title: Individual and contextual determinants of resident-on-resident abuse in nursing homes: a random sample telephone survey of adults with an older family member in a nursing home.
abstract: Few empirical investigations of elder abuse in nursing homes address the frequency and determinants of resident-on-resident abuse (RRA). A random sample of 452 adults with an older adult relative, ≥65 years of age, in a nursing home completed a telephone survey regarding elder abuse experienced by that elder family member. Using a Linear Structural Relations (LISREL) modeling design, the study examined the association of nursing home resident demographic characteristics (e.g., age, gender), health and behavioral characteristics (e.g., diagnosis of Alzheimer's Disease, Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), types of staff abuse (e.g., physical, emotional), and factors beyond the immediate nursing home setting (e.g., emotional closeness of resident with family members) with RRA. Mplus statistical software was used for structural equation modeling. Main findings indicated that resident-on-resident mistreatment of elderly nursing home residents is associated with the age of the nursing home resident, all forms of staff abuse, all ADLs and IADLs, and emotional closeness of the older adult to the family.
authors.affiliation: Department of Human Development and Family Studies, Michigan State University, 552 West Circle Drive, East Lansing, MI 48824, United States. Electronic address: schiambe@msu.edu.
authors.forename: Lawrence B
authors.initials: LB
authors.lastname: Schiamberg
authors.affiliation: Department of Health and Human Services, Baker College, 1020 South Washington Street, Owosso, MI 48867, United States.
authors.forename: Levente
authors.initials: L
authors.lastname: von Heydrich
authors.affiliation: Department of Human Development and Family Studies, Michigan State University, 552 West Circle Drive, East Lansing, MI 48824, United States.
authors.forename: Grace
authors.initials: G
authors.lastname: Chee
authors.affiliation: Department of Emergency Medicine, Yale University, 464 Congress Avenue, Suite 260, New Haven, CT 06519, United States.
authors.forename: Lori A
authors.initials: LA
authors.lastname: Post
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease; D004552:Elder Abuse / Q000706:statistics & numerical data*; D005190:Family; D005260:Female; D006707:Homes for the Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes / Q000706:statistics & numerical data; D010820:Physicians; D011795:Surveys and Questionnaires; D013689:Telephone
keywords: Elder abuse in nursing homes; LISREL design; Latent variable modeling; Nursing home social climate; Resident-on-resident elder abuse; Structural equation modeling