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- Title
Physical abuse of urban Native Americans.
- Authors
Buchwald, Dedra; Tomita, Sue; Hartman, Suzanne; Furman, Richard; Dudden, Matthew; Manson, Spero M.; Buchwald, D; Tomita, S; Hartman, S; Furman, R; Dudden, M; Manson, S M
- Abstract
To ascertain the extent of, and risk factors for, physical abuse among older urban American Indian/Alaska Natives (AI/ANs), we conducted a chart review of 550 urban AI/AN primary care patients >/=50 years old seen during 1 year. Mistreatment was documented in 10%. A logistic regression found younger age (P <.001), female gender (P <.001), current depression (P <.001), and dependence on others for food (P <.05) to be significant correlates of physical abuse. In only 31% of instances of definite abuse were the authorities notified. We conclude that providers should be alert to the possibility of physical mistreatment among older urban AI/ANs. Improvements in detection and management are sorely needed.
- Subjects
UNITED States; ABUSE of older people; OLDER Native Americans; NATIVE Americans; OFFENSES against the person; STATISTICS on Native Americans; AGE distribution; COMPARATIVE studies; RESEARCH methodology; MEDICAL cooperation; PRIMARY health care; RESEARCH; RESEARCH funding; SEX distribution; CITY dwellers; LOGISTIC regression analysis; SOCIOECONOMIC factors; EVALUATION research; RETROSPECTIVE studies
- Publication
JGIM: Journal of General Internal Medicine, 2000, Vol 15, Issue 8, p562
- ISSN
0884-8734
- Publication type
journal article
- DOI
10.1046/j.1525-1497.2000.02359.x