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虐待老年人预示着日后的身心健康:一项全国性纵向研究的结果。

Elder mistreatment predicts later physical and psychological health: Results from a national longitudinal study.

作者信息

Wong Jaclyn S, Waite Linda J

机构信息

a Department of Sociology , University of Chicago , Chicago , Illinois , USA.

b NORC at the University of Chicago , Chicago , Illinois , USA.

出版信息

J Elder Abuse Negl. 2017 Jan-Feb;29(1):15-42. doi: 10.1080/08946566.2016.1235521. Epub 2016 Sep 16.

Abstract

Stress process theory predicts that elder mistreatment leads to declines in health, and that social support buffers its ill effects. We test this theory using nationally representative, longitudinal data from 2,261 older adults in the National Social Life Health and Aging Project. We regress psychological and physical health in 2010/2011 on verbal and financial mistreatment experience in 2005/2006 and find that the mistreated have more anxiety symptoms, greater feelings of loneliness, and worse physical and functional health 5 years later than those who did not report mistreatment. In particular, we show a novel association between financial mistreatment and functional health. Contrary to the stress buffering hypothesis, we find little evidence that social support moderates the relationship between mistreatment and health. Our findings point to the lasting impact of mistreatment on health but show little evidence of a buffering role of social support in this process.

摘要

压力过程理论预测,虐待老年人会导致健康状况下降,而社会支持可以缓冲其不良影响。我们使用来自“全国社会生活、健康与老龄化项目”中2261名老年人的具有全国代表性的纵向数据来检验这一理论。我们将2010/2011年的心理和身体健康状况对2005/2006年的言语和经济虐待经历进行回归分析,发现遭受虐待的人在5年后比未报告遭受虐待的人有更多的焦虑症状、更强烈的孤独感,以及更差的身体和功能健康状况。特别是,我们发现了经济虐待与功能健康之间的一种新关联。与压力缓冲假设相反,我们几乎没有发现证据表明社会支持能缓和虐待与健康之间的关系。我们的研究结果指出了虐待对健康的持久影响,但几乎没有证据表明社会支持在此过程中起到缓冲作用。

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