Loneliness in older chinese adults: A risk factor for elder mistreatment
Loneliness in older chinese adults: A risk factor for elder mistreatment
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DOI：
10.1111/j.1532-5415.2007.01429.x
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发表时间：
2007-11-01
影响因子：
6.3
通讯作者：
Golden, Robyn
中科院分区：
文献类型：
--
作者：
Dong, Xinqi;Simon, Melissa A.;Golden, Robyn
目的：研究孤独感是中国城市社区老年人遭受虐待的一个危险因素，设计：横断面描述性研究，地点：南京市主要的城市医疗中心，参与者：412名60岁及以上的普通医疗诊所的受试者。参与者的平均年龄为70岁，34%为女性。平均教育水平为8.5年的schooling.MEASUREMENTS：孤独症进行了评估，使用有效的仪器，并直接询问有关虐待经历的老年人adultes.Results：老年人虐待被发现在35.2%的参与者。在调整混杂因素后，经常缺乏陪伴的感觉（OR =4.06; 95%CI =1.49-11.10）和有时被排除在生活之外的感觉（OR=1.69; 95%CI =1.01-2.84）与虐待风险呈正相关。结论：孤独感可能是老年人虐待的危险因素。需要进一步的前瞻性研究来证实这一发现。对中国文化和传统的探索可能会为塑造中国老年人虐待的预防框架提供见解。
OBJECTIVES: To examine loneliness as a risk factor for elder mistreatment in an urban, community-dwelling Chinese population.DESIGN: Cross-sectional descriptive study.SETTING: Major urban medical center in NanJing, China.PARTICIPANTS: Four hundred twelve subjects aged 60 and older who presented to the general medical clinic. The mean age of the participants was 70, and 34% were female. Mean education level was 8.5 years of schooling.MEASUREMENTS: Loneliness was assessed using validated instruments, and direct questions were asked regarding mistreatment experienced by older adults.RESULTS: Elder mistreatment was found in 35.2% of the participants. After adjusting for confounding factors, feeling of often lacking companionship (odds ratio (OR)=4.06; 95% confidence interval (CI)=1.49-11.10) and feeling of sometimes being left out in life (OR=1.69; 95% CI=1.01-2.84) were positively associated with the risk of mistreatment. Risk of mistreatment was also correlated with higher total loneliness scores (OR=2.74; 95% CI=1.19-6.26).CONCLUSION: Loneliness appeared to be a risk factor associated with elder mistreatment in this older Chinese population. Further prospective studies are needed to confirm this finding. An exploration of Chinese culture and tradition may yield insight into shaping a prevention framework for mistreatment of older Chinese people.