Elder mistreatment in a community dwelling population: the Malaysian Elder Mistreatment Project (MAESTRO) cohort study protocol

被引：16

作者：

Choo, Wan Yuen ^{[1
]}

Hairi, Noran Naqiah ^{[1
]}

Sooryanarayana, Rajini ^{[1
]}

Yunus, Raudah Mohd ^{[1
]}

Hairi, Farizah Mohd ^{[1
]}

Ismail, Norliana ^{[1
]}

Kandiben, Shathanapriya ^{[1
]}

Ali, Zainudin Mohd ^{[2
]}

Ahmad, Sharifah Nor ^{[2
]}

Razak, Inayah Abdul ^{[2
]}

Othman, Sajaratulnisah ^{[3
]}

Tan, Maw Pin ^{[4
]}

Mydin, Fadzilah Hanum Mohd ^{[3
]}

Peramalah, Devi ^{[1
]}

Brownell, Patricia ^{[5
]}

Bulgiba, Awang ^{[1
]}

机构：

[1] Univ Malaya, Fac Med, Julius Ctr, Dept Social & Prevent Med, Kuala Lumpur, Malaysia

[2] Negeri Sembilan State Hlth Dept, Kuala Lumpur, Malaysia

[3] Univ Malaya, Fac Med, Dept Primary Care Med, Kuala Lumpur, Malaysia

[4] Univ Malaya, Fac Med, Dept Med, Kuala Lumpur, Malaysia

[5] Fordham Univ, New York, NY 10023 USA

来源：

BMJ OPEN | 2016年 / 6卷 / 05期

关键词：

elder abuse; elder neglect; elder mistreatment; longitudinal study; cohort; UNITED-STATES; OLDER-PEOPLE; GAIT SPEED; ABUSE; NEGLECT; PREVALENCE; EXPLOITATION; INDEX;

D O I：

10.1136/bmjopen-2016-011057

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction Despite being now recognised as a global health concern, there is still an inadequate amount of research into elder mistreatment, especially in low and middle-income regions. The purpose of this paper is to report on the design and methodology of a population-based cohort study on elder mistreatment among the older Malaysian population. The study aims at gathering data and evidence to estimate the prevalence and incidence of elder mistreatment, identify its individual, familial and social determinants, and quantify its health consequences. Methods and analysis This is a community-based prospective cohort study using randomly selected households from the national census. A multistage sampling method was employed to obtain a total of 2496 older adults living in the rural Kuala Pilah district. The study is divided into two phases: cross-sectional study (baseline), and a longitudinal follow-up study at the third and fifth years. Elder mistreatment was measured using instrument derived from the previous literature and modified Conflict Tactic Scales. Outcomes of elder mistreatment include mortality, physical function, mental health, quality of life and health utilisation. Logistic regression models are used to examine the relationship between risk factors and abuse estimates. Cox proportional hazard regression will be used to estimate risk of mortality associated with abuse. Associated annual rate of hospitalisation and health visit frequency, and reporting of abuse, will be estimated using Poisson regression. Ethics and dissemination The study has been approved by the Medical Ethics Committee of the University of Malaya Medical Center (MEC Ref 902.2) and the Malaysian National Medical Research Register (NMRR-12-1444-11726). Written consent was obtained from all respondents prior to baseline assessment and subsequent follow-up. Findings will be disseminated to local stakeholders via forums with community leaders, and health and social welfare departments, and published in appropriate scientific journals and presented at conferences.

引用

页数：12

共 43 条

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