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

项目摘要/摘要 虐待老年人的危险因素及其后果的基本科学研究现状 促进制定有效的一级、二级和三级预防干预措施 受制于方法上有很大局限性的文献。特别是，这一领域 缺乏包括弱势老年亚群在内的基于人群的纵向研究 这提供了可概括和因果推断的信息。此外，以人口为基础 到目前为止，研究仅将EM测量限于二元(否/是)结果，从而模糊了 这个问题的严重性各不相同。拟议项目的目标是克服 EM文献中长期存在的方法限制，以提高更具概括性 关于EM风险因素和后果的基础科学，并将严重性纳入理解 问题的关键。这项研究将收集第二波数据(九年后) 以人口为基础的纽约州老年人虐待流行率研究(NYSEMPS)。绘图 对于具有代表性的概率波1样本，将进行直接电话采访 老年人或近亲代理人的随访样本(n=约1555)，而不考虑 认知状态或生活环境，以解决以下目标：1)识别纵向EM风险 一般人群中老年人的因素，2)描述EM严重程度如何变化 受害者之间的时间和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严重程度与不良反应之间的关系 对健康的影响。拟议的研究遵循公认的概念界限，即 将EM定义为一种不同的受害形式，并受纵向应力过程的影响 概念框架。这项拟议研究背后的方法学进步有 能够生成有关新兴市场风险的最有效、最可靠和最具普遍性的信息 到目前为止的因素、后果和严重性。这项研究的结果将直接告知目标 一级、二级和三级EM预防干预措施。

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.