Understanding the Causes, Consequences, and Severity of Elder Mistreatment: A Longitudinal, Population-Based Study

项目总结/摘要 当前状态的基础老年人虐待（EM）科学的风险因素和后果， 为制定有效的一级、二级和三级预防干预措施提供信息， 受文献的限制，方法上有很大的局限性。特别是，外地 缺乏包括弱势老年人亚群体在内的纵向人口研究 提供可概括和因果推断的信息。此外，基于人口的 迄今为止的研究将EM测量限制在二元（否/是）结果， 表征该问题的严重程度的变化。该项目的目标是克服 EM文献中长期存在的方法学局限性， EM风险因素和后果的基础科学，并将严重程度纳入理解 的问题。这项研究将收集第二波数据（九年后）， 基于人口的纽约州老年人虐待患病率研究（NYSEMPS）。绘图 将对具有代表性的概率波1样本进行直接电话访谈 与老年人或密切代理人的随访样本（n =约1555），无论 认知状态或生活环境，以解决以下目标：1）确定纵向EM风险 一般人群中老年人的因素，2）描述EM严重程度如何随时间变化 受害者之间的时间，并确定预测严重程度变化的因素，3）确定纵向 EM健康后果，以及4）了解EM严重程度和不良反应之间的关系 健康后果。拟议的研究坚持公认的概念界限， 将EM定义为一种独特的受害形式，并通过纵向应力过程进行通知 概念框架。拟议研究所依据的方法学进步 生成最有效、最可靠、最可概括的新兴市场风险信息的能力 因素、后果和严重程度。这项研究的结果将直接告知目标 一级、二级和三级EM预防干预。

Project Summary/Abstract The current state of basic elder mistreatment (EM) science on risk factors and consequences to inform the development of effective primary, secondary, and tertiary prevention interventions is constrained by a literature with substantial methodological limitations. In particular, the field lacks longitudinal population-based research inclusive of vulnerable older adult sub-populations that provides generalizable and causally-inferred information. Further, population-based research to date has limited EM measurement to binary (no/yes) outcomes that obscure the variation in severity characterizing this issue. The goal of the proposed project is to overcome long-standing methodological limitations in the EM literature to advance more generalizable basic science on EM risk factors and consequences and to integrate severity into understanding of the problem. This study will collect a second wave of data (nine years post) from the population-based New York State Elder Mistreatment Prevalence Study (NYSEMPS). Drawing on a representative, probability Wave 1 sample, direct telephone interviews will be conducted with a follow-up sample (n = approx.1555) of older adults or close proxies, regardless of cognitive status or living setting to address the following aims: 1) identify longitudinal EM risk factors for older adults in the general population, 2) describe how EM severity changes over time among victims and identify factors predicting changes in severity, 3) identify longitudinal EM health consequences, and 4) understand the relationship between EM severity and adverse health consequences. The proposed study adheres to accepted conceptual boundaries that define EM as a distinct form of victimization and is informed by a longitudinal stress process conceptual framework. The methodological advancements underlying the proposed study have the capacity to generate the most valid, reliable, and generalizable information on EM risk factors, consequences, and severity to date. Findings from this study will directly inform targeted primary, secondary, and tertiary EM prevention interventions.