老年人自我忽视与社区居住人群中老年人虐待风险增加相关：来自芝加哥健康与老龄化项目的研究结果。
Elder self-neglect is associated with increased risk for elder abuse in a community-dwelling population: findings from the Chicago Health and Aging Project.
机构信息
Institute for Healthy Aging, Rush University Medical Center, Chicago, IL 60612, USA.
出版信息
J Aging Health. 2013 Feb;25(1):80-96. doi: 10.1177/0898264312467373. Epub 2012 Dec 6.
OBJECTIVE
We examined the relationship between self-neglect and risk for subsequent elder abuse report to social services agency.
METHOD
Population-based cohort study conducted Chicago. Primary predictor was elder self-neglect at baseline without concurrent elder abuse. Cox proportional hazard models were used to assess independent associations of elder self-neglect with the risk of subsequent elder abuse using time-varying covariate analyses.
RESULTS
Of 10,333 participants, 1,460 were reported for self-neglect and 180 were reported for elder abuse. The median time from self-neglect to elder abuse was 3.5 years. In multivariable analyses, elder self-neglect was associated with increased risk for subsequent elder abuse (odds ratio, OR, 1.75[1.18-2.59]). Elder self-neglect was also associated with increased risk for subsequent caregiver neglect (OR, 2.09[1.24-3.52]), financial exploitation (OR, 1.73[1.01-2.95]), and multiple forms of elder abuse (HR, 2.06[1.22-3.48]).
CONCLUSION
Elder self-neglect report is associated with increased risk for subsequent elder abuse report to social services agency.
目的
我们研究了自我忽视与向社会服务机构报告后续虐待老年人风险之间的关系。
方法
在芝加哥进行基于人群的队列研究。主要预测因素是基线时没有同时发生虐待老年人的老年人自我忽视。使用时变协变量分析的 Cox 比例风险模型评估老年人自我忽视与后续虐待老年人风险的独立关联。
结果
在 10333 名参与者中，有 1460 人因自我忽视而被报告，有 180 人因虐待老年人而被报告。从自我忽视到虐待老年人的中位时间为 3.5 年。在多变量分析中，老年人自我忽视与随后发生虐待老年人的风险增加相关（优势比，OR，1.75[1.18-2.59]）。老年人自我忽视也与随后发生照顾者忽视（OR，2.09[1.24-3.52]）、经济剥削（OR，1.73[1.01-2.95]）和多种形式的虐待老年人（HR，2.06[1.22-3.48]）的风险增加相关。
结论
向社会服务机构报告老年人自我忽视与随后报告虐待老年人的风险增加有关。
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