title: Longitudinal prevalence and correlates of elder mistreatment among older adults receiving home visiting nursing.
abstract: The objectives of this study were to identify elder mistreatment (EM) prevalence among a cohort of older adults receiving visiting nurse care in their homes, determine EM subtypes, and identify factors associated with EM. EM data were collected by nurses during monthly home visits for up to 24 months. It took the nurses a mean of 10.5 visits to discern EM. Fifty-four (7.4%) of 724 patients were identified as mistreated, of which 33 had enough information to subtype the EM. Of these 33, 27 were victims of neglect, 16 of psychological abuse, and 10 of financial exploitation, and 17 suffered more than one type. Among the entire sample, 11 variables were positively correlated with EM presence. Nurses visiting older adults in their homes should be aware that their patients are, as a group, vulnerable to EM, and that the factors identified here may be specific markers of greater risk.
authors.affiliation: a Departments of Public Health Sciences and Psychiatry , University of Rochester , Rochester , New York , USA.
authors.forename: Bruce
authors.initials: B
authors.lastname: Friedman
authors.forename: Elizabeth J
authors.initials: EJ
authors.lastname: Santos
authors.forename: Dianne V
authors.initials: DV
authors.lastname: Liebel
authors.forename: Ann J
authors.initials: AJ
authors.lastname: Russ
authors.forename: Yeates
authors.initials: Y
authors.lastname: Conwell
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004552:Elder Abuse / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D015577:Geriatric Assessment; D006306:Health Surveys; D006701:Home Nursing; D006801:Humans; D008297:Male; D015995:Prevalence; D012307:Risk Factors
keywords: elder abuse; elder mistreatment; financial exploitation; home care; neglect; psychological abuse