ELDER ABUSE, ETHNICITY, AND HEALTHCARE SETTINGS

简介(申请人S摘要)：迈克尔·罗德里格斯博士，医学博士，公共卫生硕士， 在种族之间的亲密伴侣虐待领域发展专门知识 不同的人群。通过指导关系、结构化集成 活动，并制定一个研究计划，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。尽管文化价值观影响着 关于虐待的态度，很少有研究集中在理解 虐待长辈对虐待的看法。此外，身份识别 卫生保健环境中虐待老年人的管理受到以下因素的阻碍 缺乏有效的、文化上合适的筛查工具。 在被虐待的拉丁裔、非裔美国人和非拉丁裔的焦点小组中 高加索长老罗德里格斯博士将研究人们对虐待和 确定促进或阻碍患者与提供者沟通的因素 关于虐待的事。同样，与认知受损的老年人组成的焦点小组， 护理者、卫生保健提供者和成人保护服务人员将 考察他们对虐待老年人的定义和影响因素的看法 促进其在卫生保健环境中的识别。一种测量仪器 将使用来自焦点小组的结果、当前文献和 专家意见，并将包括筛选问题，既定的措施 虐待和忽视，病人对卫生保健干预的偏好， 人口统计学和描述性数据。这项调查将由 不同种族、以临床为基础的老年患者样本，结果 数据将提供有关受助人受到虐待的风险因素和 筛选问题的效用。 本研究的目的是：(1)考察受虐待的老年人对 虐待与医疗服务提供者在解决老年人问题上的作用 虐待；(2)检查照顾者、保健提供者和成年人 保护服务人员对虐待的看法以及如何进行医疗保健 提供者可以帮助受害者；(3)确定虐待老年人的危险因素； 以及(4)开始开发用于医疗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.