PMID: 8607731Feb 26, 1996Paper

Older adults. An 11-year longitudinal study of adult protective service use

Archives of Internal Medicine
Mark LachsR Horwitz

Abstract

Little is known about the epidemiology of adult protective services agency (APS) utilization, the state entities charged with assessment and advocacy for disenfranchised older adults. To determine the prevalence of utilization by older adults and risk factors for APS. A longitudinal study using the New Haven Established Population for Epidemiologic Studies in the Elderly population, a cohort of 2812 community-dwelling adults who were older than 65 years in 1982. The main outcome measure was referral to the state ombudsman on aging for protective services. Over the 11-year follow-up period, 209 cohort members (7.4%) were referred to the ombudsman 302 times as protective service cases for a community prevalence of 6.4% after adjusting for the sampling strategy of the cohort. Self-neglect was the most common indication for referral (73% of the cases). While in bivariate analyses a variety of baseline sociodemographic features, functional impairments, medical conditions, and social network factors were associated with APS use, in multivariable analysis only sociodemographic variables remained independent risk factors including low income (odds ratio [OR], 2.6; 95% confidence interval [CI], 1.8 to 3.9), nonwhite race (OR, 2.2; 95% C...Continue Reading

Citations

Jul 24, 2008·Journal of General Internal Medicine·Maria P Pavlou, Mark S Lachs
May 29, 1999·Child Abuse & Neglect·R S Bearup, V J Palusci
Feb 24, 2001·Journal of the American Geriatrics Society·V N PavlikC Bitondo Dyer
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