ArticleThe Gerontologist2019
The Precarity of Older Adults Living Alone With Cognitive Impairment.
Article in The Gerontologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
50 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.
- Non-Pharmacological Interventions for People With Dementia Who Live Alone: A Systematic Review.International journal of geriatric psychiatry · 2025Pooled it
- Navigating aging and health with limited family ties across societies: Challenges, adaptations, and policy responses.Social science & medicine (1982) · 2026Article
- Living Alone and Routine Checkup Disparities Among Older Adults With Disabilities in the United States: The Mediating Role of Social Determinants of Health.Journal of aging and health · 2026Article
- Smart Glasses for Older Adults With Cognitive Impairment: Explanatory Mixed Methods Study.JMIR aging · 2026Article
- Living Arrangements and Cognitive Impairment Among Mexican American Older Adults: Nativity Differences.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Sources of inequality in "living well" with dementia: an intersectional analysis using a British cohort study.Innovation in aging · 2026Article
- Prevalence of living alone with dementia and other progressive neurological conditions: findings from primary care data in England.BMC medicine · 2025Article
- Housing characteristics of older adults with cognitive impairment.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Resilience and Aging Among Black Gay and Bisexual Older Men.International journal of environmental research and public health · 2025Article
- Loneliness and Social Isolation in the Care of the Seriously Ill Older Adult.Clinics in geriatric medicine · 2025Review
- Examining the challenges of people living alone with neurodegenerative conditions: a scoping review protocol.BMJ open · 2025Article
- Coping with cognitive decline in older adults with mild cognitive impairment or mild dementia: a scoping review.Aging & mental health · 2025Article
- A mixed methods exploration of the health and caregiving experiences of fathers of children with a life-limiting condition.Palliative medicine · 2025Article
- Aging and Mentorship in the Margins: Multigenerational Knowledge Transfer Among LGBTQ+ Chosen Families.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- The clock-drawing test: reading temporalities of dementia from clinical chart notes.The journal of the Royal Anthropological Institute · 2025Article
- Specific cultural traits of the precarity of older Latinos living alone with cognitive impairment in the San Francisco Bay Area.Aging & mental health · 2025Article
- Characteristics, Needs, and Perspectives of Individuals Living Alone With Dementia: An Integrative Review.Health science reports · 2025Article
- High-risk medication use among older adults with cognitive impairment living alone in the United States.Journal of the American Geriatrics Society · 2024Article
- Proactive Care-Seeking Strategies Among Adults Aging Solo With Early Dementia: A Qualitative Study.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Personality and cognitive errors in the Healthy Aging in Neighborhoods of Diversity across the Life Span study.Journal of research in personality · 2024Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
purpose of the studyTo examine the lived experience of older adults living alone with cognitive impairment to better understand their needs and concerns. Based on our previous work suggesting that older adults living alone often experience a sense of precarity, we were interested in exploring this construct in older adults living alone with a diagnosis of cognitive impairment. The notion of precarity points to the uncertainty deriving from coping with cumulative pressures while trying to preserve a sense of independence. DESIGN AND
methodsThis is a qualitative study of 12 adults aged 65 and older living alone with cognitive impairment. Six participants had a diagnosis of Alzheimer's disease; 6 had a diagnosis of mild cognitive impairment. Participants' lived experiences were elicited through 40 ethnographic interviews and participant observation in their homes. Using a qualitative content analysis approach, interview transcripts and fieldnotes were analyzed to identify codes and themes.
resultsQualitative analysis of transcripts revealed three themes. Theme 1 described the distress stemming from the uncertainty of having cognitive impairment that has an unpredictable course. Theme 2 drew attention to the tendency of participants to feel responsible for managing their cognitive impairment. Theme 3 described the pressures stemming from the lack of appropriate services to support independent living for persons with cognitive impairment. IMPLICATIONS: These 3 themes all pointed to facets of precarity. Findings also suggest the dearth of programs to support older adults living alone with cognitive impairment and the need to develop novel programs and interventions.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.