수발상황의 노인학대에 관한 인식과 원조요청 태도 = Perceptions of Elder Abuse under Caregiving Situation and Help-Seeking Behaviors: Comparison of Korean American Elderly and Adult Children Generation

국문 초록 (Abstract)

노인인구의 급증과 기능손상된 노인에 대한 장기적인 보살핌 제공과 관련 가족에 대한 요구 증가로 인해 노인학대 문제에 대한 관심이 커지고 있다. 이 연구는 다섯 개의 가상적 시나리오를 사용하여 재미한인노인과 그 자녀들의 수발상황에서의 잠재적 노인학대에 관한 인식과 원조요청 태도를 비교 분석하였다. 연구대상은 미국 로스엔넬리스에 살고 있는 한인노인 10명과 며느리를 포함하여 노인들의 자녀 10명으로 구성되었다. 내용분석 결과 수발상황의 잠재적 노인학대 문제에 관한 인식은 가족 내에 상당한 세대차이가 있으나 원조요청 태도는 유사하였다. Mann-Whitney test로 전체 노인세대와 자녀세대를 집단비교한 결과 노인세대가 잠재적 노인학대 상황을 자녀세대보다 훨씬 덜 학대로 지각하는 경향으로 드러났다. 그러나 원조요청 태도에 있어서는 전체 노인세대와 자녀세대의 집단비교에서도 공적 원조를 활용하겠다는 의사에 유의미한 차이가 없는 것으로 밝혀졌다. 연구결과에 근거해 노인복지실천 및 프로그램 개발에 대한 함의를 논의하였다.

다국어 초록 (Multilingual Abstract)

The elder abuse draws an increasing concern as the elderly population grows rapidly, and increasing demands to provide long-term care to the impaired elderly are imposed on the families. This study compares Korean American elders’ and their adult children’s perceptions of possible elder abuse under care-giving situation, and related help-seeking behaviors using five scenarios developed by the author. The subjects consist of ten elders and their ten adult children including daughters-in-law who live in Los Angeles, the USA. Content analysis reveals very similar help-seeking behaviors of the two generations within the family despite the substanally generational difference towards the perceptions of elder abuse under care-giving situation. Mann-Whitney test shows a significant difference in the perceptions of elder abuse between the elderly and their adult children. It means that the elderly are substantially less likely to perceive a given situation as abusive than their adult children would. But there is no significant difference between the elderly and their adult children in their intended use of formal sources of help. Implications for gerontological social work practice and program development are discussed.

목차 (Table of Contents)

• 한국어 초록
• Ⅰ. 서론
• Ⅱ. 선행연구 고찰
• Ⅲ. 연구방법
• Ⅳ. 분석결과
• Ⅴ. 결론 및 제언
• 참고문헌
• ENGLISH ABSTRACT

참고문헌 (Reference)

1 이성희, "부양자의 노인학대 경험과 관련 요인" 18 (18): 123-141, 1998

2 이선이, "노인학대에 영향을 미치는 요인에 관한 연구" 1998

3 최해경, "노인학대에 관한 인식과 원조요청태도에 관한 연구" 22 : 273-286, 1993

4 조애저, "노부모 학대 실태에 관한 사례연구-6개 대도시 노인(종합)복지회관 이용노인을 중심으로" 한국보건사회연구원. 1999

5 A, "What Causes Them among Family Caregivers? Journal of Gerontology 47" 165-172, 1992

6 Moon, A, "Tolerance of Elder Abuse and Attitudes toward Third-party Intervention among African American, Korean American, and White Elderly" 8 (8): 283-303, 2000

7 Wolf, "The Reality of Elder Abuse" Columbia University Press 1989

8 A, "The Prevalence of Elder Abuse" 51-57, 1988

9 Sengstock, "Sex and Gender Implications in Cases of Elder Abuse Journal of Women and Aging 3" 25-43, 1991

10 A, "Risk Factors in Elder Abuse Results for a Case-control Study Conflicts in the Family" 1986

11 Harbison, J. & M. Morrow, "Re-examining the Social Construction of Elder Abuse and Neglect: A Canadian Perspective＂" 18 : 691-711, 1998

12 Blakely, "Public Perceptions of and Responses to Elder Mistreatment in Middletown Journal of Elder Abuse & Neglect 4" 199219-37

13 Costa, "Primary Care between Dementia and Elder Abuse American Journal of Psychiatry 150" 643-646, 1993

14 Pablo, S, "Perceptions of Elder Abuse and Neglect and Help-seeking Patterns Among Filipino and Korean Elderly Women in Honolulu" 9 (9): 63-76, 1997

15 Moon, "Perceptions of Elder Abuse and Help-seeking Patterns among African-American" 386-395, 1993

16 Preventing Elder Abuse, "Identification of High Risk Factors Prior to Placement Decisions" 43-50, 1988

17 Kingston, P, "Family Violence and the Caring Professions, Macmillan Press." Macmillan Press 1995

18 Lachs, M., S, "Factors for Reported Elder Abuse and Neglect: A Nine-year Observational Cohort Study" 37 : 469-474, 1997

19 Meshefedjian, G, "Factors Associated with Symptoms of Depression Among Informal Caregivers of Demented Elders in the Community" 38 : 247-253, 1998

20 Nadien, M. B, "Elder Violence(maltreatment) in Domestic Settings: Some Theory and Research＂ in L. L. Adler & F. L. Denmark (eds.) Violence and Prevention of Violence" Praeger 1995

21 Moon, A, "Elder Mistreatment among Four Asian American Groups: An Exploratory Study on Tolerance, Victim Blaming and Attitudes toward Third-party Interven" 36 (36): 153-169, 2001

22 Hudson, M, "Elder Abuse: Some African American Views" 14 : 915-939, 1999

23 Carp, F. M, "Elder Abuse in the Family: An Interdisciplinary Model for Research" Springer Publishing Company 2000

24 Berman, "Elder Abuse Victim's Experience within the Service Delivery System University of Michigan" Unpublished Doctoral Dissertation 1994

25 Anetzberger, G. J, "Defining Elder Mistreatment in Four Ethnic Groups across Two Generations" 11 : 187-212, 1996

26 Bergeron, L. R, "An Elder Abuse Case Study: Caregiver Stress or Domestic Violence? You Decide" 34 (34): 47-63, 2001

27 Lachs, M. S, "Abuse and Neglect of Elderly Persons" 332 : 437-443, 1995

28 Sengstock, "A Critical Analysis for the Identification of Physical Abuse and Neglect of the Elderly" 27-37, 1986

29 Korbin, "A Consideration of Similarities and Differences in Intergenerational Family Violence Journal of Elder Abuse & Neglect 1" 1-14, 1989