Elder Abuse: Systematic Review and Implications for Practice.

Elder Abuse: Systematic Review and Implications for Practice.
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DOI:
10.1111/jgs.13454
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发表时间:
2015-06
影响因子:
6.3
通讯作者:
Dong, Xin Qi
Dong, Xin Qi
中科院分区:
医学1区
文献类型:
--
作者:
Dong, Xin Qi

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本文基于2014年美国老年医学会临床研究杰出科学成就奖的演讲。虐待老年人是一个全球性的公共卫生和人权问题。有证据表明,虐待老年人是普遍的、可预测的、代价高昂的,有时甚至是致命的。本次审查将突出强调虐待老年人的流行病学,风险因素和社区人口的后果。检索PubMed、MEDLINE、PsycINFO、BIOSIS、Science Direct和科克伦中心的全球文献。检索词包括虐待老人、患病率、发生率、危险因素、保护因素、结果和后果。仅以摘要、病例系列或病例报告形式存在的研究或招募年龄小于60岁的个体;定性研究;以及非英语出版物被排除在外。创建了表格和数字来突出显示调查结果:迄今为止根据大陆、风险和保护因素对虐待老年人的流行情况进行的最详细的分析,主要风险因素的比值比和置信区间的图示,后果,以及卫生专业人员在解决虐待老年人问题方面的实用建议。虐待老年人在社区居住的老年人中很常见,特别是少数群体老年人。本次审查确定了重要的知识差距,如虐待老年人的定义缺乏一致性;关于筛查的研究不足;以及病因学,干预和预防研究。应促进研究人员、社区组织、保健和法律的专业人员、社会服务提供者和决策者的协调努力,以解决虐待老年人的全球问题。
This article is based on the lecture for the 2014 American Geriatrics Society Outstanding Scientific Achievement for Clinical Investigation Award. Elder abuse is a global public health and human rights problem. Evidence suggests that elder abuse is prevalent, predictable, costly, and sometimes fatal. This review will highlight the global epidemiology of elder abuse in terms of its prevalence, risk factors, and consequences in community populations. The global literature in PubMed, MEDLINE, PsycINFO, BIOSIS, Science Direct, and Cochrane Central was searched. Search terms included elder abuse, elder mistreatment, elder maltreatment, prevalence, incidence, risk factors, protective factors, outcomes, and consequences. Studies that existed only as abstracts, case series, or case reports or recruited individuals younger than 60; qualitative studies; and non-English publications were excluded. Tables and figures were created to highlight the findings: the most-detailed analyses to date of the prevalence of elder abuse according to continent, risk and protective factors, graphic presentation of odds ratios and confidence intervals for major risk factors, consequences, and practical suggestions for health professionals in addressing elder abuse. Elder abuse is common in community-dwelling older adults, especially minority older adults. This review identifies important knowledge gaps, such as a lack of consistency in definitions of elder abuse; insufficient research with regard to screening; and etiological, intervention, and prevention research. Concerted efforts from researchers, community organizations, healthcare and legal professionals, social service providers, and policy-makers should be promoted to address the global problem of elder abuse.
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