JAD-220172 %0 Journal Article %J Alzheimer's & DementiaAlzheimer's & DementiaAlzheimer's Dement. %D 2020 %T Difficulty and help with activities of daily living among older adults living alone with cognitive impairment %A Ryan D. Edwards %A Willa D Brenowitz %A Portacolone, Elena %A Kenneth E Covinsky %A Bindman, Andrew %A M. Maria Glymour %A Jacqueline M Torres %K Activities of Daily Living %K Aging in place %K CIND %K Dementia %K Disability %K limitations %K Living arrangement %K population-based study %K service gaps %X 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. %B Alzheimer's & DementiaAlzheimer's & DementiaAlzheimer's Dement. %8 2020/06/26 %@ 1552-5260 %G eng %R 10.1002/alz.12102