ABSTRACT

We investigated the association between type and frequency of elder maltreatment (EM) and residential setting (rural, suburban, and urban settings in the U.S. and northern and southern cities in Europe). We used data on 7,225 participants from European and U.S. cross-sectional studies to estimate rates of EM in three domains in the five settings in logistic-linear models that included setting and demographic variables and tested prespecified contrasts on settings. Northern Europe is similar to the U.S. in rate of financial exploitation; the Mediterranean has higher rates than either of the other two. For emotional and physical maltreatment, the Mediterranean is similar to the U.S; Northern Europe has higher rates. EM differs between and within settings in the U.S. and Europe. There is a need for rigorous research to examine the effects of residential settings and environment on EM. Interventions to reduce EM should be explored.

摘要

我们调查了虐待老人 (EM) 的类型和频率与居住环境（美国的农村、郊区和城市环境以及欧洲的北部和南部城市）之间的关联。我们使用来自欧洲和美国横断面研究的 7,225 名参与者的数据来估计逻辑线性模型中五个设置中三个域的 EM 发生率，该模型包括设置和人口统计变量，并测试了设置的预先指定对比。北欧的金融剥削率与美国相似；地中海的比率高于其他两个。对于情感和身体上的虐待，地中海与美国相似；北欧的利率更高。EM 在美国和欧洲的环境之间和内部各不相同。需要进行严格的研究来检查居住环境和环境对 EM 的影响。应探索减少 EM 的干预措施。