Formal and informal social participation and elder mistreatment in a national sample of older adults.
Formal and informal social participation and elder mistreatment in a national sample of older adults.
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DOI：
10.1111/jgs.17282
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发表时间：
2021-09
影响因子：
6.3
通讯作者：
Huang AJ
中科院分区：
文献类型：
--
作者：
Yang EZ;Kotwal AA;Lisha NE;Wong JS;Huang AJ
老年人对虐待的易感性可能会受到他们参与社会活动的影响，但人们对社会参与和虐待老年人之间的关系知之甚少。横断面分析。2015-2016年间接受采访的美国社区老年成年人的全国概率样本，包括1268名女性和973名男性(平均年龄分别为75岁和76岁；82%非西班牙裔白人)。通过问卷调查评估了参加正式活动(有组织的会议、宗教服务和志愿服务)和非正式社会活动(拜访朋友和家人)的频率。60岁以后，老年人虐待包括情感虐待(4项)、身体虐待(2项)和经济虐待(2项)。多变量Logistic回归分析了每种类型的社会参与与男性和女性之间的老年虐待之间的关系，调整了年龄、种族/民族、教育程度和共病。40%的女性和22%的男性报告至少有一种形式的虐待(情感、身体或经济)。至少每月参加正式社交活动的女性更有可能报告情感虐待(调整后的优势比(AOR)1.59，95%可信区间(CI)1.09-2.33)。在男性中，每月参加有组织的会议与情感虐待的几率增加相关(AOR 1.34，95%CI 1.01-1.93)。女性每周非正式社交与情感虐待(AOR 0.59，95%CI 0.44~0.78)和财务虐待(AOR 0.59，95%CI 0.42~0.85)呈负相关。在这一全国队列中，经常参加正式社会活动的老年人报告的虐待程度与那些较少参加有组织社会活动的老年人相似或更高。与家人或朋友有定期非正式联系的老年女性不太可能报告某些类型的虐待。发现和减轻老年人虐待的战略应考虑到正式和非正式社会参与模式的差异及其对虐待风险的潜在贡献。
Older adults’ susceptibility to mistreatment may be affected by their participation in social activities, but little is known about relationships between social participation and elder mistreatment. Cross-sectional analysis. National probability sample of older community-dwelling U.S. adults interviewed in 2015-2016, including 1,268 women and 973 men (mean age 75 years and 76 years, respectively; 82% non-Hispanic white). Frequency of participation in formal activities (organized meetings, religious services, and volunteering) and informal social activities (visiting friends and family) was assessed by questionnaire. Elder mistreatment included emotional (4 items), physical (2 items), and financial mistreatment (2 items) since age 60. Multivariable logistic regression examined associations between each type of social participation and elder mistreatment among men and women, adjusting for age, race/ethnicity, education, and comorbidity. Forty percent of women and 22% of men reported at least one form of mistreatment (emotional, physical, or financial). Women reporting at least monthly engagement in formal social activities were more likely to report emotional mistreatment (adjusted odds ratio (AOR) 1.59, 95% confidence interval (CI) 1.09-2.33). Among men, monthly organized meeting attendance was associated with increased odds of emotional mistreatment (AOR 1.34, 95% CI 1.01-1.93). Weekly informal socializing was inversely associated with emotional mistreatment (AOR 0.59, 95% CI 0.44-0.78) and financial mistreatment (AOR 0.59, 95% CI 0.42-0.85) among women. In this national cohort, older adults who were frequently engaged in formal social activities reported similar or higher levels of mistreatment compared to those with less frequent organized social participation. Older women with regular informal contact with family or friends were less likely to report some kinds of mistreatment. Strategies for detecting and mitigating elder mistreatment should consider differences in patterns of formal and informal social participation and their potential contribution to mistreatment risk.
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作者：
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