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引用次数: 0
摘要
全球每六名老年人中就有一名受到虐待。大多数有关虐待老人的研究都侧重于风险因素而非保护因素、个人层面的因素而非结构性因素,以及发达国家而非资源匮乏的发展中国家。本研究针对这些不足,探讨了邻里社会凝聚力和物质秩序是否可以成为印度老年人的结构性保护因素。我们的研究队列由印度老龄化纵向研究试验波中 541 名 60 岁及以上的参与者组成。我们发现,与凝聚力低的老年人相比,邻里社会凝聚力高的老年人遭受虐待的可能性要低 38%(OR = 0.62,95% CI = 0.39-0.99)。同样,与自然秩序差的老年人相比,自然秩序好的老年人遭受虐待的可能性要低 48%(OR = 0.52,95% CI = 0.32-0.83)。两个模型都对相关协变量进行了调整。支持提高社区凝聚力和秩序的政策可为老年人的健康带来显著益处。
Protective effects of neighborhood community factors on elder abuse in India.
Elder abuse impacts one in six older persons globally. Most studies of elder abuse have focused on risk factors rather than protective factors, individual-level factors rather than structural factors, and developed countries rather than developing countries where resources are scarce. The current study addressed these gaps by examining whether neighborhood social cohesion and physical order could be such structural-level protective factors for older persons in India. Our cohort consisted of 541 participants aged 60 and over in the pilot wave of the Longitudinal Aging Study in India. We found that older persons with high neighborhood social cohesion were 38% less likely to experience abuse compared to older persons with low cohesion (OR = 0.62, 95% CI = 0.39-0.99). Similarly, participants with high neighborhood physical order were 48% less likely to experience abuse compared to older persons with low physical order (OR = 0.52, 95% CI = 0.32-0.83). Both models adjusted for relevant covariates. Policies supporting greater cohesion and order in communities could reap significant health benefits for older persons.
期刊介绍:
The Journal of Elder Abuse & Neglect is the peer-reviewed quarterly journal that explores the advances in research, policy and practice, and clinical and ethical issues surrounding the abuse and neglect of older people. This unique forum provides state-of-the-art research and practice that is both international and multidisciplinary in scope. The journal"s broad, comprehensive approach is only one of its strengths—it presents training issues, research findings, case studies, practice and policy issues, book and media reviews, commentary, and historical background on a wide range of topics. Readers get tools and techniques needed for better detecting and responding to actual or potential elder abuse and neglect.