Decline in Physical Function and Risk of Elder Abuse Reported to Social Services in a Community-Dwelling Population of Older Adults
Decline in Physical Function and Risk of Elder Abuse Reported to Social Services in a Community-Dwelling Population of Older Adults
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DOI：
10.1111/j.1532-5415.2012.04147.x
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发表时间：
2012-10-01
影响因子：
6.3
通讯作者：
Evans, Denis
中科院分区：
文献类型：
--
作者：
Dong, XinQi;Simon, Melissa;Evans, Denis
目的探讨老年人身体机能下降与受虐待风险之间的纵向关系。设计前瞻性人群研究。芝加哥地理上定义的社区。从1993年到2010年，芝加哥健康和老龄化项目（CHAP）的143名参与者向社会服务机构报告了虐待老年人的情况。主要的自变量是通过身体机能测试（双人站立、步行测量和椅子站立）的下降来客观评估身体机能。次要的自变量通过自我报告的Katz、Nagi和Rosow-Breslau量表得分的下降来评估。因变量报告和证实了老年人虐待和老年人虐待的具体亚型（身体、心理、照顾者忽视和经济剥削）。使用逻辑回归模型来评估身体功能指标下降与老年人虐待风险之间的关系。结果在调整了潜在的混杂因素后，身体机能测试的下降(优势比（OR) = 1.13, 95%置信区间(CI) = 1.061.19）、Katz损伤（OR = 1.29, 95% CI = 1.151.45）、Nagi损伤（OR = 1.30, 95% CI = 1.131.49）和Rosow Breslau损伤（OR = 1.42, 95% CI = 1.151.74）与老年人虐待的高风险相关。身体机能测试的最低分位数（OR = 4.92, 95% CI = 1.3917.46）和Katz损伤的最高分位数（OR = 3.99, 95% CI = 2.187.31）、Nagi损伤（OR = 2.37, 95% CI = 1.085.23）和Rosow Breslau损伤（OR = 2.85, 95% CI = 1.395.84）与老年人虐待的高风险相关。结论客观评定的身体机能下降和自报的身体机能下降与老年人受虐风险增加有关。
Objectives To examine the longitudinal association between decline in physical function and risk of elder abuse. Design Prospective population-based study. Setting Geographically defined community in Chicago. Participants One hundred forty-three Chicago Health and Aging Project (CHAP) participants who had elder abuse reported to a social services agency from 1993 to 2010 were identified. Participants The primary independent variable was objectively assessed physical function using decline in physical performance testing (tandem stand, measured walk, and chair stand). Secondary independent variables were assessed using decline in self-reported Katz, Nagi, and Rosow-Breslau scale scores. Dependent variables were reported and confirmed elder abuse and specific subtypes of elder abuse (physical, psychological, caregiver neglect, and financial exploitation). Logistic regression models were used to assess the association between decline in physical function measures and risk of elder abuse. Results After adjusting for potential confounders, decline in physical performance testing (odds ratio (OR) = 1.13, 95% confidence interval (CI) = 1.061.19), Katz impairment (OR = 1.29, 95% CI = 1.151.45), Nagi impairment (OR = 1.30, 95% CI = 1.131.49), and Rosow Breslau impairment (OR = 1.42, 95% CI = 1.151.74) was associated with greater risk for elder abuse. The lowest tertile of physical performance testing (OR = 4.92, 95% CI = 1.3917.46) and the highest tertiles of Katz impairment (OR = 3.99, 95% CI = 2.187.31), Nagi impairment (2.37, 95% CI = 1.085.23), and Rosow Breslau impairment (OR = 2.85, 95% CI = 1.395.84) were associated with greater risk of elder abuse. Conclusion Decline in objectively assessed physical function and self-reported physical function are associated with greater risk for elder abuse.