Quantifying the problem of abuse and neglect in adults - Analysis of a statewide database

Quantifying the problem of abuse and neglect in adults - Analysis of a statewide database
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DOI:
10.1046/j.1532-5415.2001.49008.x
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发表时间:
2001-01-01
影响因子:
6.3
通讯作者:
Dyer, CB
Dyer, CB
中科院分区:
医学1区
文献类型:
--
作者:
Pavlik, VN;Hyman, DJ;Dyer, CB

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对成年人的虐待,包括虐待,忽视和剥削,影响了180多万美国老年人。目前,对问题的严重程度以及不同类型虐待的风险变化(取决于年龄和性别等因素)缺乏精确的估计。补充资料:描述德克萨斯州保护和管理服务部成人保护服务司维护的中央计算机数据库中一年内收到的病例报告的范围(TDPRS-APS)。设计:描述性。设置:得克萨斯州。参与者:虐待或忽视的老年人。测量:虐待类型的分布报告和人口患病率估计每种虐待类型的年龄和sex.Results:有超过62,000成人虐待和忽视的指控提交在得克萨斯州在1997年。在这些指控中,有80%的指控是由Nehran提出的。向TDPRS-APS报告的发生率在65岁以后急剧增加。患病率为1,310人/100,000大于或等于65岁的所有虐待types.CONCLUSIONS:TDPRS数据库是一个很好的工具,用于描述和跟踪报告的老年虐待的情况。更清楚地了解这一日益严重的公共卫生问题有助于制定更好的干预措施和预防战略。
BACKGROUND: Mistreatment of adults, including abuse, neglect, and exploitation, affects more than 1.8 million older Americans. Presently, there is a lack of precise estimates of the magnitude of the problem and the variability in risk for different types of mistreatment depending on such factors as age and gender.OBJECTIVES: To describe the universe of case reports received during one year in a centralized computer database maintained by the Texas Department of Protective and Regulatory Services-Adult Protective Services Division (TDPRS-APS).DESIGN: Descriptive.SETTING: Texas.PARTICIPANTS: Mistreated or neglected older people.MEASUREMENTS: The distribution of abuse types reported and population prevalence estimates of each abuse type by age and sex.RESULTS: There were over 62,000 allegations of adult mistreatment and neglect filed in Texas in 1997. Neglect accounted for 80% of the allegations. The incidence of being reported to the TDPRS-APS increased sharply after age 65. The prevalence was 1,310 individuals/100,000 greater than or equal to 65 years of age for all abuse types.CONCLUSIONS: The TDPRS database is an excellent tool for characterizing and tracking cases of reported elder mistreatment. Achieving a clearer understanding of this ever-increasing public health problem can aid in the development of better interventions and prevention strategies.