The Mortality of Elder Mistreatment
CONTEXT Although elder mistreatment is suspected to be life threatening in some instances, little is known about the survival of elderly persons who have been mistreated. OBJECTIVE To estimate the independent contribution of reported elder abuse and neglect to all-cause mortality in an observational...
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| Veröffentlicht in: | JAMA : the journal of the American Medical Association 1998-08, Vol.280 (5), p.428-432 |
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| creator | Lachs, Mark S Williams, Christianna S O'Brien, Shelley Pillemer, Karl A Charlson, Mary E |
| description | CONTEXT Although elder mistreatment is suspected to be life threatening in some
instances, little is known about the survival of elderly persons who have
been mistreated. OBJECTIVE To estimate the independent contribution of reported elder abuse and
neglect to all-cause mortality in an observational cohort of community-dwelling
older adults. DESIGN Prospective cohort study with at least 9 years of follow-up. SETTING AND PATIENTS The New Haven Established Population for Epidemiologic Studies in the
Elderly cohort, which included 2812 community-dwelling adults who were older
than 65 years in 1982, a subset of whom were referred to protective services
for the elderly. MAIN OUTCOME MEASURES All-cause mortality among (1) elderly persons for whom protective services
were used for corroborated elder mistreatment (elder abuse, neglect, and/or
exploitation), or (2) elderly persons for whom protective services were used
for self-neglect. RESULTS In the first 9 years after cohort inception, 176 cohort members were
seen by elderly protective services for verified allegations; 10 (5.7%) of
these were for abuse, 30 (17.0%) for neglect, 8 (4.5%) for exploitation, and
128 (72.7%) for self-neglect. At the end of a 13-year follow-up period from
cohort inception, cohort members seen for elder mistreatment at any time during
the follow-up had poorer survival (9%) than either those seen for self-neglect
(17%) or other noninvestigated cohort members (40%) (P |
| doi_str_mv | 10.1001/jama.280.5.428 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_80059105</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ama_id>187817</ama_id><sourcerecordid>32744950</sourcerecordid><originalsourceid>FETCH-LOGICAL-a396t-3854e049d4a5e917333d3b1adb383e40589496a5c1290f0a477606f8fa912ce53</originalsourceid><addsrcrecordid>eNqF0ctLw0AQBvBFlFqrV8GDUFS8Jc6-d49S6gNavNRzmCYbTMlDd5ND_3sXGnrw4lz28P1YmG8IuaaQUgD6tMMGU2Yglalg5oRMqeQm4dKaUzIFsCbRwohzchHCDuJQridkYjVQ0HpK7jdfbr7ufI911e_nXTlf1oXz83UVeu-wb1zbX5KzEuvgrsZ3Rj5flpvFW7L6eH1fPK8S5Fb1CTdSOBC2ECidpZpzXvAtxWLLDXcCpLHCKpQ5ZRZKQKG1AlWaEi1luZN8Rh4P_3777mdwoc-aKuSurrF13RAyAyAthf8hVVKCVCrCuz9w1w2-jUtkjFKuOFgW0e2Ihm3jiuzbVw36fTZ2FPOHMceQY116bPMqHBnjgsX-I7s5sHiQY0iNNrGJX-geeYg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>211363092</pqid></control><display><type>article</type><title>The Mortality of Elder Mistreatment</title><source>MEDLINE</source><source>American Medical Association Journals</source><creator>Lachs, Mark S ; Williams, Christianna S ; O'Brien, Shelley ; Pillemer, Karl A ; Charlson, Mary E</creator><creatorcontrib>Lachs, Mark S ; Williams, Christianna S ; O'Brien, Shelley ; Pillemer, Karl A ; Charlson, Mary E</creatorcontrib><description>CONTEXT Although elder mistreatment is suspected to be life threatening in some
instances, little is known about the survival of elderly persons who have
been mistreated. OBJECTIVE To estimate the independent contribution of reported elder abuse and
neglect to all-cause mortality in an observational cohort of community-dwelling
older adults. DESIGN Prospective cohort study with at least 9 years of follow-up. SETTING AND PATIENTS The New Haven Established Population for Epidemiologic Studies in the
Elderly cohort, which included 2812 community-dwelling adults who were older
than 65 years in 1982, a subset of whom were referred to protective services
for the elderly. MAIN OUTCOME MEASURES All-cause mortality among (1) elderly persons for whom protective services
were used for corroborated elder mistreatment (elder abuse, neglect, and/or
exploitation), or (2) elderly persons for whom protective services were used
for self-neglect. RESULTS In the first 9 years after cohort inception, 176 cohort members were
seen by elderly protective services for verified allegations; 10 (5.7%) of
these were for abuse, 30 (17.0%) for neglect, 8 (4.5%) for exploitation, and
128 (72.7%) for self-neglect. At the end of a 13-year follow-up period from
cohort inception, cohort members seen for elder mistreatment at any time during
the follow-up had poorer survival (9%) than either those seen for self-neglect
(17%) or other noninvestigated cohort members (40%) (P<.001).
In a pooled logistic regression that adjusted for demographic characteristics,
chronic diseases, functional status, social networks, cognitive status, and
depressive symptomatology, the risk of death remained elevated for cohort
members experiencing either elder mistreatment (odds ratio, 3.1; 95% confidence
interval, 1.4-6.7) or self-neglect (odds ratio, 1.7; 95% confidence interval,
1.2-2.5), when compared with other members of the cohort. CONCLUSIONS Reported and corroborated elder mistreatment and self-neglect are associated
with shorter survival after adjusting for other factors associated with increased
mortality in older adults.</description><identifier>ISSN: 0098-7484</identifier><identifier>EISSN: 1538-3598</identifier><identifier>DOI: 10.1001/jama.280.5.428</identifier><identifier>PMID: 9701077</identifier><identifier>CODEN: JAMAAP</identifier><language>eng</language><publisher>Chicago, IL: American Medical Association</publisher><subject>Adult abuse & neglect ; Aged ; Biological and medical sciences ; Cause of Death ; Cohort Studies ; Connecticut - epidemiology ; Elder Abuse - mortality ; Female ; Humans ; Logistic Models ; Longitudinal Studies ; Male ; Medical sciences ; Mortality ; Multivariate Analysis ; Older people ; Prevention and actions ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Social Work ; Socioeconomic Factors ; Specific populations (family, woman, child, elderly...) ; Studies ; Survival Analysis ; United States - epidemiology</subject><ispartof>JAMA : the journal of the American Medical Association, 1998-08, Vol.280 (5), p.428-432</ispartof><rights>1998 INIST-CNRS</rights><rights>Copyright American Medical Association Aug 5, 1998</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a396t-3854e049d4a5e917333d3b1adb383e40589496a5c1290f0a477606f8fa912ce53</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jamanetwork.com/journals/jama/articlepdf/10.1001/jama.280.5.428$$EPDF$$P50$$Gama$$H</linktopdf><linktohtml>$$Uhttps://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.280.5.428$$EHTML$$P50$$Gama$$H</linktohtml><link.rule.ids>64,314,776,780,3327,27901,27902,76231,76234</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2342280$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9701077$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lachs, Mark S</creatorcontrib><creatorcontrib>Williams, Christianna S</creatorcontrib><creatorcontrib>O'Brien, Shelley</creatorcontrib><creatorcontrib>Pillemer, Karl A</creatorcontrib><creatorcontrib>Charlson, Mary E</creatorcontrib><title>The Mortality of Elder Mistreatment</title><title>JAMA : the journal of the American Medical Association</title><addtitle>JAMA</addtitle><description>CONTEXT Although elder mistreatment is suspected to be life threatening in some
instances, little is known about the survival of elderly persons who have
been mistreated. OBJECTIVE To estimate the independent contribution of reported elder abuse and
neglect to all-cause mortality in an observational cohort of community-dwelling
older adults. DESIGN Prospective cohort study with at least 9 years of follow-up. SETTING AND PATIENTS The New Haven Established Population for Epidemiologic Studies in the
Elderly cohort, which included 2812 community-dwelling adults who were older
than 65 years in 1982, a subset of whom were referred to protective services
for the elderly. MAIN OUTCOME MEASURES All-cause mortality among (1) elderly persons for whom protective services
were used for corroborated elder mistreatment (elder abuse, neglect, and/or
exploitation), or (2) elderly persons for whom protective services were used
for self-neglect. RESULTS In the first 9 years after cohort inception, 176 cohort members were
seen by elderly protective services for verified allegations; 10 (5.7%) of
these were for abuse, 30 (17.0%) for neglect, 8 (4.5%) for exploitation, and
128 (72.7%) for self-neglect. At the end of a 13-year follow-up period from
cohort inception, cohort members seen for elder mistreatment at any time during
the follow-up had poorer survival (9%) than either those seen for self-neglect
(17%) or other noninvestigated cohort members (40%) (P<.001).
In a pooled logistic regression that adjusted for demographic characteristics,
chronic diseases, functional status, social networks, cognitive status, and
depressive symptomatology, the risk of death remained elevated for cohort
members experiencing either elder mistreatment (odds ratio, 3.1; 95% confidence
interval, 1.4-6.7) or self-neglect (odds ratio, 1.7; 95% confidence interval,
1.2-2.5), when compared with other members of the cohort. CONCLUSIONS Reported and corroborated elder mistreatment and self-neglect are associated
with shorter survival after adjusting for other factors associated with increased
mortality in older adults.</description><subject>Adult abuse & neglect</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cause of Death</subject><subject>Cohort Studies</subject><subject>Connecticut - epidemiology</subject><subject>Elder Abuse - mortality</subject><subject>Female</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mortality</subject><subject>Multivariate Analysis</subject><subject>Older people</subject><subject>Prevention and actions</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Social Work</subject><subject>Socioeconomic Factors</subject><subject>Specific populations (family, woman, child, elderly...)</subject><subject>Studies</subject><subject>Survival Analysis</subject><subject>United States - epidemiology</subject><issn>0098-7484</issn><issn>1538-3598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0ctLw0AQBvBFlFqrV8GDUFS8Jc6-d49S6gNavNRzmCYbTMlDd5ND_3sXGnrw4lz28P1YmG8IuaaQUgD6tMMGU2Yglalg5oRMqeQm4dKaUzIFsCbRwohzchHCDuJQridkYjVQ0HpK7jdfbr7ufI911e_nXTlf1oXz83UVeu-wb1zbX5KzEuvgrsZ3Rj5flpvFW7L6eH1fPK8S5Fb1CTdSOBC2ECidpZpzXvAtxWLLDXcCpLHCKpQ5ZRZKQKG1AlWaEi1luZN8Rh4P_3777mdwoc-aKuSurrF13RAyAyAthf8hVVKCVCrCuz9w1w2-jUtkjFKuOFgW0e2Ihm3jiuzbVw36fTZ2FPOHMceQY116bPMqHBnjgsX-I7s5sHiQY0iNNrGJX-geeYg</recordid><startdate>19980805</startdate><enddate>19980805</enddate><creator>Lachs, Mark S</creator><creator>Williams, Christianna S</creator><creator>O'Brien, Shelley</creator><creator>Pillemer, Karl A</creator><creator>Charlson, Mary E</creator><general>American Medical Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QL</scope><scope>7QP</scope><scope>7TK</scope><scope>7TS</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>RC3</scope><scope>7T2</scope><scope>7U1</scope><scope>7U2</scope><scope>7X8</scope></search><sort><creationdate>19980805</creationdate><title>The Mortality of Elder Mistreatment</title><author>Lachs, Mark S ; Williams, Christianna S ; O'Brien, Shelley ; Pillemer, Karl A ; Charlson, Mary E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a396t-3854e049d4a5e917333d3b1adb383e40589496a5c1290f0a477606f8fa912ce53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult abuse & neglect</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cause of Death</topic><topic>Cohort Studies</topic><topic>Connecticut - epidemiology</topic><topic>Elder Abuse - mortality</topic><topic>Female</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mortality</topic><topic>Multivariate Analysis</topic><topic>Older people</topic><topic>Prevention and actions</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Social Work</topic><topic>Socioeconomic Factors</topic><topic>Specific populations (family, woman, child, elderly...)</topic><topic>Studies</topic><topic>Survival Analysis</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lachs, Mark S</creatorcontrib><creatorcontrib>Williams, Christianna S</creatorcontrib><creatorcontrib>O'Brien, Shelley</creatorcontrib><creatorcontrib>Pillemer, Karl A</creatorcontrib><creatorcontrib>Charlson, Mary E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>MEDLINE - Academic</collection><jtitle>JAMA : the journal of the American Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lachs, Mark S</au><au>Williams, Christianna S</au><au>O'Brien, Shelley</au><au>Pillemer, Karl A</au><au>Charlson, Mary E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Mortality of Elder Mistreatment</atitle><jtitle>JAMA : the journal of the American Medical Association</jtitle><addtitle>JAMA</addtitle><date>1998-08-05</date><risdate>1998</risdate><volume>280</volume><issue>5</issue><spage>428</spage><epage>432</epage><pages>428-432</pages><issn>0098-7484</issn><eissn>1538-3598</eissn><coden>JAMAAP</coden><abstract>CONTEXT Although elder mistreatment is suspected to be life threatening in some
instances, little is known about the survival of elderly persons who have
been mistreated. OBJECTIVE To estimate the independent contribution of reported elder abuse and
neglect to all-cause mortality in an observational cohort of community-dwelling
older adults. DESIGN Prospective cohort study with at least 9 years of follow-up. SETTING AND PATIENTS The New Haven Established Population for Epidemiologic Studies in the
Elderly cohort, which included 2812 community-dwelling adults who were older
than 65 years in 1982, a subset of whom were referred to protective services
for the elderly. MAIN OUTCOME MEASURES All-cause mortality among (1) elderly persons for whom protective services
were used for corroborated elder mistreatment (elder abuse, neglect, and/or
exploitation), or (2) elderly persons for whom protective services were used
for self-neglect. RESULTS In the first 9 years after cohort inception, 176 cohort members were
seen by elderly protective services for verified allegations; 10 (5.7%) of
these were for abuse, 30 (17.0%) for neglect, 8 (4.5%) for exploitation, and
128 (72.7%) for self-neglect. At the end of a 13-year follow-up period from
cohort inception, cohort members seen for elder mistreatment at any time during
the follow-up had poorer survival (9%) than either those seen for self-neglect
(17%) or other noninvestigated cohort members (40%) (P<.001).
In a pooled logistic regression that adjusted for demographic characteristics,
chronic diseases, functional status, social networks, cognitive status, and
depressive symptomatology, the risk of death remained elevated for cohort
members experiencing either elder mistreatment (odds ratio, 3.1; 95% confidence
interval, 1.4-6.7) or self-neglect (odds ratio, 1.7; 95% confidence interval,
1.2-2.5), when compared with other members of the cohort. CONCLUSIONS Reported and corroborated elder mistreatment and self-neglect are associated
with shorter survival after adjusting for other factors associated with increased
mortality in older adults.</abstract><cop>Chicago, IL</cop><pub>American Medical Association</pub><pmid>9701077</pmid><doi>10.1001/jama.280.5.428</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0098-7484 |
| ispartof | JAMA : the journal of the American Medical Association, 1998-08, Vol.280 (5), p.428-432 |
| issn | 0098-7484 1538-3598 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_80059105 |
| source | MEDLINE; American Medical Association Journals |
| subjects | Adult abuse & neglect Aged Biological and medical sciences Cause of Death Cohort Studies Connecticut - epidemiology Elder Abuse - mortality Female Humans Logistic Models Longitudinal Studies Male Medical sciences Mortality Multivariate Analysis Older people Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine Social Work Socioeconomic Factors Specific populations (family, woman, child, elderly...) Studies Survival Analysis United States - epidemiology |
| title | The Mortality of Elder Mistreatment |
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