Wu Li, Hu Yang, Yu Xiang, Zhang Tao, Cao Zhong-qiang, Wang You-jie
Department of Maternal and Children Health, Huazhong University of Science and Technology, Wuhan, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2011 Oct;32(10):978-82.
This study was to estimate the prevalence of elderly mistreatment (EM) in rural community and to examine the association between social support and the risk of the EM.
A cross-sectional descriptive study was performed in three rural communities (17 villages) in Macheng city of Hubei province. 2000 subjects aged 60 years or older were selected using cluster sampling. Questionnaire being developed would include general information, a scale to measure social support, and a modified vulnerability on abuse screening scale (VASS) to measure the EM.
The prevalence rates of EM, physical abuse, emotional abuse, neglect and financial exploitation for rural elderly people in Macheng city were 36.2%, 4.9%, 27.3%, 15.8%, and 2.0% respectively. After adjusting for potential confounding factors, necessary practical support from family (OR = 1.28, 95%CI: 1.01 - 1.63) was the risk factor causing EM while having got practical support (OR = 0.76, 95%CI: 0.58 - 0.98) or moral support (OR = 0.63, 95%CI: 0.49 - 0.82) from family and moral support from friends (OR = 0.73, 95%CI: 0.59 - 0.90) when in need were the protective factors. The protective factors on physical abuse, emotional abuse, neglect and financial exploitation would include: getting practical support from family when in need (OR = 0.59, 95%CI: 0.35 - 0.99), getting moral support from family (OR = 0.67, 95%CI: 0.51 - 0.89) and friends (OR = 0.67, 95%CI: 0.54 - 0.84) and getting practical support from family when in need (OR = 0.63, 95%CI: 0.45 - 0.88), getting practical support from family (OR = 0.38, 95%CI: 0.14 - 0.98) and getting moral support from friends when in need (OR = 0.42, 95%CI: 0.20 - 0.87), respectively.
High prevalence of EM was seen in the rural areas of Macheng city. Social support was an important protective factor for EM in this population.
本研究旨在估计农村社区老年人虐待（EM）的患病率，并探讨社会支持与EM风险之间的关联。
在湖北省麻城市的三个农村社区（17个村庄）进行了一项横断面描述性研究。采用整群抽样方法选取了2000名60岁及以上的受试者。所编制的问卷将包括一般信息、一个测量社会支持的量表，以及一个经过修改的虐待易感性筛查量表（VASS）来测量EM。
麻城市农村老年人的EM、身体虐待、情感虐待、忽视和经济剥削的患病率分别为36.2%、4.9%、27.3%、15.8%和2.0%。在调整潜在混杂因素后，来自家庭的必要实际支持（OR = 1.28，95%CI：1.01 - 1.63）是导致EM的危险因素，而在需要时从家庭获得实际支持（OR = 0.76，95%CI：0.58 - 0.98）或道德支持（OR = 第63页，95%CI：0.49 - 0.82）以及在需要时从朋友获得道德支持（OR = 0.73，95%CI：0.59 - 0.90）是保护因素。对身体虐待,情感虐待,忽视和经济剥削的保护因素分别包括:在需要时从家庭获得实际支持(OR = 0.59,95%CI:0.35 - 0.99),从家庭(OR = 0.67,95%CI:0.51 - 0.89)和朋友(OR = 0.67,95%CI:0.54 - 0.84)获得道德支持,以及在需要时从家庭获得实际支持(OR = 0.63,95%CI:0.45 - 0.88),从家庭获得实际支持(OR = 0.38,95%CI:0.14 - 0.98)和在需要时从朋友获得道德支持(OR = 0.42,95%CI:0.20 - 0.87)。
麻城市农村地区EM的患病率较高。社会支持是该人群EM的重要保护因素。 （注：原文中“OR = 第63页”表述有误，可能影响理解。）
