Clinical Gerontology & Geriatric Department, Medical School, Tehran University of Medical Sciences, Tehran, Iran.
Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
J Elder Abuse Negl. 2020 Jan-Feb;32(1):84-96. doi: 10.1080/08946566.2020.1719564. Epub 2020 Feb 2.
The present research seeks the notion of the appropriateness of "Hwalek-Sengstock Elder Abuse Screening Test (H-S/East)", and psychometric properties to analyses cultural aspects of elder abuse in the Iranian community dwellers referred to clinics. In this cross-sectional validation study 364 participants, 60 years and over were selected from outpatient' clinics. The SF-36, GDS-15, and AMT scores were used for concurrent validity. The Brief Abuse Screen for the Elderly (BASE) scale was examined to determine the sensitivity and specificity of the Iranian version H-S/East. The elder abuse rate in participants was 29.4% based on cutoff ≥4, while a significant correlation was found in Iranian version H-S/EAST with depression and SF-36 subscale MCS at < .01, and four factors observed. Optimal cutoff ≥4 obtained with 82.8% sensitivity and 84.5% specificity. It seems the Iranian version of H-S/East demonstrates concurrent validity and fair reliability in elderly outpatients, while construct validity should be carried out in the Iranian elder illiterate population and other languages/cultures.
本研究旨在探讨“Hwalek-Sengstock 虐待老年人筛查测试（H-S/East）”的适宜性概念，以及心理测量学特性，以分析伊朗社区居民中老年人虐待的文化方面。在这项横断面验证研究中，从门诊诊所中选择了 364 名 60 岁及以上的参与者。使用 SF-36、GDS-15 和 AMT 评分进行同时效度分析。使用 Brief Abuse Screen for the Elderly (BASE) 量表来确定伊朗版 H-S/East 的敏感性和特异性。根据截值≥4，参与者中的老年人虐待率为 29.4%，而在伊朗版 H-S/EAST 中发现与抑郁和 SF-36 子量表 MCS 之间存在显著相关性，P 值均小于 0.01，同时观察到四个因素。最佳截值≥4 时，敏感性为 82.8%，特异性为 84.5%。伊朗版 H-S/East 在老年门诊患者中表现出同时效度和良好的可靠性，而在伊朗文盲老年人和其他语言/文化中，应进行结构效度研究。
