Year: 2013
Type: article
Study design: Observational Study
Abstract: IMPORTANCE: Elder abuse is associated with increased mortality risk. However, the relationship between elder abuse and health care services utilization remains unclear. OBJECTIVE: To examine the relationship between overall elder abuse and specific subtypes of elder abuse and rate of hospitalization in a community-dwelling population of older adults. DESIGN: Prospective population-based study. SETTING: Chicago Health and Aging Project. PARTICIPANTS: Of the 6674 community-dwelling older adults who participated in the Chicago Health and Aging Project, 106 were identified by social services agencies for elder abuse. MAIN OUTCOMES AND MEASURES: The primary predictor was elder abuse (reported and confirmed) reported to social services agency. The outcome of interest was the annual rate of hospitalization obtained from the Centers for Medicare and Medicaid Services. Poisson regression models were used to assess these longitudinal relationships. RESULTS: The unadjusted mean annual rate of hospitalization was 0.62 (95% CI, 0.59-0.66) for those without elder abuse and 1.97 (95% CI, 1.33-2.61) for those with reported elder abuse. After adjusting for sociodemographic and socioeconomic variables, medical comorbidities, cognitive and physical function, and psychosocial well-being, reported elder abuse had higher rates of hospitalization (rate ratio [RR], 2.00 [95% CI, 1.45-2.75]). Psychological abuse (RR, 2.22 [95% CI, 1.44-3.43]), financial exploitation (RR, 1.75 [95% CI, 1.06-2.90]), caregiver neglect (RR, 2.43 [95% CI, 1.60-3.69]), and 2 or more types of elder abuse (RR, 2.59 [95% CI, 1.82-3.66]) were associated with increased rates of hospitalization, after considering the same potential confounders. Results from interaction term analyses suggested that the association between elder abuse and hospitalization did not differ across the levels of medical comorbidities, cognitive and functional impairment, or psychosocial distress. CONCLUSIONS AND RELEVANCE: Elder abuse was associated with increased rates of hospitalization in this community population. Future research is needed to explore the causal mechanisms between elder abuse and hospitalization. As we enter the era of health care reform, an improved understanding of factors that increase rates of hospitalization could also have significant implications for social and health policy as well as clinical care of the vulnerable patients.
Source: JAMA Internal Medicine
Authors: XinQi Dong, Melissa A. Simon
Language: English
Topic: Elder Abuse and Neglect
Subfield: Demography
Field: Social Sciences
Domain: Social Sciences
Open Access status: green
Awards: Filial Piety and Psychosocial Well-being in Chinese Population, Consequences of Self-Neglect in a Biracial Population of Older People, Risk Factors for Incident Alzheimer's Disease in a Biracial Community, G4362549581, Building Research Infrastructure & Network in Chicago Chinatown, Epidemiology of Psychological Distress in Chinese Aging Population
OpenAlex ID: W1966317670