Williams Joah L, Racette Elise H, Hernandez-Tejada Melba A, Acierno Ron
University of Missouri-Kansas City, USA.
Medical University of South Carolina, Charleston, USA.
J Interpers Violence. 2020 Nov;35(21-22):4517-4532. doi: 10.1177/0886260517715604. Epub 2017 Jun 23.
Elder abuse, including emotional, physical, sexual, financial, and neglectful mistreatment is widespread in the United States, with as much as 11% of community-residing older adults experiencing some form of abuse in the past year. Little data exist regarding the prevalence of polyvictimization, or experience of multiple forms of abuse, which may exacerbate negative outcomes over that of any one form of victimization in isolation. This study evaluates the prevalence of elder polyvictimization among a nationally representative sample of community-residing U.S. older adults. Data from the National Elder Mistreatment Study were examined using bivariate and logistic regression analyses. Approximately, 1.7% of older adults experienced past-year polyvictimization, for which risk factors included problems accomplishing activities of daily living (odds ratio [OR] = 2.47), low social support (OR = 1.64), and past experience of traumatic events (OR = 4.81). Elder polyvictimization is a serious problem affecting community-residing older adults with identifiable targets for intervention.
在美国，老年人受虐现象普遍存在，包括情感虐待、身体虐待、性虐待、经济虐待和忽视虐待等，过去一年中，多达11%居住在社区的老年人遭受过某种形式的虐待。关于多重受害（即经历多种形式虐待）的发生率的数据很少，而多重受害可能会比任何一种单独的受害形式更严重地加剧负面后果。本研究评估了在美国居住在社区的具有全国代表性的老年人样本中，老年人多重受害的发生率。使用双变量和逻辑回归分析检查了来自全国老年人受虐研究的数据。大约1.7%的老年人在过去一年中经历过多重受害，其风险因素包括在完成日常生活活动方面存在问题（优势比[OR]=2.47）、社会支持不足（OR=1.64）以及过去有过创伤事件经历（OR=4.81）。老年人多重受害是一个严重问题，影响着居住在社区的老年人，且有可识别的干预目标。
