ArticleBMC public health2025
The relationships between self-neglect and depression, social networks, and health literacy in Turkish older adults: a cross-sectional study.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Characteristics of Older Adults With Domestic Squalor in Japan: A Cross-Sectional Study.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2026Article
- Physical activity and depressive symptoms among Chinese university students: Grit as a mediator.PloS one · 2026Article
- Self-neglect in older adults: an evolutionary concept analysis.International journal of nursing studies advances · 2025Review
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2 authors.
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Abstract
backgroundSelf-neglect is common among older adults and may have devastating health consequences.
objectiveThis study aims to examine the relationships between self-neglect and depression, social networks, and health literacy (HL) in older adults.
methodsThe cross-sectional study was conducted between March and May 2024 at four family health centres located in a district of Istanbul, Turkey. A total of 370 older adults, aged 65 years and above, were selected by simple random sampling from among those who visited the family health centres during the study period. A Sociodemographic Information Form, the Revised Turkish version of Mini Mental State Examination, the Istanbul Medical School Elder Self-Neglect Questionnaire, the Lubben Social Network Scale, the Geriatric Depression Scale-Short Form, and the Turkish Health Literacy Scale-32 were used for data collection. Data were analysed using descriptive statistics, Pearson's correlation analysis, hierarchical linear regression analysis, and serial multiple mediation analysis.
resultsThe mean age of the participants was 71.42 ± 5.54 (65-90) years, and 55.7% were women. The prevalence of self-neglect among the participants was 34.9%, and the prevalence of depressive symptoms was 46.2%. The HL levels of 62.7% of the participants were inadequate, and those of 31.6% were problematic-limited. HL, depression, social networks, gender, education status, and income status were statistically significant predictors of self-neglect (R
conclusionOur findings showed that HL, depression, and social networks play a critical role in predicting self-neglect in older adults, and social networks and HL partially mediate the relationship between depression and self-neglect. Based on these results, efforts to improve HL and strengthen social support systems would be beneficial in mitigating the effects of depression and reducing self-neglect in older adults.
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