ceres-cologne center for ethics, rights, economics, and social sciences of health, Universität zu Köln, Albertus Magnus Platz, 50923, Köln, Germany.
Lehrstuhl für Rehabilitationswissenschaftliche Gerontologie, Humanwissenschaftliche Fakultät, Universität zu Köln, Köln, Germany.
Z Gerontol Geriatr. 2021 Nov;54(Suppl 2):132-137. doi: 10.1007/s00391-021-01945-0. Epub 2021 Jul 30.
Experiences of abuse in relationships with an expectation of trust are a common phenomenon among older people and is called elder abuse (EA). This can take various forms, such as physical, verbal, emotional, psychological, financial, sexual abuse or neglect. Due to their high vulnerability and difficulties in receiving support, people aged over 80 years old have been pointed out as a group that needs special focus in research.
Prevalence, risk factors and consequences of EA for different aspects of quality of life are explored among the oldest old.
Computer-assisted personal interviews were conducted in a representative sample of the oldest old in North Rhine-Westphalia (Germany). 988 self-report interviews without third persons present of the NRW80+ study are used to assess EA with the help of the elder abuse and emotional consequences scale (EACS). The EACS describes EA in six dimensions that give a broad understanding of EA.
Prevalence of experiences of EA within the last 12 months was 54.1%. In logistic regression, multimorbidity, lower functioning, age below 90 years, smaller social network size, and aggressive behaviorwere significant risk factors for EA. People experiencing EA showed less life satisfaction and autonomy and increased loneliness and depressive symptoms.
EA is prevalent among the oldest old. Serious consequences of EA on life results can be shown with a broad operationalization of EA. Future research should focus on a deeper understanding of reasons for EA and reflect on the relationship between and the perspectives of perpetrators and victims.
在信任关系中遭受虐待的经历在老年人中很常见，这种现象被称为老年虐待（EA）。虐待可以采取多种形式，如身体、言语、情感、心理、财务、性虐待或忽视。由于老年人的高度脆弱性和获得支持的困难，80 岁以上的人群被指出是需要特别关注的研究群体。
探讨最年长老年人中 EA 对生活质量不同方面的流行率、风险因素和后果。
在北莱茵-威斯特法伦州（德国）的最年长老年人的代表性样本中进行了计算机辅助个人访谈。NRW80+研究中的 988 次无第三人在场的自我报告访谈被用于使用老年虐待和情绪后果量表（EACS）评估 EA。EACS 通过六个维度描述 EA，提供对 EA 的广泛理解。
在过去 12 个月内经历过 EA 的老年人比例为 54.1%。在逻辑回归中，多种疾病、功能下降、年龄低于 90 岁、社交网络规模较小和攻击性行为是 EA 的显著风险因素。经历过 EA 的人表现出较低的生活满意度和自主性，孤独感和抑郁症状增加。
EA 在最年长的老年人中很常见。通过广泛的 EA 操作化，可以显示出 EA 对生活结果的严重后果。未来的研究应重点深入了解 EA 的原因，并反思肇事者和受害者之间的关系和观点。
