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1.
Arch Gerontol Geriatr ; 61(2): 277-84, 2015.
Article in English | MEDLINE | ID: mdl-26026215

ABSTRACT

Few empirical investigations of elder abuse in nursing homes address the frequency and determinants of resident-on-resident abuse (RRA). A random sample of 452 adults with an older adult relative, ≥65 years of age, in a nursing home completed a telephone survey regarding elder abuse experienced by that elder family member. Using a Linear Structural Relations (LISREL) modeling design, the study examined the association of nursing home resident demographic characteristics (e.g., age, gender), health and behavioral characteristics (e.g., diagnosis of Alzheimer's Disease, Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), types of staff abuse (e.g., physical, emotional), and factors beyond the immediate nursing home setting (e.g., emotional closeness of resident with family members) with RRA. Mplus statistical software was used for structural equation modeling. Main findings indicated that resident-on-resident mistreatment of elderly nursing home residents is associated with the age of the nursing home resident, all forms of staff abuse, all ADLs and IADLs, and emotional closeness of the older adult to the family.


Subject(s)
Activities of Daily Living , Elder Abuse/statistics & numerical data , Homes for the Aged , Nursing Homes , Telephone , Aged , Aged, 80 and over , Alzheimer Disease , Family , Female , Humans , Male , Middle Aged , Nursing Homes/statistics & numerical data , Physicians , Surveys and Questionnaires
2.
Int J Aging Hum Dev ; 75(1): 71-94, 2012.
Article in English | MEDLINE | ID: mdl-23115914

ABSTRACT

Annually in the United States, 1 to 5 million older adults, 65 and above, are physically or sexually injured or mistreated by their caregivers in family settings. This study examined the prevalence and risk factors involved in elder physical abuse by adult child caregivers, moving from the immediate elderly parent/adult child relationship context to more distal social support contexts, utilizing a subsample of 203 elderly participants from the Midlife Development in the United States study (MIDUS II, 2004-2006). LISREL modeling examined causal pathways between elderly demographic characteristics, physical/emotional health, and behavioral and contextual characteristics from an ecological perspective. Data modeling was accomplished using Mplus, PAXW, and SYSTAT statistical software packages. Results indicate that latent factors including older adult health, social isolation of the older adult, and adult child characteristics were significantly associated with elder physical abuse, as mediated by the quality of the elderly parent/adult child relationship.


Subject(s)
Caregivers/psychology , Crime Victims/psychology , Elder Abuse/psychology , Models, Psychological , Parent-Child Relations , Substance-Related Disorders/psychology , Aged , Aged, 80 and over , Aggression , Health Status , Humans , Irritable Mood , Mental Health , Risk Factors , Social Isolation , Socioeconomic Factors , Surveys and Questionnaires
3.
J Elder Abuse Negl ; 24(1): 65-83, 2012.
Article in English | MEDLINE | ID: mdl-22206513

ABSTRACT

Few empirical studies have focused on elder abuse in nursing home settings. The present study investigated the prevalence and risk factors of staff physical abuse among elderly individuals receiving nursing home care in Michigan. A random sample of 452 adults with elderly relatives, older than 65 years, and in nursing home care completed a telephone survey regarding elder abuse and neglect experienced by this elder family member in the care setting. Some 24.3% of respondents reported at least one incident of physical abuse by nursing home staff. A logistic regression model was used to estimate the importance of various risk factors in nursing home abuse. Limitations in activities of daily living (ADLs), older adult behavioral difficulties, and previous victimization by nonstaff perpetrators were associated with a greater likelihood of physical abuse. Interventions that address these risk factors may be effective in reducing older adult physical abuse in nursing homes. Attention to the contextual or ecological character of nursing home abuse is essential, particularly in light of the findings of this study.


Subject(s)
Activities of Daily Living , Elder Abuse/statistics & numerical data , Nursing Homes/statistics & numerical data , Nursing Staff/statistics & numerical data , Social Environment , Aged , Aged, 80 and over , Female , Geriatric Assessment , Health Care Surveys , Humans , Male , Violence
4.
J Elder Abuse Negl ; 23(2): 190-211, 2011 Apr.
Article in English | MEDLINE | ID: mdl-21462050

ABSTRACT

Population trends suggest that the next 20 years will witness a dramatic increase in the adult population aged 65 and older. Projected increases in the elderly population are expected to significantly increase the stress on family and professional caretakers. Stress, in the context of caregiving relationships, is a risk factor associated with increased prevalence of elder abuse in familial and institutional settings. As increasing numbers of older adults are moved from family caregiving to nursing home care settings, it becomes important to identify the pattern of elder abuse risk factors in nursing home facilities. An ecological model is proposed for better understanding the risk factors associated with elder abuse in nursing homes and the complex interaction of individual/person characteristics and contextual factors in institutional elder abuse. An ecological perspective to institutional elder abuse provides a framework for guiding and informing future research on the risk factors of nursing home abuse and, in turn, for the development of effective interventions and relevant social policies.


Subject(s)
Caregivers/organization & administration , Elder Abuse/prevention & control , Health Personnel/organization & administration , Homes for the Aged/organization & administration , Nursing Homes/organization & administration , Aged , Aged, 80 and over , Cooperative Behavior , Elder Abuse/statistics & numerical data , Geriatric Assessment , Humans , Models, Organizational , Risk Factors , United States/epidemiology
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