Impairment and Abuse of Elderly by Staff in Long-Term Care in Michigan: Evidence From Structural Equation Modeling
| Autor: | Connie Page, Yu Fang, Yimin Xiao, Artem Prokhorov, Lori A. Post, Tom Conner |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Michigan medicine.medical_specialty Attitude of Health Personnel Health Personnel Models Psychological Elder Abuse Social Environment Structural equation modeling Risk Factors Prevalence medicine Humans Dementia Social isolation Psychiatry Applied Psychology Aged Public health Social environment Cognition Professional-Patient Relations Elder abuse Middle Aged medicine.disease Long-Term Care Nursing Homes Clinical Psychology Long-term care Caregivers Socioeconomic Factors Female medicine.symptom Psychology Clinical psychology |
| Zdroj: | Journal of Interpersonal Violence. 26:21-33 |
| ISSN: | 1552-6518 0886-2605 |
| Popis: | Elder abuse in long-term care has become a very important public health concern. Recent estimates of elder abuse prevalence are in the range of 2% to 10% (Lachs & Pillemer, 2004), and current changes in population structure indicate a potential for an upward trend in prevalence (Malley-Morrison, Nolido, & Chawla, 2006; Post et al., 2006). More than 20 years ago, Karl Pillemer called for sociological research on patient maltreatment in nursing homes and provided an overview model for the conduct of such research (Pillemer, 1988). The research literature since then has not provided the definitive model to account for patient maltreatment that Pillemer hoped for. Instead, it has produced a laundry list of risk factors that includes the patient’s functional disability, cognitive impairment, social isolation, age, race, income, family background, life events, dementia, and depression (Dyer, Pavlik, Murphy, & Hyman, 2000; Lachs & Pillemer, 2004; Lachs,Williams, Obrien, Hurst, & Horwitz, 1997; Pavlik, Hyman, Festa, & Dyer, 2001; Schofield & Mishra, 2003). However, no theory exists to place these factors in a causal structure that relates the factors to each other and to whether abuse occurs. This study is a first step in that direction. Nine hypotheses were generated focusing on the effects of two dimensions of impairment—(a) physical and cognitive and (b) age and behavior problems—on susceptibility to abuse among elderly in long-term care.The relationships between factors and from factors to susceptibility to abuse are specified in a structural equation model where “susceptibility to abuse,” “physical impairment,” and “cognitive impairment” are latent variables, and behavior problems and age are directly measured. |
| Databáze: | OpenAIRE |
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