Rush University Medical Center, Chicago, IL 60612, USA.
J Am Geriatr Soc. 2012 Oct;60(10):1922-8. doi: 10.1111/j.1532-5415.2012.04147.x. Epub 2012 Sep 24.
To examine the longitudinal association between decline in physical function and risk of elder abuse.
Prospective population-based study.
Geographically defined community in Chicago.
One hundred forty-three Chicago Health and Aging Project (CHAP) participants who had elder abuse reported to a social services agency from 1993 to 2010 were identified.
The primary independent variable was objectively assessed physical function using decline in physical performance testing (tandem stand, measured walk, and chair stand). Secondary independent variables were assessed using decline in self-reported Katz, Nagi, and Rosow-Breslau scale scores. Dependent variables were reported and confirmed elder abuse and specific subtypes of elder abuse (physical, psychological, caregiver neglect, and financial exploitation). Logistic regression models were used to assess the association between decline in physical function measures and risk of elder abuse.
After adjusting for potential confounders, decline in physical performance testing (odds ratio (OR) = 1.13, 95% confidence interval (CI) = 1.06-1.19), Katz impairment (OR = 1.29, 95% CI = 1.15-1.45), Nagi impairment (OR = 1.30, 95% CI = 1.13-1.49), and Rosow Breslau impairment (OR = 1.42, 95% CI = 1.15-1.74) was associated with greater risk for elder abuse. The lowest tertile of physical performance testing (OR = 4.92, 95% CI = 1.39-17.46) and the highest tertiles of Katz impairment (OR = 3.99, 95% CI = 2.18-7.31), Nagi impairment (2.37, 95% CI = 1.08-5.23), and Rosow Breslau impairment (OR = 2.85, 95% CI = 1.39-5.84) were associated with greater risk of elder abuse.
Decline in objectively assessed physical function and self-reported physical function are associated with greater risk for elder abuse.
探讨身体功能下降与虐待老年人风险之间的纵向关联。
前瞻性基于人群的研究。
芝加哥的一个地理定义的社区。
1993 年至 2010 年间，从 143 名芝加哥健康与老龄化项目（CHAP）参与者中发现，他们向社会服务机构报告了虐待老年人的情况。
使用身体机能测试下降（并足直立，规定行走，和座椅站立）客观评估身体功能。使用下降的自我报告 Katz、Nagi 和 Rosow-Breslau 量表评分评估次要独立变量。报告和确认虐待老年人和特定类型的虐待老年人（身体，心理，照顾者忽视和经济剥削）作为依赖变量。使用逻辑回归模型评估身体功能下降指标与虐待老年人风险之间的关联。
调整潜在混杂因素后，身体机能测试下降（比值比（OR）=1.13，95%置信区间（CI）=1.06-1.19）、Katz 损伤（OR=1.29，95%CI=1.15-1.45）、Nagi 损伤（OR=1.30，95%CI=1.13-1.49）和 Rosow Breslau 损伤（OR=1.42，95%CI=1.15-1.74）与更高的虐待老年人风险相关。身体机能测试最低三分位（OR=4.92，95%CI=1.39-17.46）和 Katz 损伤最高三分位（OR=3.99，95%CI=2.18-7.31）、Nagi 损伤（2.37，95%CI=1.08-5.23）和 Rosow Breslau 损伤（OR=2.85，95%CI=1.39-5.84）与更高的虐待老年人风险相关。
客观评估身体功能和自我报告身体功能下降与虐待老年人风险增加相关。
