The mortality of elder mistreatment.
Context. - Although elder mistreatment is suspected to be life threatening in some instances, little is known about the survival of elderly persons who have been mistreated.
- To estimate the independent contribution of reported elder abuse and neglect to all-cause mortality in an observational cohort of community-dwelling older adults.
- Prospective cohort study with at least 9 years of follow-up.
Setting and Patients
- The New Haven Established Population for Epidemiologic Studies in the Elderly cohort, which included 2812 community-dwelling adults who were older than 65 years in 1982, a subset of whom were referred to protective services for the elderly.
Main Outcome Measures
- All-cause - mortality among (1) elderly persons for whom protective services were used for corroborated elder mistreatment (elder abuse, neglect, and/or exploitation), or (2) elderly persons for whom protective services were used for self-neglect.
- In the first 9 years after cohort inception, 176 cohort members were seen by elderly protective services for verified allegations ; 10 (5.7%) of these were for abuse, 30 (17.0%) for neglect, 8 (4.5%) for exploitation, and 128 (72.7%) for self-neglect.
At the end of a 13-year follow-up period from cohort inception, cohort members seen for elder mistreatment at any time during the follow-up had poorer survival (9%) than either those seen for self-neglect (17%) or other noninvestigated cohort members (40%) (P<. 001). (...)
Mots-clés Pascal : Etats Unis, Amérique du Nord, Amérique, Facteur risque, Mortalité, Vieillard, Homme, Maltraitance
Mots-clés Pascal anglais : United States, North America, America, Risk factor, Mortality, Elderly, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0394921
Code Inist : 002B30A03B. Création : 25/01/1999.