Ruiz Sanmartín A, Altet Torner J, Porta Martí N, Duaso Izquierdo P, Coma Solé M, Requesens Torrellas N
ABS Les Planes (Sant Joan Despí, Barcelona), DAP Baix Llobregat Centre. Unidad Docente MFyC. Subdivisión AP Costa de Ponent. Institut Català de la Salut.
Aten Primaria. 2001 Mar 31;27(5):331-4. doi: 10.1016/s0212-6567(01)79376-6.
To determine the prevalence of suspected ill treatment of the elderly (ITE) in the population cared for in a health district and to analyse the associated variables.
Cross-sectional study.Setting. Les Planes (Sant Joan Despí, Barcelona). Urban Health District.
307 patients over 70 years old seen in the Health District. The study had 39 losses, 31 exclusions because of cognitive disorder and 18 because it was impossible to hold the interview. 219 completed the study.
The Pfeiffer test was administered through an interview, social and demographic variables were collected, a questionnaire on ill treatment was filled in (a positive reply was considered ITE), and physical dependence was evaluated (Katz index). Prevalence of ITE was 26 people or 11.9% (95% CI, 7.6-16.2), breaking down into 6 physically ill-treated, 20 psychologically, one sexually, 3 by negligence and 3 by neglect. Nine people suffered more than one kind of ill treatment. Significant associated variables were: being a woman 18% (p < 0.01), receiving social assistance 46% (p < 0.001), being a widow/widower 21% (p < 0.01), not having had paid employment 20% (p < 0.04) and having a rotating residence 28% (p < 0.003). On application of multivariate analysis, being a woman (OR 4.99) and receiving social assistance (OR 7.55) maintained their significance. The presumed perpetrators were son/daughter (57%), spouse (8%), son/daughter-in-law (23%). 19% of these were drug-dependent and 15% suffered psychiatric disorders.
The high prevalence of ITE is clear. These results should alert doctors to a previously under-rated health problem.
确定某健康区所照料人群中疑似虐待老年人（ITE）的患病率，并分析相关变量。
横断面研究。地点：莱斯普拉内斯（圣琼德斯皮，巴塞罗那）。城市健康区。
在该健康区就诊的307名70岁以上患者。该研究有39例失访，31例因认知障碍被排除，18例因无法进行访谈被排除。219例完成研究。
通过访谈进行 Pfeiffer 测试，收集社会和人口统计学变量，填写一份关于虐待的问卷（肯定回答视为ITE），并评估身体依赖性（Katz指数）。ITE的患病率为26人或11.9%（95%可信区间，7.6 - 16.2），其中身体虐待6例，心理虐待20例，性虐待1例，疏忽3例，忽视3例。9人遭受不止一种虐待。显著相关变量为：女性占18%（p < 0.01），接受社会援助占46%（p < 0.001），丧偶/鳏居占21%（p < 0.01），未从事过有薪工作占20%（p < 0.04），居住不稳定占28%（p < 0.003）。多变量分析显示，女性（比值比4.99）和接受社会援助（比值比7.55）仍具有显著性。推定的施虐者为儿子/女儿（57%）、配偶（8%）、儿媳/女婿（23%）。其中19%有药物依赖，15%患有精神疾病。
ITE的高患病率显而易见。这些结果应提醒医生注意一个此前被低估的健康问题。
