Risk factors for reported elder abuse and neglect: A nine-year observational cohort study
Risk factors for reported elder abuse and neglect: A nine-year observational cohort study
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DOI：
10.1093/geront/37.4.469
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发表时间：
1997-08-01
期刊：
影响因子：
5.7
通讯作者：
Horwitz, R
中科院分区：
文献类型：
--
作者：
Lachs, MS;Williams, C;Horwitz, R
为了确定虐待和忽视老年人的纵向风险因素，对社区居住的老年人(n=2,812)的既定队列与9年随访期间的老年人保护服务记录联系在一起。保护服务中有184人(6.5%)在队列中有任何指征，47名队列成员被认为是确凿的虐待或忽视老年人，抽样调整后的9年患病率为1.6%(95%可信区间1.0%，2.1%)。在合并Logistic回归分析中，年龄、种族、贫困、功能障碍和认知障碍被确定为报告的老年人虐待的危险因素。此外，新的认知障碍的出现也与虐待和忽视老年人有关。由于本研究中老年人虐待案件发现的机制是一种社会福利制度(保护性服务)，种族和贫困作为风险因素的影响可能会因报告偏差而被高估。
To determine longitudinal risk factors for elder abuse and neglect, an established cohort of community-dwelling older adults (n = 2,812) was linked with elderly protective service records over a 9-year follow-up period. Protective services saw 184 (6.5%) individuals in the cohort for any indication, and 47 cohort members were seen for corroborated elder abuse or neglect for a sampling adjusted 9-year prevalence of 1.6% (95% CI 1.0%, 2.1%). In pooled logistic regression, age, race, poverty, functional disability, and cognitive impairment were identified as risk factors for reported elder mistreatment. Additionally, the onset of new cognitive impairment was also associated with elder abuse and neglect. Because the mechanism of elder mistreatment case-finding in this study was a social welfare system (protective services), the influence of race and poverty as risk factors is likely to be overestimated due to reporting bias.