Screening for elder mistreatment in dental and medical clinics.
Screening for elder mistreatment in dental and medical clinics.
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DOI：
10.1111/j.1741-2358.2010.00405.x
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发表时间：
2012-06
期刊：
影响因子：
2
通讯作者：
Sutin D
中科院分区：
文献类型：
--
作者：
Fulmer T;Strauss S;Russell SL;Singh G;Blankenship J;Vemula R;Caceres B;Valenti M;Sutin D
虐待老人(EM)在美国是一个潜在的致命问题，而且在很大程度上没有被认识到。这项研究的目的是确定EM在繁忙诊所的患病率，具体地说，我们报告了EM筛查的可行性以及筛查的适当工具。虐待老年人的流行率估计各不相同，但最近对60岁以上居住在社区的成年人进行的全国抽样数据显示，11.4%的老年人报告了某种形式的虐待老年人。与牙科和医疗诊所筛查相关的研究很少，以了解此类执业环境中的流行率。2008年1月至2009年3月的横断面研究。我们在两个诊所招募了241名患者：内科诊所(N=102)和牙科诊所(N=139)。进行了一次小型精神状态检查，至少有18分或更高的分数。接下来使用了老年人虐待屏幕(EAI-R用于医疗，HS-EAST用于牙科)。对于241名患者，我们能够比较EAI-R和HS-EAST的数据。这项试点工作证明了在繁忙的诊所筛查EM的可行性，我们记录了医疗诊所20%的患者登记，牙科诊所66%的患者登记。患者愿意回答与虐待老人有关的极其敏感的问题，也愿意使用计算机技术进行采访。牙科和医疗诊所是筛查虐待老年人的重要实践场所。
Elder mistreatment (EM) is a potentially fatal and largely unrecognised problem in the United States. The purpose of this study was to determine the prevalence of EM in busy clinics and specifically, we report on the feasibility of screening for EM as well as the appropriate instrumentation for screening. Prevalence estimates for elder mistreatment vary, but recent data from a national sample of community-residing adults over age 60 indicate that 11.4% of older adults report some form of elder mistreatment. There is a paucity of research related to screening in dental and medical clinics to understand the prevalence in such practice settings. A cross-sectional study from January 2008 to March 2009. We enrolled 241 patients at two clinics: a medical clinic (N=102) and the dental clinics (N=139). A mini-mental status exam was conducted with a minimum of 18 or better for inclusion. An elder mistreatment screen was next used (EAI-R for medical, HS-EAST for dental). For the 241 patients, we were able to compare data from the EAI-R with the HS-EAST. This pilot work demonstrates the feasibility of screening for EM in busy clinics and we documented patient enrolment of 20% in the medical clinics, and 66% in dental clinics. Patients are willing to answer extremely-sensitive questions related to elder mistreatment, and are also willing to use computer technology for interviewing. Dental and medical clinics are important practice venues to screen for elder mistreatment.
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