Document Detail


Association of cognitive function and risk for elder abuse in a community-dwelling population.
MedLine Citation:
PMID:  22095098     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: This study aimed to examine the cross-sectional association between cognitive function and elder abuse.
METHODS: The Chicago Health and Aging Project (CHAP) is a population-based study conducted in a geographically defined community (n = 8,932). We identified 238 CHAP participants who had elder abuse reported to a social services agency. Cognitive function was assessed using the Mini-Mental State Examination (MMSE), the Symbol Digit Modalities Test (perceptual speed), and both immediate and delayed recall of the East Boston Memory Test (episodic memory). An index of global cognitive function scores was derived by averaging the z-scores of all tests. Logistic regression models were used to assess the association of cognitive function domains and risk of elder abuse.
RESULTS: After adjusting for confounders, lowest tertiles of global cognition (odd's ratio, OR 4.18, 95% confidence interval, 95% CI 2.44-7.15), MMSE (OR 2.97, 95% CI 1.93-4.57), episodic memory (OR 2.27, 95% CI 1.49-3.43) and perceptual speed (OR 2.37, 95% CI 1.51-3.73) were associated with increased risk of elder abuse. The lowest levels of global cognitive function were associated with an increased risk of physical abuse (OR 3.56, 95% CI 1.08-11.67), emotional abuse (OR 3.02, 95% CI 1.41-6.44), caregiver neglect (OR 6.24, 95% CI 2.68-14.54), and financial exploitation (OR 3.71, 95% CI 1.88-7.32).
CONCLUSION: Lower levels of global cognitive function, MMSE, episodic memory and perceptual speed are associated with an increased risk of elder abuse.
Authors:
XinQi Dong; Melissa Simon; Kumar Rajan; Denis A Evans
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2011-11-16
Journal Detail:
Title:  Dementia and geriatric cognitive disorders     Volume:  32     ISSN:  1421-9824     ISO Abbreviation:  Dement Geriatr Cogn Disord     Publication Date:  2011  
Date Detail:
Created Date:  2011-12-13     Completed Date:  2012-04-05     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  9705200     Medline TA:  Dement Geriatr Cogn Disord     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  209-15     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 S. Karger AG, Basel.
Affiliation:
Rush University Medical Center, Chicago, Ill., USA. xinqi_dong @ rush.edu
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Aged
Caregivers / psychology
Cognition / physiology*
Cohort Studies
Elder Abuse / psychology*,  statistics & numerical data*
Female
Humans
Logistic Models
Male
Medical Record Linkage
Memory / physiology
Neuropsychological Tests
Perception / physiology
Psychomotor Performance / physiology
Risk
Socioeconomic Factors
Grant Support
ID/Acronym/Agency:
K23 AG030944/AG/NIA NIH HHS; R01 AG11101/AG/NIA NIH HHS; RC4AG 039085/AG/NIA NIH HHS
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