자기방임은 방임 및 타학대유형과 어떤 차이가 있는가? ：노인보호전문기관 노인학대 사례 비교 = Does Self-Neglect Differ from Neglect by Others and Other Types of Elder Abuse? Analysis of Elder Abuse Cases from Elder Protective Service Agencies

다국어 초록 (Multilingual Abstract)

This study examined whether self-neglect would differ from neglect by others, and other types of elder abuse. Elder abuse cases from Elder Protective Service Agencies were classified into three categories: self-neglect, neglect by others, and other types of elder abuse (physical, emotional, economic, and sexual abuse). Four hundred fifty eight elder abuse cases of a study developed for closure index of elder abuse cases in 2013 were analyzed, and descriptive statistics, bivariate analysis, and multinominal logistic regression were performed. Multinominal logistic regression results indicated that compared to neglect by others, self-neglect cases were more likely to be younger, have no family to live with, be public assistance recipients, and show less dependence on activities of daily living. Self-neglect cases tend to have no family to live with, have no home ownership, be less healthy, be reported by mandatory reporters, and have greater frequencies in terms of abuse occurrence. The findings supported self-neglect would differ from neglect by others and other types of elder abuse in terms of elderly and abuse situation characteristics.
Based on the findings, theoretical, policy, and practice implications were discussed.

국문 초록 (Abstract)

본 연구는 자기방임이 방임 및 타학대유형과 어떤 차이가 있는지를 비교하였다. 이를 위해 노인보호전문기관에 접수된 학대사례를 자기방임, 방임, 타학대(신체, 정서, 경제, 성적 학대)의 세 가지로 구분하였다. 2013년 종결지표 개발을 위해 수집된 458개 사례를 분석하였으며, 기술통계, 노인의 특성 및 학대상황 특성별 이원 분석, 다항 로지스틱 회귀분석을 실시하였다. 다항 로지스틱 회귀분석 결과 자기방임 노인은 방임을 받은 노인에 비해 저연령, 동거가족이 없음, 수급자, 양호한 일상생활수행능력이라는 특성을 가진 것으로 나타났다. 자기방임과 타학대를 비교하면 노인의 동거가족이 없음, 자가에 거주하지 않음, 양호하지 않은건강상태의 특성을 보였으며, 신고의무자의 신고로 학대가 접수되고 학대가 더 빈번하게 일어나는 것으로 나타났다. 자기방임, 방임, 타학대는 노인의 인구학적 특성과 학대상황 특성이 다르다는 주요 연구결과를 토대로 자기방임에 대한 이론적, 정책적, 실천적 함의를 논의하였다.

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