J Korean Acad Nurs.  2012 Dec;42(6):819-832. 10.4040/jkan.2012.42.6.819.

Risk Factors Influencing Probability and Severity of Elder Abuse in Community-dwelling Older Adults: Applying Zero-inflated Negative Binomial Modeling of Abuse Count Data

• Jang MH
• Park CG

• KMID: 1499509
• DOI: http://doi.org/10.4040/jkan.2012.42.6.819

Abstract

PURPOSE
This study was conducted to identify risk factors that influence the probability and severity of elder abuse in community-dwelling older adults.
METHODS
This study was a cross-sectional descriptive study. Self-report questionnaires were used to collect data from community-dwelling Koreans, 65 and older (N=416). Logistic regression, negative binomial regression and zero-inflated negative binomial regression model for abuse count data were utilized to determine risk factors for elder abuse.
RESULTS
The rate of older adults who experienced any one category of abuse was 32.5%. By zero-inflated negative binomial regression analysis, the experience of verbal-psychological abuse was associated with marital status and family support, while the experience of physical abuse was associated with self-esteem, perceived economic stress and family support. Family support was found to be a salient risk factor of probability of abuse in both verbal-psychological and physical abuse. Self-esteem was found to be a salient risk factor of probability and severity of abuse in physical abuse alone.
CONCLUSION
The findings suggest that tailored prevention and intervention considering both types of elder abuse and target populations might be beneficial for preventative efficiency of elder abuse.

Keyword

Elder abuse; Risk factors; Family; Self-esteem

MeSH Terms

Aged
Aged, 80 and over
Cross-Sectional Studies
Depression/pathology
Elder Abuse/prevention & control/*statistics & numerical data
Female
Health Status
Humans
Male
Mental Health
Motor Activity
Odds Ratio
Probability
Questionnaires
Regression Analysis
Risk Factors
Self Concept
Self Report
Social Support
Suicidal Ideation

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