Department of Geriatrics, Peking University Third Hospital, Beijing, China.
Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, China.
Front Public Health. 2023 Mar 13;11:1123835. doi: 10.3389/fpubh.2023.1123835. eCollection 2023.
This study aimed to explore the prevalence of elder neglect (EN) and its associated factors among community-based Chinese older adults.
We used data from the 2018 phase of a nationwide cross-sectional study, the Chinese Longitudinal Healthy Longevity Survey (CLHLS), which recruited 15,854 older adults to complete the study interviews that incorporated six dimensions of EN, namely, life neglect, social isolation, medical neglect, poor living situation, family neglect, and social neglect. Multivariate logistic regression was used to explore factors associated with EN.
We included demographic factors, chronic diseases, cognitive function, and daily activity function in our comprehensive analysis and showed that they had different effects on the six EN dimensions. Different demographic factors such as gender, age, marriage, education, occupation, residence, and household income were included in the comprehensive analysis, and the results showed that these factors had different effects on the six dimensions of EN. Next, we found that older adults with chronic diseases are prone to life neglect, medical neglect, and residential environment neglect. Older adults with better cognitive abilities were less likely to be neglected, and a decline in daily activity capacity has been linked to EN in older adults.
Future studies are needed to identify the health effects of these associated factors, develop prevention strategies for EN, and improve the quality of life of older adults living in communities.
本研究旨在探讨社区老年人中忽视老年人问题（EN）的流行情况及其相关因素。
我们使用了全国性横断面研究“中国老年人纵向健康长寿研究”（CLHLS）2018 年阶段的数据，该研究招募了 15854 名老年人完成了研究访谈，其中包括忽视老年人的六个方面，即生活忽视、社会隔离、医疗忽视、较差的生活状况、家庭忽视和社会忽视。采用多变量逻辑回归探讨与 EN 相关的因素。
我们将人口统计学因素、慢性疾病、认知功能和日常活动功能纳入综合分析，结果表明它们对 EN 的六个方面有不同的影响。不同的人口统计学因素，如性别、年龄、婚姻、教育、职业、居住地和家庭收入，都被纳入综合分析，结果表明这些因素对 EN 的六个方面有不同的影响。接下来，我们发现患有慢性疾病的老年人更容易出现生活忽视、医疗忽视和居住环境忽视。认知能力较好的老年人不太可能被忽视，而日常活动能力的下降与老年人的 EN 有关。
需要进一步研究这些相关因素的健康影响，制定预防 EN 的策略，提高社区老年人的生活质量。
