Developmental Research on Elder Mistreatment

虐待老年人的发展研究

基本信息

批准号：
7089488
负责人：
LAURA A MOSQUEDA
金额：
$ 15.63万
依托单位：
UNIVERSITY OF CALIFORNIA-IRVINE
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-07-01 至 2008-06-30
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): The projected rapid increase in numbers of older Americans raises the concern that elder mistreatment will grow as much and as fast as the population of elders. Although it is clear that the problem of elder mistreatment is already large - the best estimate is that one to two million older Americans are victims of mistreatment annually - most events are never reported. The personal costs are profound: not only do victims suffer from their injuries and losses, they are likely to die at an earlier age than elders who are not victims of mistreatment. There is very little understanding of the issues that surround elder mistreatment, for example risk or preventive factors, physical markers, consequences and clinical courses, healthcare and other costs, successful interventions and, methods for studying each of these issues. Current approaches to detecting abuse for research purposes are either invalid and unreliable or cumbersome, and difficult to apply on a broad scale, making population studies infeasible. There is a desperate need for a standardized measurement approach that can be generalized across groups. This application recommends development and testing of a self-report, survey-based measure that can be broadly applied to generate population estimates of abuse and move elder mistreatment research forward. This project must confront a number of methodological issues, including (a) lack of standardized conceptual and operational definitions of the five generally-accepted categories of mistreatment: physical, psychological and sexual abuse, neglect by a trusted other and financial exploitation; (b) cognitively-impaired older adults who are unreliable reporters of their experiences; (c) generalization of the instrument across ethnic groups; and (d) relevance to the community of elder mistreatment professionals. Thus we aim to: Aim 1. Develop conceptual definitions and methods for operationalizing the definitions for all five categories of elder mistreatment. Aim 2. Design a self-reported, survey-based measure for detecting presence and severity of all types of elder mistreatment. Aim 3. Determine whether the survey-based measure validly and reliably predicts elder mistreatment in samples of Mexican American and Non-Hispanic white community-dwelling elders, including the cognitively impaired. With a valid, reliable criterion standard for detecting elder mistreatment, researchers can begin to measure and understand and policy makers can activate the resources needed to adequately address this significant and distressing public health problem.

描述（由申请人提供）：预计的老年人数量会迅速增加，这引起了人们的担忧，即老年人的虐待将与长者的人口一样多。尽管很明显，老年人的虐待问题已经很大 - 最好的估计是，一到两百万的美国人每年都是虐待的受害者 - 大多数事件从未报告过。个人成本是深远的：受害者不仅遭受伤害和损失，而且他们可能会在早年死亡，而不是那些不是虐待受害者的长者。对围绕老年人虐待的问题几乎没有理解，例如风险或预防因素，身体标记，后果和临床课程，医疗保健和其他成本，成功的干预措施以及研究每个问题的方法。目前用于研究目的滥用的方法是无效的，不可靠的或麻烦的，并且很难大规模应用，这使得人口研究变得不可行。迫切需要一种可以在各组中推广的标准化测量方法。该应用建议开发和测试基于调查的措施，该措施可以广泛应用于产生虐待的人群估计，并推动老年人的虐待研究。该项目必须面对许多方法论问题，包括（a）缺乏对五个普遍接受的虐待类别的标准化概念和操作定义：身体，心理和性虐待，被信任的其他和财务剥削忽视；（b）认知受损的老年人，他们是他们经历不可靠的记者；（c）跨种族的仪器的概括；（d）与老年虐待专业人员社区有关。因此，我们的目的是：目标1。开发概念定义和方法来操作所有五种老年人虐待的定义。目标2。设计一种自我报告的，基于调查的措施，以检测所有类型的老年人虐待的存在和严重性。目标3。确定基于调查的措施是否有效，可靠地预测墨西哥裔美国人和非西班牙裔白人社区居住的长老（包括认知受损）样本中的老年人虐待。有了有效，可靠的标准来检测老年人的虐待，研究人员可以开始衡量和理解，决策者可以激活充分解决这一重大且令人痛苦的公共卫生问题所需的资源。