Prevalence and Risk Factors of Suspected Elder Abuse Subtypes in People Aged 75 and Older
Prevalence and Risk Factors of Suspected Elder Abuse Subtypes in People Aged 75 and Older
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DOI：
10.1111/j.1532-5415.2009.02221.x
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发表时间：
2009-05-01
影响因子：
6.3
通讯作者：
Vilalta-Franch, Joan
中科院分区：
文献类型：
--
作者：
Garre-Olmo, Josep;Planas-Pujol, Xenia;Vilalta-Franch, Joan
评估疑似虐待老人亚型的流行程度并确定相关因素。横断面、基于人口的描述性研究。西班牙吉罗纳的8个乡村。676名75岁及以上的居民。所有参与者在他们的家中接受访问，使用研究方案，包括先前虐待老年人研究中使用的虐待筛查，以及关于人口、社会、身体、精神、认知和社会服务变量的问题。参与者的平均年龄为81.7岁+/-4.8；58.2%是女性。疑似忽视虐待发生率为16.0%(95%可信区间为13.2~18.9)，心理社会虐待发生率为15.2%(95%CI=12.8~18.2)，经济虐待发生率为4.7%(95%CI=3.0~6.4)，躯体虐待发生率为0.1%(95%CI=0.004~0.8)。心理社会虐待与抑郁症状(OR=1.65，95%CI=1.01~2.72)、社交隔离(OR=0.35，95%CI=0.18~0.69)、频发尿失禁(OR=2.44，95%CI=1.23~4.86)呈正相关。忽视虐待与社会孤立(OR=0.52，95%CI=0.27~0.99)、使用社会服务(OR=1.83，95%CI=1.05~3.20)、生活安排(OR=5.29，95%CI=2.65~10.56)呈正相关。经济虐待与婚姻状况(OR=0.15，95%CI=0.04~0.59)、85岁及以上(OR=3.84，95%CI=1.70~8.68)、简易精神状态检查得分(OR=0.85，95%CI=0.78~0.94)有关。这项研究的结果表明，不能将虐待老年人作为一个统一的概念来分析，必须对每一种虐待亚类的风险因素进行评估。
To assess the prevalence of suspected elder abuse subtypes and to identify related factors.Cross-sectional, population-based, descriptive study.Eight rural villages in Girona, Spain.Six hundred seventy-six inhabitants aged 75 and older.All participants were interviewed in their homes using the study protocol, which includes an abuse screen used in previous elder abuse studies and questions about demographic, social, physical, psychiatric, cognitive, and social services variables.The mean age of the participants was 81.7 +/- 4.8; 58.2% were female. Prevalence of suspected neglect abuse was 16.0% (95% confidence interval (CI)=13.2-18.9), prevalence of psychosocial abuse was 15.2% (95% CI=12.8-18.2), prevalence of financial abuse was 4.7% (95% CI=3.0-6.4) and prevalence of physical abuse was 0.1% (95% CI=0.004-0.8). Psychosocial abuse was positively associated with depressive symptoms (odds ratio (OR)=1.65, 95% CI=1.01-2.72), social isolation (OR=0.35, 95% CI=0.18-0.69), and frequent bladder incontinence (OR=2.44, 95% CI=1.23-4.86). Neglect abuse was positively associated with social isolation (OR=0.52, 95% CI=0.27-0.99), use of social services (OR=1.83, 95% CI=1.05-3.20), and living arrangements (OR=5.29, 95% CI=2.65-10.56). Financial abuse was associated with marital status (OR=0.15, 95% CI=0.04-0.59), age 85 and older, (OR=3.84, 95% CI=1.70-8.68), and Mini-Mental State Examination score (OR=0.85, 95% CI=0.78-0.94).After adjustment for confounding factors, each subtype of suspected elder abuse was associated with different variables. The results of this study suggest that elder abuse cannot be analyzed as a unitary concept and that risk factors must be assessed for each abuse subtype.