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The Effect of Care Setting on Elder Abuse: Results from a Michigan Survey
Authors:Connie Page PhD  Tom Conner PhD  Artem Prokhorov PhD  Yu Fang PhD  Lori Post PhD
Institution:1. Department of Statistics and Probability , Michigan State University , East Lansing, Michigan, USA page@stt.msu.edu;3. Department of Sociology , Michigan State University , East Lansing, Michigan, USA;4. Department of Economics , Concordia University , Montreal, Quebec, Canada;5. Department of Counseling, Educational Psychology, and Special Education , Michigan State University , East Lansing, Michigan, USA;6. Department of Telecommunication, Information Studies &7. Media , Michigan State University , East Lansing, Michigan, USA
Abstract:This study compares abuse rates for elders age 60 and older in three care settings: nursing home, paid home care, and assisted living. The results are based on a 2005 random-digit dial survey of relatives of, or those responsible for, a person in long-term care. Nursing homes have the highest rates of all types of abuse, although paid home care has a relatively high rate of verbal abuse and assisted living has an unexpected high rate of neglect. Even when adjusting for health conditions, care setting is a significant factor in both caretaking and neglect abuses. Moving from paid home care to nursing homes is shown to more than triple the odds of neglect. Furthermore, when computing abuse rates by care setting for persons with specified health conditions, nursing homes no longer have the highest abuse rates.
Keywords:elder abuse  mistreatment  care setting  health condition
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