湖北省农村地区社会支持与老年人虐待关系的研究

武丽; 胡洋; 宇翔; 张涛; 曹中强; 王友洁

Abstract

武丽,胡洋,宇翔,张涛,曹中强,王友洁.湖北省农村地区社会支持与老年人虐待关系的研究[J].Chinese journal of Epidemiology,2011,32(10):978-982

湖北省农村地区社会支持与老年人虐待关系的研究

Association between social support and mistreatment on elderly in the rural community of Hubei province

Received:April 22, 2011

DOI：10.3760/cma.j.issn.0254-6450.2011.10.006

KeyWord: 虐待老年人社会支持影响因素

English Key Word: Elder mistreatment Social support Influencing factors

FundProject:国家自然科学基金(30671733)；教育部新世纪优秀人才资助计划（07-0333）

Author Name	Affiliation	E-mail
WU Li	Department of Maternal and Children Health
HU Yang	Department of Maternal and Children Health
YU Xian	Department of Occupational and Environmental Hygiene, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
ZHANG Tao	Department of Occupational and Environmental Hygiene, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
CAO Zhong-qiang	Department of Occupational and Environmental Hygiene, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
WANG You-jie	Department of Maternal and Children Health	wangyoujie@mails.tjmu.edu

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Abstract:

目的研究湖北省麻城市农村地区老年人虐待发生情况，探讨社会支持与老年人虐待间的关系。方法采用横断面调查研究方法，整群抽取麻城市农村地区3个办事处17个行政村≥60岁的老年人，调查过去一年内虐待发生情况及相关因素。调查内容包括一般情况、社会支持以及老年人虐待情况等。结果麻城市农村地区老年人总虐待、身体虐待、情感虐待、疏于照顾和经济剥削的发生率分别为36.2%、4.9%、27.3%、15.8%和2.0%。控制性别、年龄等混杂因素后，需要家人生活或经济上的支持和帮助是总虐待的危险因素（OR= 1.28,95%CI: 1.01～1.63），而需要时得到家人生活或经济（OR=0.76，95%CI: 0.58～0.98）、精神(OR=0.63,95%CI: 0.49～ 0.82) 和朋友在精神(OR=0.73，95%CI: 0.59～ 0.90)上的支持和帮助是虐待的保护因素。身体虐待、情感虐待、疏于照顾和经济剥削的保护因素分别是需要时得到家人生活或经济上的支持和帮助（OR=0.59，95%CI:0.35～0.99）、需要时得到家人（OR=0.67,95%CI: 0.51～0.89）及朋友(OR= 0.67,95% CI: 0.54～0.84)精神上的支持和关心、需要时得到家人生活或经济上的支持和帮助 (OR=0.63,95%CI: 0.45～0.88)、需要时得到家人生活或经济（OR=0.38,95%CI:0.14～0.98）上以及朋友或其他人精神( OR= 0.42，95%CI:0.20～0.87)上的支持和帮助。结论麻城农村地区老年人受虐待现状不容乐观，社会支持是老年人虐待发生的一个重要影响因素。

English Abstract:

This study was to estimate the prevalence of elderly mistreatment (EM) in rural community and to examine the association between social support and the risk of the EM. Methods A cross-sectional descriptive study was performed in three rural communities (17 villages) in Macheng city of Hubei province. 2000 subjects aged 60 years or older were selected using cluster sampling. Questionnaire being developed would include general information, a scale to measure social support, and a modified vulnerability on abuse screening scale (VASS) to measure the EM. Results The prevalence rates of EM, physical abuse, emotional abuse, neglect and financial exploitation for rural elderly people in Macheng city were 36.2%, 4.9%, 27.3%, 15.8%, and 2.0% respectively. After adjusting for potential confounding factors, necessary practical support from family (OR= 1.28, 95%CI: 1.01-1.63) was the risk factor causing EM while having got practical support (OR=0.76, 95%CI: 0.58-0.98) or moral support (OR=0.63,95%CI: 0.49-0.82) from family and moral support from friends (OR=0.73,95%CI: 0.59-0.90) when in need were the protective factors. The protective factors on physical abuse, emotional abuse, neglect and financial exploitation would include: getting practical support from family when in need (OR=0.59, 95%CI: 0.35-0.99), getting moral support from family (OR=0.67, 95% CI: 0.51-0.89) and friends (OR=0.67, 95% CI:0.54-0.84) and getting practical support from family when in need (OR=0.63,95%CI: 0.45-0.88), getting practical support from family ( OR = 0.38,95% CI: 0.14-0.98 ) and getting moral support from friends when in need (OR=0.42,95%CI:0.20-0.87) ,respectively. Conclusion High prevalence of EM was seen in the rural areas of Macheng city. Social support was an important protective factor for EM in this population.

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