Chair of Epidemiology and Preventive Medicine, Jagiellonian University Medical College, Kraków, Poland.
Chair of Internal Medicine and Gerontology, Jagiellonian University Medical College, Kraków, Poland.
Folia Med Cracov. 2023 Jul 30;63(2):5-28. doi: 10.24425/fmc.2023.145910.
The aim of this cross-sectional study is to examine if neglect is associated with self-rated health (SRH) and if neglect mediates the association between selected factors and self-rated health, among older men and women. The analyses were based on face-to-face computer-assisted personal interviews conducted with 1632 randomly selected community-dwelling individuals aged 65 years and more from among the general population of Lesser Poland. The regression models' analysis revealed that elder neglect was associated with self-rated health, and the mediation analysis demonstrated that neglect mediates the association between frequency of church attendance and SRH, as well as between marital status (being a widower vs being married) and SRH, among men. These observations can be helpful in better under- standing of the broad context of elder neglect in order to develop instruments for an efficient improvement of older adults' health and quality of life. In addition to this, the study underlines the role of social networks and social engagement as factors which might protect against neglect, and thus improve self- rated health of older people.
本横断面研究旨在探讨忽视是否与老年人的自评健康（SRH）相关，以及忽视是否在某些因素与自评健康之间的关联中起中介作用。该分析基于对来自小波兰省普通人群中随机选择的 1632 名 65 岁及以上的社区居住者进行的面对面计算机辅助个人访谈。回归模型分析表明，老年忽视与自评健康相关，而中介分析表明，忽视在教会出席频率与 SRH 之间以及在婚姻状况（鳏夫与已婚）与 SRH 之间起中介作用，仅在男性中如此。这些观察结果有助于更好地理解老年忽视的广泛背景，以便开发有效的改善老年人健康和生活质量的工具。此外，该研究强调了社交网络和社会参与作为可能预防忽视并从而改善老年人自评健康的因素的作用。
