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Physical Abuse of Older Adults in Nursing Homes: A Random Sample Survey of Adults With an Elderly Family Member in a Nursing Home
Authors:Lawrence B Schiamberg PhD  James Oehmke PhD  Zhenmei Zhang PhD  Gia E Barboza PhD  Robert J Griffore PhD  Levente Von Heydrich MSW PhD
Institution:1. Human Development and Family Studies , Michigan State University , East Lansing , Michigan , USA schiambe@msu.edu;3. Department of Agricultural Economics , Michigan State University , East Lansing , Michigan , USA;4. Department of Sociology , Michigan State University , East Lansing , Michigan , USA;5. Department of African American Studies , Northeastern University , Boston , Massachusetts , USA;6. Human Development and Family Studies , Michigan State University , East Lansing , Michigan , USA
Abstract:Few empirical studies have focused on elder abuse in nursing home settings. The present study investigated the prevalence and risk factors of staff physical abuse among elderly individuals receiving nursing home care in Michigan. A random sample of 452 adults with elderly relatives, older than 65 years, and in nursing home care completed a telephone survey regarding elder abuse and neglect experienced by this elder family member in the care setting. Some 24.3% of respondents reported at least one incident of physical abuse by nursing home staff. A logistic regression model was used to estimate the importance of various risk factors in nursing home abuse. Limitations in activities of daily living (ADLs), older adult behavioral difficulties, and previous victimization by nonstaff perpetrators were associated with a greater likelihood of physical abuse. Interventions that address these risk factors may be effective in reducing older adult physical abuse in nursing homes. Attention to the contextual or ecological character of nursing home abuse is essential, particularly in light of the findings of this study.
Keywords:elder abuse  physical abuse  ecological perspective  nursing homes
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