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Physical abuse of urban native Americans

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.