BACKGROUND:Elder mistreatment (EM) is a pervasive global health issue and a violation of basic human rights. Our prior study indicates that EM is alarmingly common in an urban Chinese population, yet little is known about risk and/or protective factors for EM. OBJECTIVE:This study's goal was to examine the association of social support with the risk of EM and underlying hypothesis is that greater social support is associated with a lower risk for EM. METHODS:A cross-sectional descriptive study was performed in a major urban medical center in Nanjing, China. A total of 412 subjects aged 60 years or older who presented to the general medical clinic were surveyed. Social support was assessed using validated instruments Social Support Index (SSI); direct questions were asked about their mistreatment since age 60 using the modified Vulnerability to Abuse Screening Scale (VASS). RESULTS:EM was found in 35% of the participants. After adjusting for potential confounding factors, several factors were associated with a lower risk of mistreatment: having someone to listen to and talk to (OR = 0.18, 95% CI, 0.08-0.39), having someone to get you good advice from (OR = 0.15 (0.07-0.34)), having someone to show love and affection to (OR = 0.30 (0.12-0.75)), having someone available who can help with daily chores (OR = 0.43 (0.22-0.85)), having contact with someone they can trust and confide in (OR = 0.08 (0.03-0.23)), and having someone they can count on for emotional support (OR = 0.11 (0.04-0.28)). Regarding total social support scores (range 1-32), every point higher in social support was associated with a 6% lower risk for EM (OR = 0.94 (0.91-0.97)). Greater social support was associated with a 59% lower risk for EM (OR = 0.41 (0.19-0.90)). CONCLUSION:Greater social support may be a protective factor against EM in this population. Prospective studies are needed to confirm this finding. Interventions that improve social support may prevent EM.

译文

背景:虐待老年人是一个普遍存在的全球性健康问题,是对基本人权的侵犯。我们的先前研究表明,EM在中国城市人口中非常普遍,但对EM的风险和/或保护因素知之甚少。
目的:本研究的目的是检验社会支持与EM风险之间的关系,基本假设是,社会支持越大与EM风险越低相关。
方法:在中国南京市的一个主要城市医疗中心进行了横断面描述性研究。共有412名年龄在60岁以上的普通科门诊患者接受了调查。社会支持是使用经过验证的工具社会支持指数(SSI)进行评估的;使用修改后的虐待滥用筛查量表(VASS),询问了有关他们自60岁起遭受虐待的直接问题。
结果:在35%的参与者中发现了EM。在对潜在的混杂因素进行调整之后,有几个因素与较低的误诊风险相关:让某人听和说话(OR = 0.18,95%CI,0.08-0.39),让某人向您提供良好建议(OR = 0.15(0.07-0.34)),有人对(OR = 0.30(0.12-0.75))表示爱意和爱心,有人可以帮助您处理日常琐事(OR = 0.43(0.22-0.85)),保持联系与他们可以信任和信任的人(OR = 0.08(0.03-0.23)),以及可以依靠的人寻求情感支持(OR = 0.11(0.04-0.28))。关于总的社会支持得分(范围为1-32),社会支持的每提高一个点,就将EM风险降低6%(OR = 0.94(0.91-0.97))。更大的社会支持与EM风险降低59%相关(OR = 0.41(0.19-0.90))。
结论:更大的社会支持可能是该人群抗EM的保护因素。需要进行前瞻性研究以证实这一发现。改善社会支持的干预措施可以预防新兴市场。

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