BACKGROUND & AIMS:
OBJECTIVES:To examine the longitudinal association between decline in physical function and risk of elder abuse.
DESIGN:Prospective population-based study.
SETTING:Geographically defined community in Chicago.
PARTICIPANTS:One hundred forty-three Chicago Health and Aging Project (CHAP) participants who had elder abuse reported to a social services agency from 1993 to 2010 were identified.
PARTICIPANTS:The primary independent variable was objectively assessed physical function using decline in physical performance testing (tandem stand, measured walk, and chair stand). Secondary independent variables were assessed using decline in self-reported Katz, Nagi, and Rosow-Breslau scale scores. Dependent variables were reported and confirmed elder abuse and specific subtypes of elder abuse (physical, psychological, caregiver neglect, and financial exploitation). Logistic regression models were used to assess the association between decline in physical function measures and risk of elder abuse.
RESULTS:After adjusting for potential confounders, decline in physical performance testing (odds ratio (OR) = 1.13, 95% confidence interval (CI) = 1.06-1.19), Katz impairment (OR = 1.29, 95% CI = 1.15-1.45), Nagi impairment (OR = 1.30, 95% CI = 1.13-1.49), and Rosow Breslau impairment (OR = 1.42, 95% CI = 1.15-1.74) was associated with greater risk for elder abuse. The lowest tertile of physical performance testing (OR = 4.92, 95% CI = 1.39-17.46) and the highest tertiles of Katz impairment (OR = 3.99, 95% CI = 2.18-7.31), Nagi impairment (2.37, 95% CI = 1.08-5.23), and Rosow Breslau impairment (OR = 2.85, 95% CI = 1.39-5.84) were associated with greater risk of elder abuse.
CONCLUSION:Decline in objectively assessed physical function and self-reported physical function are associated with greater risk for elder abuse.
背景与目标:
目的:研究身体机能下降与老年人虐待风险之间的纵向联系。
设计:基于人群的前瞻性研究。
地点:芝加哥的地理社区。
参与者:确定了1993年至2010年向社会服务机构报告患有老年人虐待的143个芝加哥健康与衰老项目(CHAP)参与者。
参与者:主要的独立变量是通过使用体能测试(串联站立,测量的步行和椅子站立)下降来客观评估身体机能的。使用自我报告的Katz,Nagi和Rosow-Breslau量表评分的下降来评估次要自变量。报告了因变量,并确认了虐待老年人和虐待老年人的特定亚型(身体,心理,照顾者的忽视和经济剥削)。使用逻辑回归模型评估身体机能指标下降与虐待老人风险之间的关联。
结果:在调整了潜在的混杂因素之后,物理性能测试下降(优势比(OR)= 1.13,95%置信区间(CI)= 1.06-1.19),Katz损伤(OR = 1.29,95%CI = 1.15-1.45) ,Nagi障碍(OR = 1.30,95%CI = 1.13-1.49)和Rosow Breslau障碍(OR = 1.42,95%CI = 1.15-1.74)与老年人虐待的风险更高相关。物理性能测试的最低三分位数(OR = 4.92,95%CI = 1.39-17.46)和Katz损伤的最高三分位数(OR = 3.99,95%CI = 2.18-7.31),Nagi损伤(2.37,95%CI = 1.08-5.23)和Rosow Breslau损伤(OR = 2.85,95%CI = 1.39-5.84)与虐待老人的风险更大相关。
结论:客观评估的身体机能和自我报告的身体机能下降与老年人虐待的风险增加有关。