Elder Mistreatment Experienced by Older Caregiving Adults: Results from a National Community-Based Sample.
J Gen Intern Med
; 38(7): 1709-1716, 2023 05.
Article
en En
| MEDLINE
| ID: mdl-36717433
ABSTRACT
BACKGROUND:
With an aging population, older adults are increasingly serving as caregivers to others, which may increase their risk of adverse interpersonal experiences.OBJECTIVE:
To investigate the prevalence and types of elder mistreatment experienced by older caregiving adults.DESIGN:
Cross-sectional analysisPARTICIPANTS:
National sample of community-dwelling US adults over age 60 in 2015-2016. MAINMEASURES:
Caregiving (assisting another adult with day-to-day activities) was assessed by interviewer-administered questionnaires. Experience of elder mistreatment was assessed by participant-reported questionnaire in three domains emotional, physical, and financial. Multivariable logistic regression models examined associations between caregiving status and each domain of elder mistreatment, adjusting for age, race, ethnicity, gender, education, marital status, concomitant care-receiving status, overall physical and mental health, and cognitive function. Additional logistic regression models examined associations between being the primary caregiver (rather than a secondary caregiver) and each domain of mistreatment among older caregivers. KEYRESULTS:
Of the 1898 participants over age 60 (including 1062 women and 836 men, 83% non-Hispanic white, and 64% married or partnered), 14% reported serving as caregivers for other adults, including 8% who considered themselves to be the primary caregiver. Among these older caregivers, 38% reported experiencing emotional, 32% financial, and 6% physical mistreatment after age 60. In multivariable models, caregiving was associated with experiencing both emotional mistreatment (AOR 1.61, 95% CI 1.15-2.25) and financial mistreatment (AOR 1.72, 95% CI 1.18-2.50). In analyses confined to caregiving older adults, those who served as primary rather than secondary caregivers for other adults had an over two-fold increased odds of emotional mistreatment (AOR 2.17, 95% CI 1.07, 4.41).CONCLUSION:
In this national cohort of older community-dwelling adults, caregiving was independently associated with experiencing emotional and financial mistreatment after age 60. Findings suggest that efforts to prevent or mitigate elder mistreatment should put more emphasis on vulnerable older caregivers.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Abuso de Ancianos
Tipo de estudio:
Etiology_studies
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Observational_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Gen Intern Med
Asunto de la revista:
MEDICINA INTERNA
Año:
2023
Tipo del documento:
Article
País de afiliación:
Estados Unidos