Journal of Family Violence ( IF 2.897 ) Pub Date : 2022-05-11 , DOI: 10.1007/s10896-022-00392-8 Carolyn E Z Pickering 1 , Christopher D Maxwell 2 , Maria Yefimova 3 , Danny Wang 1 , Frank Puga 1 , Tami Sullivan 4
There is widespread concern that elder abuse and neglect (EAN) incidents increased during the onset of the COVID-19 pandemic due in part to increases in risk factors. Initial reports relying on administrative systems such as adult protective services records produced mixed results regarding whether or not there was a change in EAN incidents. Using data from an ongoing longitudinal study on EAN in dementia family caregiving that started before the pandemic, we assessed the hypothesis that the pandemic is related to a change in probability of EAN and EAN protective factors. Family caregivers to persons with dementia completed two waves of 21 daily diaries, 6-months apart, assessing their daily use of EAN behaviors. The first group (n = 32) completed their first wave before the pandemic and their second wave during the pandemic. The second group (n = 32) completed both waves during the pandemic. For this cohort, the generalized linear mixed logistic model results showed inconsistent associations between the onset of COVID-19 and the probability of a caregiver engaging in elder abuse or neglect behaviors. In terms of protective factors, the use of formal services was not significantly impacted by COVID-19; however, the likelihood of receiving informal support from family and friends increased significantly during the pandemic period. Dementia family caregivers were not likely impacted negatively by initial pandemic restrictions, such as shelter-in-place orders, as anticipated. These findings contribute to our understanding of how distal, disruptive processes may influence more proximal caregiver stresses and the likelihood of EAN.
中文翻译:
COVID-19 大流行的早期阶段对痴呆症家庭照顾者虐待和忽视老年人的风险没有明显影响:每日日记研究
人们普遍担心,在 COVID-19 大流行期间,虐待和忽视 (EAN) 事件有所增加,部分原因是风险因素增加。最初的报告依赖于成人保护服务记录等管理系统,得出的关于 EAN 事件是否发生变化的结果好坏参半。使用在大流行之前开始的痴呆家庭护理中 EAN 的持续纵向研究的数据,我们评估了大流行与 EAN 和 EAN 保护因素的概率变化有关的假设。痴呆症患者的家庭护理人员完成了两轮 21 次每日日记,相隔 6 个月,评估他们日常使用 EAN 行为。第一组(n = 32)在大流行之前完成了第一波,在大流行期间完成了第二波。第二组(n = 32)在大流行期间完成了两波。对于这个队列,广义线性混合逻辑模型结果显示 COVID-19 的发病与照顾者从事虐待或忽视老年人行为的可能性之间存在不一致的关联。在保护因素方面,COVID-19 对正规服务的使用没有显着影响;然而,在大流行期间,从家人和朋友那里获得非正式支持的可能性显着增加。正如预期的那样,痴呆症家庭护理人员不太可能受到最初的大流行限制(例如就地庇护令)的负面影响。这些发现有助于我们了解远端的破坏性过程如何影响更近端的照顾者压力和 EAN 的可能性。