Early Stages of COVID-19 Pandemic Had No Discernable Impact on Risk of Elder Abuse and Neglect Among Dementia Family Caregivers: A Daily Diary Study.
Early Stages of COVID-19 Pandemic Had No Discernable Impact on Risk of Elder Abuse and Neglect Among Dementia Family Caregivers: A Daily Diary Study.
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DOI：
10.1007/s10896-022-00392-8
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发表时间：
2022-05-11
影响因子：
3.8
通讯作者：
Sullivan, Tami
中科院分区：
文献类型：
--
作者：
Pickering, Carolyn E Z;Maxwell, Christopher D;Yefimova, Maria;Wang, Danny;Puga, Frank;Sullivan, Tami
人们普遍担心，在2019冠状病毒病大流行期间，虐待和忽视老年人事件有所增加，部分原因是风险因素增加。最初的报告依赖于行政系统，如成人保护服务记录，关于EAN事件是否发生变化的结果好坏参半。利用一项正在进行的关于EAN在大流行之前开始的痴呆症家庭护理中的纵向研究的数据，我们评估了大流行与EAN和EAN保护因素的概率变化有关的假设。痴呆症患者的家庭照顾者完成了两波21个每日日记，间隔6个月，评估他们日常使用EAN行为。第一组（n = 32）在大流行之前完成了第一波，在大流行期间完成了第二波。第二组（n = 32）在大流行期间完成了两波。对于该队列，广义线性混合逻辑模型结果显示，COVID-19的发病与护理人员从事虐待或忽视老年人行为的可能性之间存在不一致的关联。在保护因素方面，COVID-19对正规服务的使用没有显著影响；然而，在大流行期间，获得家人和朋友非正式支持的可能性大大增加。痴呆症家庭护理人员不太可能像预期的那样，受到最初的大流行限制措施（如安置令）的负面影响。这些发现有助于我们理解远端破坏性过程如何影响更多近端照顾者压力和EAN的可能性。在线版本包含补充材料，可在10.1007/s10896-022-00392-8获得。
There is widespread concern that elder abuse and neglect (EAN) incidents increased during the onset of the COVID-19 pandemic due in part to increases in risk factors. Initial reports relying on administrative systems such as adult protective services records produced mixed results regarding whether or not there was a change in EAN incidents. Using data from an ongoing longitudinal study on EAN in dementia family caregiving that started before the pandemic, we assessed the hypothesis that the pandemic is related to a change in probability of EAN and EAN protective factors. Family caregivers to persons with dementia completed two waves of 21 daily diaries, 6-months apart, assessing their daily use of EAN behaviors. The first group (n = 32) completed their first wave before the pandemic and their second wave during the pandemic. The second group (n = 32) completed both waves during the pandemic. For this cohort, the generalized linear mixed logistic model results showed inconsistent associations between the onset of COVID-19 and the probability of a caregiver engaging in elder abuse or neglect behaviors. In terms of protective factors, the use of formal services was not significantly impacted by COVID-19; however, the likelihood of receiving informal support from family and friends increased significantly during the pandemic period. Dementia family caregivers were not likely impacted negatively by initial pandemic restrictions, such as shelter-in-place orders, as anticipated. These findings contribute to our understanding of how distal, disruptive processes may influence more proximal caregiver stresses and the likelihood of EAN. The online version contains supplementary material available at 10.1007/s10896-022-00392-8.