Older adults : an 11-year longitudinal study of adult protective service use.
Backoround : Little is known about the epidemiology of adult protective services agency (APS) utilization, the state entities charged with assessment and advocacy for disenfranchised older adults.
To determine the prevalence of utilization by older adults and risk factors for APS.
A longitudinal study using the New Haven Established Population for Epidemiologic Studies in the Elderly population, a cohort of 2812 community-dwelling adults who were older than 65 years in 1982.
The main outcome measure was referral to the state ombudsman on aging for protective services.
Over the 11-year follow-up period, 209 cohort members (7.4%) were referred to the ombudsman 302 times as protective service cases for a community prevalence of 6.4% after adjusting for the sampling strategy of the cohort.
Self-neglect was the most common indication for referral (73% of the cases).
While in bivariate analyses a variety of baseline sociodemographic features, functional impairments, medical conditions, and social network factors were associated with APS use, in multivariable analysis only sociodemographic variables remained independent risk factors including low income (odds ratio epsilonORzêta, 2.6 ; 95% confidence interval epsilonCIzêta, 1.8 to 3.9), nonwhite race (OR, 2.2 ; 95% CI, 1.3 to 3.7), and age older than 75 years at cohort inception (OR, 1.9 ; 95% Cl, 1.1 to 3.0).
Prevalence of APS use by older adults is substantial, and ...
Mots-clés Pascal : Etude cohorte, Vieillard, Age, Etats Unis, Etude longitudinale, Etude statistique, Travailleur social, Structure sociale, Protection, Recours soins, Médiateur république, Visite, Homme, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Cohort study, Elderly, Age, United States, Follow up study, Statistical study, Social worker, Social structure, Protection, Human, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0161574
Code Inist : 002B30A01B. Création : 199608.