[Risk factors influencing probability and severity of elder abuse in community-dwelling older adults: applying zero-inflated negative binomial modeling of abuse count data]

J Korean Acad Nurs. 2012 Dec;42(6):819-32. doi: 10.4040/jkan.2012.42.6.819.
[Article in Korean]

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.

Keywords: Elder abuse; Family; Risk factors; Self-esteem.

Publication types

  • English Abstract

MeSH terms

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