Prevalence and predictors of elder abuse among older adults attending emergency departments: a prospective cohort study

被引:2
作者
Gagnon, Samuel [1 ]
Nadeau, Alexandra [1 ,2 ]
Tanguay, Katherine [3 ]
Archambault, Patrick M. [2 ,3 ,5 ]
Brousseau, Audrey-Anne [4 ]
Carmichael, Pierre-Hugues [2 ]
Emond, Marcel [1 ,2 ,3 ]
Deshaies, Jean-Francois [5 ]
Benhamed, Axel [1 ,6 ]
Blanchard, Pierre-Gilles [1 ,2 ,3 ]
Mowbray, Fabrice I. [7 ]
Mercier, Eric [1 ,2 ,3 ]
机构
[1] Univ Laval, Ctr Rech CHU Quebec, Axe Sante Populat & Prat Optimales Sante, Quebec City, PQ, Canada
[2] VITAM Ctr Rech Sante Durable, Quebec City, PQ, Canada
[3] Univ Laval, Fac Med, Dept Med Famille & Med Urgence, Quebec City, PQ, Canada
[4] Univ Sherbrooke, Fac Med & Sci Sante, Dept Med Famille & Med Urgence, Sherbooke, PQ, Canada
[5] Ctr Integre Sante & Serv Sociaux Chaudiere Appala, Ctr Rech Integree Syst Sante Apprenant Sante & Se, Levis, PQ, Canada
[6] Hop Civils Lyon, Ctr Hosp Univ Edouard Herriot, Serv SAMU Urgences, Lyon, France
[7] Michigan State Univ, Coll Nursing, E Lansing, MI USA
关键词
Older adults; Emergency departments; Elder abuse; Violence; Neglect; Screening; Personnes agees; Services d'urgence; Maltraitance des personnes agees; Negligence; Depistage; ASSOCIATION; SETTINGS; RISK;
D O I
10.1007/s43678-023-00600-4
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Introduction Elder abuse is associated with impaired physical and psychological health. It is, however, rarely identified in emergency departments (EDs). The objective was to determine the prevalence and the predictors of elder abuse among older adults visiting EDs.Methods This prospective cohort study was conducted in eight Canadian EDs between May and August 2021. Patients were eligible if they were >= 65 years old, oriented to time, and with a Canadian Triage and Acuity Scale score 3, 4 or 5. In a private setting, participants were questioned directly about abuse as part of a larger questionnaire exploring ten non-medical problems. We used multivariable logistic regression to identify predictors of elder abuse.Results A total of 1061 participants were recruited (mean age: 77.1 (SD 7.6) years, female sex: 55.7%, lived alone: 42.5%). Patients mostly attended EDs for pain (19.6%), neurologic (11.3%) or cardiovascular (8.4%) symptoms. The most frequent pre-existing comorbidities were hypertension (67.2%), mental health conditions (33.3%) and cardiac insufficiency (29.6%). Mobility issues outside (41.0%) or inside their home (30.7%) and loneliness (29.4%) were also frequent. Fifty-four (5.1%) participants reported elder abuse, of which 34.3% were aware of available community-based resources. Identified predictors of elder abuse were female sex (OR 2.8 [95%CI 1.4; 5.6]), financial difficulties (OR 3.6 [95%CI 1.8; 7.3]), food insecurity (OR 2.7 [95%CI 1.2; 5.6]), need for a caregiver (OR 2.7 [95%CI 1.5; 5.0]) and at least one pre-existing mental health condition (OR 2.6 [95%CI 1.4; 4.9]).Conclusion When questioned directly, 5.1% of older adults attending EDs reported experiencing abuse. Female sex, functional impairment, social vulnerability, and mental health comorbidities are associated with elder abuse. Given its importance and relatively high prevalence, ED professionals should have a low threshold to ask directly about elder abuse.
引用
收藏
页码:953 / 958
页数:6
相关论文
共 10 条
  • [1] Elder abuse prevalence and risk factors: findings from the Canadian Longitudinal Study on Aging
    Burnes, David
    Pillemer, Karl
    Rosen, Tony
    Lachs, Mark S.
    McDonald, Lynn
    [J]. NATURE AGING, 2022, 2 (09): : 784 - +
  • [2] Association between elder abuse and use of ED: findings from the Chicago Health and Aging Project
    Dong, XinQi
    Simon, Melissa A.
    [J]. AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2013, 31 (04) : 693 - 698
  • [3] Association of Cognitive Function and Risk for Elder Abuse in a Community-Dwelling Population
    Dong, Xinqi
    Simon, Melissa
    Rajan, Kumar
    Evans, Denis A.
    [J]. DEMENTIA AND GERIATRIC COGNITIVE DISORDERS, 2011, 32 (03) : 209 - 215
  • [4] Elder abuse: a systematic review of risk factors in community-dwelling elders
    Johannesen, Mark
    LoGiudice, Dina
    [J]. AGE AND AGEING, 2013, 42 (03) : 292 - 298
  • [5] A simple test procedure in standardizing the power of Hosmer-Lemeshow test in large data sets
    Lai, Xin
    Liu, Liu
    [J]. JOURNAL OF STATISTICAL COMPUTATION AND SIMULATION, 2018, 88 (13) : 2463 - 2472
  • [6] Mercier E, 2019, CJEM, V21, pS11, DOI [10.1017/cem.2019.56, DOI 10.1017/CEM.2019.56]
  • [7] Elder Abuse in the Out-of-Hospital and Emergency Department Settings: A Scoping Review
    Mercier, Eric
    Nadeau, Alexandra
    Brousseau, Audrey-Anne
    Emond, Marcel
    Lowthian, Judy
    Berthelot, Simon
    Costa, Andrew P.
    Mowbray, Fabrice
    Melady, Don
    Yadav, Krishan
    Nickel, Christian
    Cameron, Peter A.
    [J]. ANNALS OF EMERGENCY MEDICINE, 2020, 75 (02) : 181 - 191
  • [8] Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department
    Stevens, Tarshona B.
    Richmond, Natalie L.
    Pereira, Gregory F.
    Shenvi, Christina L.
    Platts-Mills, Timothy F.
    [J]. ACADEMIC EMERGENCY MEDICINE, 2014, 21 (06) : 651 - 658
  • [9] Tanguay KNA., 2022, CAN J EMERG MED, V24, pS27
  • [10] Yon Yongjie, 2017, Lancet Glob Health, V5, pe147, DOI [10.1016/S2214-109X(17)30006-2, 10.1016/s2214-109x(17)30006-2]