ELDER ABUSE, ETHNICITY, AND HEALTHCARE SETTINGS

描述（申请人摘要）：Michael Rodriguez博士，MD，MPH， 发展了族裔间亲密伴侣虐待问题方面的专门知识， 不同的人群。通过指导关系，结构化整合 活动和研究计划的发展，罗德里格斯博士将推进 他在进行以病人为中心的临床研究方面的独立性。 虐待老年人是一个影响所有人的重大健康和社会问题 种族、民族和社会经济群体。虽然文化价值观影响 关于虐待的态度，很少有研究集中在理解 被虐待的老人对虐待的看法此外，识别 医疗机构中虐待老年人的行为受到以下因素的阻碍： 缺乏有效的、文化上适当的筛查工具。 在被虐待的拉丁美洲人，非裔美国人和非拉丁美洲人的焦点小组中， 白人长老，罗德里格斯博士将检查虐待的看法， 确定促进或阻碍患者与提供者沟通的因素 关于虐待。同样，有认知障碍的老年人的焦点小组， 护理人员、卫生保健提供者和成人保护服务工作者将 探讨他们对虐待长者的定义及影响因素的看法 促进其在卫生保健环境中的识别。勘测仪器 将使用焦点小组的结果，当前的文献， 专家咨询，并将包括筛选问题，既定的措施， 虐待和忽视，患者对医疗保健干预的偏好， 人口统计学和描述性数据。该调查将向一名 种族多样，以临床为基础的老年患者样本， 数据将提供有关虐待绒鸭的风险因素的信息， 筛选问题的效用。 本研究的目的是：（1）探讨受虐待老人对 虐待和保健提供者在解决老年人问题中的作用 （2）检查护理人员，卫生保健提供者和成人 保护性服务工作者对虐待的看法以及卫生保健如何 提供者可以帮助受害者;（3）识别虐待老年人的风险因素; 以及（4）开始开发用于卫生保健环境的筛查工具。

DESCRIPTION (applicant s abstract): Dr. Michael Rodriguez, MD, MPH, has developed expertise in the area of intimate partner abuse among ethnically diverse populations. Through mentoring relationships, structured integrated activities, and development of a research program, Dr. Rodriguez will advance his independence in conducting patient-oriented clinical research. Elder mistreatment is a significant health and social problem affecting all racial, ethnic, and socioeconomic groups. Although cultural values influence attitudes about mistreatment, little research has focused on understanding mistreated elders' perspectives on mistreatment. Furthermore, identification and management of elder mistreatment in health care settings are impeded by the lack of effective, culturally appropriate screening tools. In focus groups with mistreated Latino, African-American, and non-Latino Caucasian elders, Dr. Rodriguez will examine perceptions of mistreatment and identify factors that facilitate or hinder patient-provider communication about mistreatment. Similarly, focus groups with cognitively impaired elders, care givers, health care providers, and adult protective services workers will examine their perspectives on the definition of elder mistreatment and factors facilitating its identification in health care settings. A survey instrument will be developed using results from focus groups, current literature, and expert advice, and will include screening questions, established measures of abuse and neglect, patient preferences for health care interventions, demographic, and descriptive data. The survey will be administered to an ethnically diverse, clinic-based sample of elderly patients, and resulting data will provide information on risk factors for eider mistreatment and the utility of the screening questions. The goals of this study are to: (1) examine mistreated elders' perceptions of mistreatment and the role of health care providers in addressing elder mistreatment; (2) examine care givers, health care providers, and adult protective service workers perspectives on mistreatment and how health care providers can help victims; (3) identify risk factors for elder mistreatment; and (4) begin development of a screening tool for use in health care settings.