我国老年人支持子女状况与老年虐待的关系研究

Association between supporting child and elder abuse in China

目的 探讨我国老年人支持子女状况与老年虐待的关系，为防控老年虐待提供依据。方法 选取中华全国妇女联合会、国家统计局第三期中国妇女社会地位调查数据中7 159名年龄≥65岁的老年人，调查内容包括一般特征、支持子女状况以及老年虐待状况等。采用 χ2检验、logistic回归模型对老年人支持子女状况与老年虐待的关系进行分析。结果 老年虐待发生率为6.71%。不同支持子女状况的老年人遭受虐待的风险不同：控制混杂因素的影响后，与同时支持儿子和女儿的老年人相比，仅支持儿子、仅支持女儿、同时不支持儿子和女儿的老年人受虐风险更高，OR值（95%CI）分别为1.99（1.56～2.54）、2.07（1.51～3.79）和2.32（1.72～3.13）。支持子女的性别差异与老年人受虐风险不相关：仅支持儿子OR值为1.00，仅支持女儿OR值（95%CI）为1.04（0.63～1.71）。支持子女状况与老年虐待风险之间存在城乡差异。结论 我国老年虐待状况不容乐观，支持子女状况与老年虐待存在相关关系，对子女支持状况差的老年人受虐风险高。

Objective To examine the association between child-supporting from their folks and elder abuse in China so as to provide evidence for prevention and control of elder abuse. Methods Based on the third survey on the Status of Chinese women, organized by the All-China Women＇s Federation and the National Bureau of Statistics, 7 159 residents aged 65 and older were included and general information on supporting child and elder abuse were gathered. Chi-square test and logistic regression were used to investigate the association between supporting child from elderly and elder abuse. Results The overall prevalence of elder abuse was 6.71%. Risks of elder people being abused by family numbers varied from different supporting child situations. After adjusting for potential confounding factors, ORs for the elderly appeared as follows： OR=1.99 （95%CI：1.56-2.54） for those who only providing support to male children; OR=2.07 （95%CI：1.51-3.79） for those only providing support to the female offspring and OR=2.32 （95%CI：1.72-3.13） for those who did not support their children regardless of their sex identity. Elderly who provided support to their children on both sexes were exposed to lower risk of being abused than those who only supporting their male offspring. There was no significant difference appearing on the risk of elder abuse between those elderly who only supporting the male （OR=1.00） or the female offspring （OR=1.04, 95%CI：0.63-1.71）, among all the participants in our study. However, such associations were different in urban and rural areas. Conclusions High prevalence of abuse was seen in China. The pattern of supporting child was associated with risk of elder abuse. Elderly who showed poor support to their children were under higher risk of being abused by their family members.