PROSPECTIVE COMMUNITY-BASED PILOT-STUDY OF RISK-FACTORS FOR THE INVESTIGATION OF ELDER MISTREATMENT

被引:85
作者
LACHS, MS
BERKMAN, L
FULMER, T
HORWITZ, RI
机构
[1] YALE UNIV, SCH MED, DEPT EPIDEMIOL, NEW HAVEN, CT 06510 USA
[2] COLUMBIA UNIV, NEW YORK, NY USA
关键词
D O I
10.1111/j.1532-5415.1994.tb04947.x
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Purpose: To identify risk factors for the investigation of elder abuse, neglect, self-neglect, exploitation, and abandonment in a population-based observational cohort of community living elders. Study Population: Population-based sample of 2,812 community-living men and women in New Haven, Connecticut who were over age 65 in 1982. Methods: Matching process whereby cohort members who were investigated by Connecticut's State Ombudsman on Aging in 1985 or 1986 were identified. Analysis: Relative risks for ombudsman investigation in 1985 or 1986 were calculated based on risk factors status at baseline interview in 1982. Results: Sixty-eight (2.4%) members of the cohort received investigation. Features at cohort entry significantly associated with investigation in multiple logistic regression included: requiring assistance with feeding (Adjusted OR 3.5, 95% CI 1.2, 11.7), being a minority elder (Adj. OR 2.3, 95% CI 1.4, 2.8), over age 75 at cohort inception (Adj. OR 1.9, 95% CI 1.1, 3.1), and having a poor social network as defined by a social network index (Adj. OR 1.7, 95% CI 1.0, 2.7). When stratified by race, requiring assistance with feeding was associated with ombudsman investigation in minority elders (Adj. OR 10.8, 95% CI 2.8, 40.5) but not non-minority elders (Adj. OR 1.1, 95% CI 0.5, 7.5), Conclusion: Functional disability, minority status, older age, and poor social networks were associated with investigation for elder mistreatment in this prospective, community-based population of men and women over the age of 65.
引用
收藏
页码:169 / 173
页数:5
相关论文
共 18 条
[1]   SOCIAL NETWORKS, HOST-RESISTANCE, AND MORTALITY - 9-YEAR FOLLOW-UP-STUDY OF ALAMEDA COUNTY RESIDENTS [J].
BERKMAN, LF ;
SYME, SL .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1979, 109 (02) :186-204
[2]   THE RELATIVE CONTRIBUTIONS OF OCCUPATION GROUPS IN THE DISCOVERY AND TREATMENT OF ELDER ABUSE AND NEGLECT [J].
BLAKELY, BE ;
DOLON, R .
JOURNAL OF GERONTOLOGICAL SOCIAL WORK, 1991, 17 (1-2) :183-199
[3]  
Block M., 1979, BATTERED ELDER SYNDR
[4]   GRANNY-BATTERING [J].
BURSTON, GR .
BRITISH MEDICAL JOURNAL, 1975, 3 (5983) :592-592
[5]  
CHEN PN, 1981, J GERONTOL SOC WORK, V4, P3
[6]  
GIOGLIO GR, 1983, ELDER ABUSE NEW JERS
[7]   ABUSE OF ELDERLY PEOPLE BY THEIR CARERS [J].
HOMER, AC ;
GILLEARD, C .
BRITISH MEDICAL JOURNAL, 1990, 301 (6765) :1359-1362
[8]  
LAU EE, 1979, AGING-US, V299, P10
[9]  
Leventhal J.M., 1988, J REPROD INFANT PSYC, V6, P139, DOI 10.1080/02646838808403553
[10]  
*NAT I AG, 1986, US DHHS NIH862443 PU