Comijs H C, Pot A M, Smit J H, Bouter L M, Jonker C
Institute for Research in Extramural Medicine, Vrije Universiteit, Amsterdam, The Netherlands.
J Am Geriatr Soc. 1998 Jul;46(7):885-8. doi: 10.1111/j.1532-5415.1998.tb02724.x.
(1) To assess the prevalence and the consequences of chronic verbal aggression, physical aggression, financial mistreatment, and neglect in a community-based sample; (2) to investigate the circumstances that led to the abuse and the ways in which the victims handled the problem.
Prevalence was assessed in a population-based sample of 1797 older people living independently in Amsterdam, the Netherlands. In a follow-up study 1 year later, the victims were questioned again about the background and consequences of the abuse.
The 1-year prevalence of elder abuse was 5.6%. The prevalence of the various types of elder abuse was: verbal aggression 3.2%, physical aggression 1.2%, financial mistreatment 1.4%, and neglect 0.2%. Most victims reported emotional reactions immediately after the abuse. Seven of 36 victims experienced physical or financial damage as a consequence of the abuse. More than 70% of the victims were able to stop the abuse, either by themselves or with the help of others.
The rate of occurrence and the consequences of elder abuse in the Netherlands was established. Elder abuse is more widely spread if not only close relatives or people with whom the older person lives are considered as possible perpetrators but other familiar and trusted people are considered as well. Intervention should be focused on the roughly 40% of victims who were not able to stop the abuse.
（1）评估基于社区样本中慢性言语攻击、身体攻击、经济虐待和忽视的发生率及其后果；（2）调查导致虐待行为的情况以及受害者处理问题的方式。
在荷兰阿姆斯特丹独立生活的1797名老年人的基于人群的样本中评估发生率。在1年后的一项随访研究中，再次询问受害者有关虐待行为的背景和后果。
虐待老年人的1年发生率为5.6%。各类虐待老年人行为的发生率分别为：言语攻击3.2%，身体攻击1.2%，经济虐待1.4%，忽视0.2%。大多数受害者在受虐后立即报告了情绪反应。36名受害者中有7人因虐待行为遭受了身体或经济损害。超过70%的受害者能够自行或在他人帮助下制止虐待行为。
确定了荷兰虐待老年人行为的发生率及其后果。如果不仅将近亲或与老年人共同生活的人视为可能的施虐者，还将其他熟悉和信任的人也考虑在内，那么虐待老年人的行为会更为普遍。干预应侧重于约40%无法制止虐待行为的受害者。
