XinQi Dong, MD, MPH
This article was published at www.annals.org on 14 June 2016.
Grant Support: By the National Institute on Aging (grants R01 AG042318, R01 MD006173, R01 NR14846, R01 CA163830, R34MH100443, R34MH100393, P20CA165588, R24MD001650, and RC4 AG039085), Paul B. Beeson Award in Aging, The Starr Foundation, American Federation for Aging Research, John A. Hartford Foundation, and The Atlantic Philanthropies.
Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-1161.
Requests for Single Reprints: XinQi Dong, MD, MPH, Rush Institute for Health Aging, Rush University Medical Center, 1645 West Jackson, Suite 675, Chicago, IL 60612; e-mail, firstname.lastname@example.org.
Dong X. Elder Abuse in Nursing Homes: How Do We Advance the Field of Elder Justice?. Ann Intern Med. 2016;165:288-289. doi: 10.7326/M16-1161
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Published: Ann Intern Med. 2016;165(4):288-289.
Published at www.annals.org on 14 June 2016
Elder abuse (EA) is a common, fatal, and costly public health issue that affects an estimated 10% of the 64.9 million community-dwelling U.S. elderly adults (1). The White House, U.S. Preventive Services Task Force, U.S. Department of Justice, Centers for Disease Control and Prevention, Institute of Medicine, and Administration for Community Living have all called for EA to be named an urgent public health issue. An estimated 1.4 million people reside in nursing homes (2), but little is known about EA among these residents.
Lachs and colleagues (3) examine the prevalence and correlates of resident-to-resident elder mistreatment (R-REM) of 2011 residents in 10 New York state nursing homes from 2009 to 2013 (3). The overall prevalence of R-REM was 20.2%. Prevalences of different types of mistreatment were 9.1% for verbal abuse, 5.2% for physical misconduct, 0.6% for sexual misconduct, 4.0% for invasion of privacy, 0.9% for menacing gestures or facial expressions, and 0.3% for unwanted caregiving. Younger age, better cognition, living in a dementia unit, heavier staff workload, and seasons other than summer were associated with a greater likelihood of R-REM in this cross-sectional study. Case-finding approaches for EA included resident self-reports, staff interviews, staff case reports, facility case reports, researcher observations, and medical record reviews.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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