Prevalence and Associated Factors of Elder Mistreatment in a Rural Community in Peoples Republic of China A Cross-Sectional Study 英文参考文献.docVIP

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Prevalence and Associated Factors of Elder Mistreatment in a Rural Community in Peoples Republic of China A Cross-Sectional Study 英文参考文献.doc

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Prevalence and Associated Factors of Elder Mistreatment in a Rural Community in Peoples Republic of China A Cross-Sectional Study 英文参考文献

PrevalenceandAssociatedFactorsofElderMistreatment inaRuralCommunityinPeople’sRepublicofChina:A Cross-SectionalStudy LiWu1.,HuiChen1,2.,YangHu1,2,HuiyunXiang3,XiangYu1,TaoZhang1,2,ZhongqiangCao1, YoujieWang1,2 * 1DepartmentofMaternalandChildHealth,SchoolofPublicHealth,TongjiMedicalCollege,HuazhongUniversityofScienceandTechnology,Wuhan,China,2Tongji CenterofInjuryPrevention,TongjiMedicalCollege,HuazhongUniversityofScienceandTechnology,Wuhan,China,3CenterforInjuryResearchandPolicy,TheOhio StateUniversity,Columbus,Ohio,UnitedStatesofAmerica Abstract Background:CurrentknowledgeabouteldermistreatmentismainlyderivedfromstudiesdoneinWesterncountries,which indicatethatthisproblemisrelatedtoriskfactorssuchasasharedlivingsituation,socialisolation,diseaseburden,and caregiverstrain.Weknowlittleaboutprevalenceandriskfactorsforeldermistreatmentandmistreatmentsubtypesinrural Chinawheretheelderpopulationisthemostvulnerable. Methods:In2010,weconductedacross-sectionalsurveyamongolderadultsaged60orolderinthreeruralcommunitiesin Macheng,acityinHubeiprovince,China.Of2245peopleinitiallyidentified,2039wereavailableforinterviewandthiswas completed in 2000. A structured questionnaire was used tocollect data regarding mistreatment and covariates. Logistic regressionanalysiswasusedtoidentifyfactorsrelatedtoeldermistreatmentandsubtypesofmistreatment. Results: Elder mistreatment was reported by 36.2% (95% CI: 34.1%–38.3%) of the participants. Prevalence rates of psychological mistreatment, caregiver neglect, physical mistreatment, and financial mistreatment were 27.3% (95% CI: 25.3%–29.2%), 15.8% (95% CI: 14.2%–17.4%), 4.9% (95% CI: 3.9%–5.8%) and 2.0% (95% CI: 1.3%–2.6%), respectively. The multivariate logistic regression analysis revealed that depression, being widowed/divorced/single/separated, having a physicaldisability,havingalaborintensivejob,dependingsolelyonself-madeincome,andlivingalonewereriskfactorsfor eldermistreatment.Differenttypesofeldermistreatmentwereassociatedwithdifferentri