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Decline in Physical Function and Risk of Elder Abuse Reported to Social Services in a Community‐Dwelling Population of Older Adults
Author(s) -
Dong XinQi,
Simon Melissa,
Evans Denis
Publication year - 2012
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.2012.04147.x
Subject(s) - medicine , elder abuse , confounding , gerontology , population , odds ratio , neglect , confidence interval , demography , physical abuse , poison control , injury prevention , psychiatry , child abuse , environmental health , sociology
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 C hicago. 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 K atz, N agi, and R osow‐ B reslau scale scores. D ependent variables were reported and confirmed elder abuse and specific subtypes of elder abuse (physical, psychological, caregiver neglect, and financial exploitation). L ogistic 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.