Lichtenberg Peter A, Stickney Laurie, Paulson Daniel
Wayne State University, Detroit, Michigan, USA.
Clin Gerontol. 2013 Mar 1;36(2):132-146. doi: 10.1080/07317115.2012.749323.
Financial exploitation, and particularly thefts and scams, are increasing at an alarming rate. In this study we (a) determined the national prevalence of older adults who report having been a victim of fraud, (b) created a population-based model for the prediction of fraud, and (c) examined how fraud is experienced by the most psychologically vulnerable older adults. The older adults studied were 4,400 participants in a Health and Retirement Study substudy, the 2008 Leave Behind Questionnaire. The prevalence of fraud across the previous 5 years was 4.5%. Among measures collected in 2002, age, education, and depression were significant predictors of fraud. Financial satisfaction and social-needs fulfillment were measured in 2008 and were significantly related to fraud above and beyond the 2002 predictors. Using depression and social-needs fulfillment to determine the most psychologically vulnerable older adults, we found that fraud prevalence was three times higher (14%) among those with the highest depression and the lowest social-needs fulfillment than among the rest of the sample (4.1%; = 20.49; < .001). Clinical gerontologists and other professionals in the field need to be aware of their psychologically vulnerable clients heightened exposure to financial fraud.
经济剥削,尤其是盗窃和诈骗,正以惊人的速度增长。在本研究中,我们(a)确定了报告曾遭受欺诈的老年人在全国范围内的患病率,(b)创建了一个基于人群的欺诈预测模型,以及(c)研究了心理上最脆弱的老年人是如何经历欺诈的。所研究的老年人是健康与退休研究子研究(2008年遗留问卷)中的4400名参与者。过去5年中欺诈的患病率为4.5%。在2002年收集的各项指标中,年龄、教育程度和抑郁是欺诈的显著预测因素。2008年测量了财务满意度和社会需求满足情况,它们与欺诈显著相关,且超出了2002年的预测因素。利用抑郁和社会需求满足情况来确定心理上最脆弱的老年人,我们发现,抑郁程度最高且社会需求满足程度最低的人群中欺诈患病率(14%)是其余样本(4.1%)的三倍(χ² = 20.49;P < .001)。临床老年病学家和该领域的其他专业人员需要意识到,他们心理脆弱的客户更容易遭受金融欺诈。