Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Risk Factors Influencing Probability and Severity of Elder Abuse in Community-dwelling Older Adults: Applying Zero-inflated Negative Binomial Modeling of Abuse Count Data

영과잉 가산자료(Zero-inflated Count Data) 분석 방법을 이용한 지역사회 거주 노인의 노인학대 발생과 심각성에 미치는 위험요인 분석

  • Jang, Mi Heui (College of Nursing Science and East-West Nursing Research Institute, Kyung Hee University) ;
  • Park, Chang Gi (College of Nursing, University of Illinois at Chicago)
  • 장미희 (경희대학교 간호과학대학 동서간호학연구소) ;
  • 박창기 (시카고 일리노이대학교 간호대학)
  • Received : 2012.04.17
  • Accepted : 2012.11.12
  • Published : 2012.12.31
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Abstract

Purpose: This study was conducted to identify risk factors that influence the probability and severity of elder abuse in community-dwelling older adults. Methods: This study was a cross-sectional descriptive study. Self-report questionnaires were used to collect data from community-dwelling Koreans, 65 and older (N=416). Logistic regression, negative binomial regression and zero-inflated negative binomial regression model for abuse count data were utilized to determine risk factors for elder abuse. Results: The rate of older adults who experienced any one category of abuse was 32.5%. By zero-inflated negative binomial regression analysis, the experience of verbal-psychological abuse was associated with marital status and family support, while the experience of physical abuse was associated with self-esteem, perceived economic stress and family support. Family support was found to be a salient risk factor of probability of abuse in both verbal-psychological and physical abuse. Self-esteem was found to be a salient risk factor of probability and severity of abuse in physical abuse alone. Conclusion: The findings suggest that tailored prevention and intervention considering both types of elder abuse and target populations might be beneficial for preventative efficiency of elder abuse.

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