在社区居住人口中,老年人自我疏忽和虐待以及死亡风险
XinQi Dong1, Melissa Simon, Carlos Mendes de Leon
1Rush University Medical Center, Chicago, Illinois, USA. xinqidong@gmail.com
JAMA
|August 6, 2009
概括
向社会服务部门报告的老年人自我疏忽和老年人虐待显著增加了死亡风险. 这种联系甚至在一年后仍然存在,不仅限于健康状况不佳的个体.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 老年人自我疏忽和虐待是越来越多的公共卫生问题.
- 这些问题对死亡率的影响尚不清楚.
研究的目的:
- 调查报告的老年人自我疏忽或虐待与全因死亡率之间的联系.
- 专注于社区居住的老年人群.
主要方法:
- 基于人口的前性队列研究 (芝加哥健康与衰老项目,1993-2005).
- 利用考克斯的比例危险模型和国家死亡指数来确定死亡率.
- 随时间变化的共变量分析评估了自我疏忽或虐待的报告.
主要成果:
- 报告的老年人自我疏忽与1年死亡风险增加5.82倍有关 (HR,5.82;95% CI,5.20-6.51).
- 死亡风险升高持续超过一年 (HR,1.88;95% CI,1.67-2.14).
- 报告的老年人虐待也显示了整体死亡风险的显著增加 (HR, 1.39; 95% CI, 1.07-1.84).
结论:
- 向社会服务部门报告老年人自我疏忽或虐待与死亡风险增加有关.
- 这些风险存在,无论认知或身体功能水平如何.
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