Prevalence and Correlates of Emotional, Physical, Sexual, and Financial Abuse and Potential Neglect in the United States: The National Elder Mistreatment Study
Prevalence and Correlates of Emotional, Physical, Sexual, and Financial Abuse and Potential Neglect in the United States: The National Elder Mistreatment Study
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DOI：
10.2105/ajph.2009.163089
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发表时间：
2010-02-01
影响因子：
12.7
通讯作者：
Kilpatrick, Dean G.
中科院分区：
文献类型：
--
作者：
Acierno, Ron;Hernandez, Melba A.;Kilpatrick, Dean G.
目标。我们在随机选择的国家样本中估计了60岁或以上成年人的患病率，并评估了情感、身体、性和经济虐待和潜在忽视（定义为确定需要帮助但没有人积极解决）的相关性。我们编制了一个有代表性的样本，随机拨号跨越地理阶层。我们使用计算机辅助电话访谈来标准化人口统计、风险因素和虐待数据的收集。我们将患病率估计和虐待与逻辑回归相关。我们分析了5777名受访者的数据。精神虐待的一年患病率为4.6%，身体虐待的一年患病率为1.6%，性虐待的一年患病率为0.6%，潜在忽视的一年患病率为5.1%，目前家庭成员经济虐待的一年患病率为5.2%。十分之一的受访者表示在过去的一年里遭受过情感、身体或性虐待或潜在的忽视。各种虐待类型的虐待最一致的相关因素是低社会支持和以前的创伤性事件暴露。我们的数据显示，虐待老人的现象很普遍。通过预防性干预措施解决低社会支持问题可能对公共卫生产生重大影响。[J] .中华卫生杂志，2010;31(2):397 - 397。doi: 10.2105 / AJPH.2009.163089)
Objectives. We estimated prevalence and assessed correlates of emotional, physical, sexual, and financial mistreatment and potential neglect (defined as an identified need for assistance that no one was actively addressing) of adults aged 60 years or older in a randomly selected national sample.Methods. We compiled a representative sample by random digit dialing across geographic strata. We used computer-assisted telephone interviewing to standardize collection of demographic, risk factor, and mistreatment data. We subjected prevalence estimates and mistreatment correlates to logistic regression.Results. We analyzed data from 5777 respondents. One-year prevalence was 4.6% for emotional abuse, 1.6% for physical abuse, 0.6% for sexual abuse, 5.1% for potential neglect, and 5.2% for current financial abuse by a family member. One in 10 respondents reported emotional, physical, or sexual mistreatment or potential neglect in the past year. The most consistent correlates of mistreatment across abuse types were low social support and previous traumatic event exposure.Conclusions. Our data showed that abuse of the elderly is prevalent. Addressing low social support with preventive interventions could have significant public health implications. (Am J Public Health. 2010;100:292-297. doi:10.2105/AJPH.2009.163089)