Prevalence and Factors Associated With Elder Abuse in Community-Dwelling Elderly in Korea: Mediation Effects of Social Support
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective The objectives of this study were to investigate the factors associated with elder abuse and the mediation effects of social support in a community-dwelling elderly population in Korea.Methods This study analyzed a dataset of 10,674 individuals aged 65 years and older in Korea. Data were reviewed from a study conducted by the Korea Institute for Health and Social Affairs in 2011.Results In our study, 12.6% of the elderly reported elder abuse, and 29.2% reported having depression (a score ≥8 on the short version geriatric depression scale). Our results revealed that younger age, low economic status, poor social support (odds ratio [OR]=1.448) and depression (OR=2.039) were significantly associated with elder abuse after controlling for all confounding factors. In addition, mediation analysis showed that the OR for depression was reduced from 2.124 to 2.039 after social support was controlled, which indicates that the association between depression and elder abuse is partially mediated by social support.Conclusion Depression and lack of social support were associated with abuse in community-dwelling Korean elderly. In particular, social support was revealed to buffer the association between depression and elder abuse.
Abstract
Objective The objectives of this study were to investigate the factors associated with elder abuse and the mediation effects of social support in a community-dwelling elderly population in Korea.Methods This study analyzed a dataset of 10,674 individuals aged 65 years and older in Korea. Data were reviewed from a study conducted by the Korea Institute for Health and Social Affairs in 2011.Results In our study, 12.6% of the elderly reported elder abuse, and 29.2% reported having depression (a score ≥8 on the short version geriatric depression scale). Our results revealed that younger age, low economic status, poor social support (odds ratio [OR]=1.448) and depression (OR=2.039) were significantly associated with elder abuse after controlling for all confounding factors. In addition, mediation analysis showed that the OR for depression was reduced from 2.124 to 2.039 after social support was controlled, which indicates that the association between depression and elder abuse is partially mediated by social support.Conclusion Depression and lack of social support were associated with abuse in community-dwelling Korean elderly. In particular, social support was revealed to buffer the association between depression and elder abuse.
참고문헌 (34)
- Global Status Report on Violence Prevention 2014, , World Health Organization, ~ (2014)
- Human Rights of Older Persons: Summary of the Report of the Secretary-General to the General Assembly, , Office of the UN High Commissioner for Human Rights, ~, pp.Report A (2010), 66[DOI]
- World Health Organization, , World Health Organization, 3~ (2002)
- Dong X, "Medical implications of elder abuse and neglect", Clin Geriatr Med, 21, pp.293~313 (2005)
- Dong X, "Elder self-neglect and abuse and mortality risk in a communitydwelling population", JAMA, 302, pp.517~526 (2009)
- Dong X, "Elder abuse as a risk factor for hospitalization in older persons", JAMA Intern Med, 173, pp.911~917 (2013)
- The Aged Statistics, , Korea National Statistical Office, ~ (2010)
- Ganster DC, "The impact of social support on mental and physical health", Br J Med Psychol, 61, pp.17~36 (1988)
- Acierno R, "Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States : the National Elder Mistreatment Study", Am J Public Health, 100, pp.292~297 (2010)
- García-Peña C, "Depressive symptoms among older adults in Mexico City", J Gen Intern Med, 23, pp.1973~1980 (2008)
- Vilar-Compte M, "Association between depression and elder abuse and the mediation of social support : a cross-sectional study of elder females in Mexico City", J Aging Health, 30, pp.559~583 (2018)
- Analysis of the Survey of Living Conditions and Welfare Needs of Korean Older Persons, "Jung KH", Korea Institute for Health and Social Affairs, ~ (2012)
- Won CW, "The Development of Korean Activities of Daily Living(K-ADL)and Korean Instrumental Activities of Daily Living(K-IADL)Scale", J Korean Geriatr Soc, 6, pp.107~120 (2002)
- Recent Evidence and Development of a Shorter Version. Clinical Gerontology: A Guide to Assessment and Intervention, "Sheikh J", Título do livro, ~ (1986)
- Bae JN, "Development of the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients", J Psychosom Res, 57, pp.297~305 (2004)
- Baron RM, "The moderator–mediator variable distinction in social psychological research : Conceptual, strategic, and statistical considerations", J Pers Soc Psychol, 51, pp.1173~1182 (1986)
- Yon Y, "Elder abuse prevalence in community settings : a systematic review and meta-analysis", Lancet Glob Health, 5, pp.e147~ (2017)
- Park JH, "A nationwide survey on the prevalence and risk factors of late life depression in South Korea", J Affect Disord, 138, pp.34~40 (2012)
- Roepke-Buehler SK, "Association between depressive symptoms, multiple dimensions of depression, and elder abuse : a cross-sectional, population-based analysis of older adults in urban Chicago", J Aging Health, 27, pp.1003~1025 (2015)
- Dong X, "Depression and elder abuse and neglect among a community-dwelling Chinese elderly population", J Elder Abuse Neglect, 20, pp.25~41 (2008)
- Dyer CB, "The high prevalence of depression and dementia in elder abuse or neglect", J Am Geriatr Soc, 48, pp.205~208 (2000)
- Reynolds CF 3rd, "Prevention of depressive disorders : a brave new world", Depress Anxiety, 26, pp.1062~1065 (2009)
- Dong XQ, "Elder abuse and mortality : the role of psychological and social wellbeing", Gerontology, 57, pp.549~558 (2011)
- Acierno R, "Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States : The National Elder Mistreatment Study", Am J Public Health, 100, pp.292~297 (2010)
- Dong X, "Is greater social support a protective factor against elder mistreatment?", Gerontology, 54, pp.381~388 (2008)
- Comijs HC, "Psychological distress in victims of elder mistreatment : the effects of social support and coping", J Gerontol B Psychol Sci Soc Sci, 54, pp.P240~ (1999)
- Dong X, "The associations of gender, depression and elder mistreatment in a community-dwelling Chinese population : The modifying effect of social support", Arch Gerontol Geriatr, 50, pp.202~208 (2010)
- Vilar-Compte M, "Association between depression and elder abuse and the mediation of social support : a cross-sectional study of elder females in Mexico City", J Aging Health, 30, pp.559~583 (2018)
- Luo Y, "Loneliness, health, and mortality in old age : a national longitudinal study", Soc Sci Med, 74, pp.907~914 (2012)
- Chokkanathan S, "Elder mistreatment in urban India : a community based study", J Elder Abuse Negl, 17, pp.45~61 (2005)
- LoFaso VM, "Medical and Laboratory Indicators of Elder Abuse and Neglect", Clin Geriatric Med, 30, pp.713~728 (2014)
- Naughton C, "Elder abuse and neglect in Ireland : results from a national prevalence survey", Age Ageing, 41, pp.98~103 (2011)
- DeLiema M, "Determining prevalence and correlates of elder abuse using promotores : low-Income immigrant latinos report high rates of abuse and neglect", J Am Geriatr Soc, 60, pp.1333~1339 (2012)
- Giraldo-Rodríguez L, "Development and psychometric properties of the Geriatric Mistreatment Scale", Geriatr Gerontol Int, 13, pp.466~474 (2013)