title: Neighborhood disadvantage and refusal of formal services among cases reported to adult protection services.
abstract: Research suggests that certain factors influence the way caregivers of older adults experience the role of caretaker. Aspects of the caregiving experience that have been considered include factors influencing decisions to seek services, causes of caregiver burden, and the relationship between caregiver burden and maltreatment. Most of this research has focused on characteristics of caregivers and how these individual characteristics influence the caregiving experience and subsequent maltreatment. Very little research, however, has examined the influence of contextual factors on the caregiving experience. This study considers how neighborhood context influences decisions to reject formal services among cases reported to Adult Protective Services. A specific focus is given to caregivers of persons with Alzheimer's and related diseases.
authors.affiliation: Department of Sociology and Criminal Justice, Old Dominion University, Norfolk, Virginia 23529, USA. rgainey@odu.edu
authors.forename: Randy R
authors.initials: RR
authors.lastname: Gainey
authors.forename: Brian K
authors.initials: BK
authors.lastname: Payne
authors.forename: Nancy
authors.initials: N
authors.lastname: Kropf
mesh_terms: D000367:Age Factors; D000368:Aged; D000544:Alzheimer Disease; D017028:Caregivers / Q000706:statistics & numerical data*; D003153:Community Health Services / Q000458:organization & administration / Q000706:statistics & numerical data*; D004552:Elder Abuse / Q000706:statistics & numerical data*; D006801:Humans; D011204:Poverty Areas; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D012737:Sex Factors; D012947:Social Work / Q000458:organization & administration / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors