1
|
Duffy A, Connolly M, Browne F. Older people's experiences of elder abuse in residential care settings: A scoping review. J Adv Nurs 2024; 80:2214-2227. [PMID: 38041574 DOI: 10.1111/jan.15992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Revised: 10/23/2023] [Accepted: 11/14/2023] [Indexed: 12/03/2023]
Abstract
BACKGROUND Elder abuse is a global human rights issue, particularly in residential care settings where there is limited understanding of older people's experiences of this phenomenon. This scoping review aims to map and describe the existing literature on this phenomenon. METHODS Using Arksey and O'Malley's scoping review methodology, further developed by Levac et al. and the Joanna Briggs Institute, a systematic search of six databases was conducted to identify relevant studies published from inception to January 2023. Studies were included if they focused on older people's experience of abuse within residential care settings. A comprehensive data extraction process was employed to identify key themes from the included studies. RESULTS The initial search yielded a total of 3701 articles of which eight met the inclusion criteria. The findings revealed a range of abusive experiences encountered by older people living in residential care settings, including psychological, physical, financial, neglect and sexual abuse. The common attributes of residents vulnerable to abuse were evident throughout each of the studies. Finally, the theme of organizational neglect was apparent through the absence of effective safeguarding measures in the included studies. The findings revealed the insufficient implementation of safeguarding measures increases the risk of abuse among residents. CONCLUSION This scoping review highlights the limited research on the experiences of older people who have encountered elder abuse in residential care settings. The findings stress the need for further research exploring the complex interplay of factors contributing to elder abuse within aged care settings. The insights gained from this scoping review can inform the development of comprehensive safeguarding strategies to prevent and address elder abuse in residential care settings, promoting the well-being and safety of older people. PATIENT OR PUBLIC CONTRIBUTION This project is a scoping review of the literature; therefore, no patient or public contribution was deemed necessary. WHAT THIS PAPER CONTRIBUTES TO THE WIDER GLOBAL COMMUNITY Most research on elder abuse has been conducted in the community rather than in Residential Care Settings where there is a limited understanding of older people's experiences of abuse within the published literature. The scoping review highlights the presence of inadequate safeguarding strategies in Residential Care Settings within the reviewed studies, providing recommendations for developing and improving safeguarding measures in Residential Care Settings to prevent abuse, neglect, and harm in the future.
Collapse
Affiliation(s)
- Anita Duffy
- School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland
- Our Lady's Hospice & Care Services, Dublin, Ireland
| | - Michael Connolly
- School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland
- Our Lady's Hospice & Care Services, Dublin, Ireland
| | - Freda Browne
- School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland
| |
Collapse
|
2
|
Shokri Varniab Z, Saeedi Moghaddam S, Pourabhari Langroudi A, Shati M, Koolaji S, Ghanbari A, Mehdipour P, Barakati SH, Moghadam M, Shobeiri P, Esfahani Z, Sharifnejad Tehrani Y, Salahi S, Bagheri H, Mortazavi SS. The levels and trends of metabolic risk factors in the elderly population at the national and sub-national scale in Iran from 1990 to 2016. J Diabetes Metab Disord 2023; 22:1645-1655. [PMID: 37975131 PMCID: PMC10638250 DOI: 10.1007/s40200-023-01297-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Accepted: 09/03/2023] [Indexed: 11/19/2023]
Abstract
Purpose Describing the trends of metabolic risk factors (MRFs) in the elderly population. Methods We used modeled data from previous comprehensive systematic reviews for MRFs among adults aged ≥ 60 years. Two stages of age-specific Spatio-temporal modeling and Gaussian process regression were used to estimate the mean of MRFs. We used crosswalk modeling to estimate the prevalence of elevated and raised Total cholesterol (TC), overweight/obesity and obesity, hypertension, and diabetes. Estimates were analyzed based on combinations of sex, age, year, and province from 1990 to 2016. Results Comparing prevalence estimates from 2016 with those of 1990, in the elderly population, the age-standardized prevalence of overweight/obesity, obesity, diabetes, and hypertension increased, conversely, the prevalence of hypercholesteremia decreased. The prevalence of hypertension increased about 141.5% and 129.9% in men and women respectively. The age-standardized prevalence of diabetes increased about 109.5% in females, and 116.0% in males. Prevalence of elevated TC at the national level decreased to 67.4% (64.1-70.4) in women and to 51.1% (47.5-54.8) in men. These findings were almost shown across provinces. In general, the northern and western provinces had the highest prevalence of overweight/obesity in women in 2016. Conclusion The rising prevalence of most MRFs, as well as the greater prevalence and mean of all MRFs in women, necessitate effective public health policies to reduce the burden of non-communicable diseases and run preventive programs. Supplementary Information The online version contains supplementary material available at 10.1007/s40200-023-01297-z.
Collapse
Affiliation(s)
- Zahra Shokri Varniab
- Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Sahar Saeedi Moghaddam
- Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
- Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Ashkan Pourabhari Langroudi
- Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohsen Shati
- Mental Health Research Center, Department of Epidemiology, Psychosocial Health Research Institute, Iran University of Medical Sciences, Tehran, Iran
| | - Sogol Koolaji
- Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Ali Ghanbari
- Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Parinaz Mehdipour
- Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
- Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia
| | | | - Manije Moghadam
- Department of Older Adult Health, Health Deputy, Ministry of Health and Medical Education of Iran, Tehran, Iran
| | - Parnian Shobeiri
- Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Zahra Esfahani
- Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Yeganeh Sharifnejad Tehrani
- Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Sarvenaz Salahi
- Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Hanie Bagheri
- Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Seyede Salehe Mortazavi
- Geriatric Mental Health Research Center, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran
| |
Collapse
|
3
|
Zhang G, Chen M, Xiao P, Peng Z. Prevalence and risk factors of elder abuse in survivors of stroke: A cross-sectional study. Health Sci Rep 2023; 6:e1616. [PMID: 37841946 PMCID: PMC10571011 DOI: 10.1002/hsr2.1616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Revised: 09/07/2023] [Accepted: 09/26/2023] [Indexed: 10/17/2023] Open
Abstract
Background and Aims The understanding of the prevalence and risk factors associated with elder abuse in stroke survivors is currently lacking. Therefore, the objective of this study is to ascertain the prevalence and potential risk factors of elder abuse in stroke survivors, while also examining its correlation with insomnia. Methods In this cross-sectional study, a total of 485 stroke survivors aged 65 years and older, who received treatment at the Emergency department of Shunde Hospital, Southern Medical University, were subjected to face-to-face interviews using the questionnaire on elder abuse from the Third Survey on Chinese Women's Social Status. A logistic regression analysis was employed to examine the association between risk factors and elder abuse among stroke survivors. Results 62.27% of the participants reported experiencing elder abuse, with 14.85% of them indicating suffering from more than two subtypes of abuse. Factors such as residing in nursing homes, lower income, and smoking were found to increase the likelihood of experiencing elder abuse and all four subtypes of abuse. Additionally, advancing age was associated with a higher risk of experiencing all four subtypes of abuse, although it did not affect the occurrence of overall abuse. It is worth noting that the self-reported prevalence of the four types of abuse by the elderly themselves was higher compared to the reports provided by caregivers. Conclusion Elder abuse is prevalent among stroke survivors, especially those who are residing in nursing homes, with lower income, and smokers. Elder abuse significantly increased the prevalence of insomnia in stroke survivors. Further research is needed to better explore effective measures to reduce the prevalence of elder abuse of stroke survivors.
Collapse
Affiliation(s)
- Guifen Zhang
- Department of EmergencyShunde Hospital, Southern Medical University (The First People's Hospital of Shunde)FoshanGuangdongChina
| | - Minyuan Chen
- Department of EmergencyShunde Hospital, Southern Medical University (The First People's Hospital of Shunde)FoshanGuangdongChina
| | - Peiyi Xiao
- Department of EmergencyShunde Hospital, Southern Medical University (The First People's Hospital of Shunde)FoshanGuangdongChina
| | - Zhibo Peng
- Department of EmergencyShunde Hospital, Southern Medical University (The First People's Hospital of Shunde)FoshanGuangdongChina
| |
Collapse
|
4
|
Amornkitvikai Y, Prachuabmoh V, O'Brien M. Does social participation make Thai psychologically abused elders happier? a stress-buffering effect hypothesis. J Elder Abuse Negl 2023; 35:89-120. [PMID: 37469039 DOI: 10.1080/08946566.2023.2236786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/21/2023]
Abstract
This study investigates the influence of psychological elder abuse on life satisfaction levels in Thailand. This study also analyses the stress-buffering effect of social participation on the life satisfaction levels of Thai mentally abused elderly. Elder abuse has been proven to dramatically reduce Thai elders' levels of life satisfaction as their function in society shrinks owing to ageism. As a result, individuals are more likely to lose their independence and status and be forced to rely on others, increasing the danger of abuse. Elder abuse has a more significant negative impact on life satisfaction levels among Thai older women. Nonetheless, the mentally abused elderly who participate in social activities are happier than those who do not. Thai elders who live with their daughters are more satisfied in life than those who do not, but living with adult offspring does not assist psychologically abused elders in escaping their psychological suffering.
Collapse
Affiliation(s)
- Yot Amornkitvikai
- College of Population Studies, Chulalongkorn University, Bangkok, Thailand
| | - Vipan Prachuabmoh
- College of Population Studies, Chulalongkorn University, Bangkok, Thailand
| | - Martin O'Brien
- The Centre for Human and Social Capital Research, Sydney Business School, Faculty of Business and Law, University of Wollongong, Wollongong, NSW, Australia
| |
Collapse
|
5
|
Chen M, Chan KL. Elder Abuse and Neglect in China: Prevalence, Co-occurrence, and Intergenerational Risk Factors. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP9839-NP9862. [PMID: 33415994 DOI: 10.1177/0886260520985501] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
The prevalence and patterns of elder abuse and neglect in China have been understudied. The objectives of this study were to examine the chronicity and prevalence of different patterns of elder abuse, and the influence of individual and contextual risk factors. We used data from a sample of 7,466 adults randomly recruited from six regions in China. The participants responded to a questionnaire about their demographic characteristics, childhood abuse experiences, and instances of abuse and neglect against their elderly parents. Logistic regression analysis was performed to examine the association of elder abuse and neglect with individual and contextual factors. The results showed that one in 10 participants reported that their elderly parents had experienced abuse or neglect in the past year. The elder victims were reported to have suffered different types of abuse and neglect on multiple occasions, ranging from 3.6 to 11.82 times on average. More than 5% of participants reported that their elderly parents had suffered two or more types of abuse and neglect in the past year, accounting for 40% of the elderly victims. The co-occurrence of elder abuse within elderly couples was also high. Reports of abuse and neglect of elderly parents were related to low socioeconomic status, living in rural areas, and the experience of childhood abuse of the participants. This study supports the model of intergenerational transmission of violence in the Chinese population. The high prevalence, chronicity, and co-occurrence of elder abuse and neglect underline the importance of screening for risk factors, and have implications for preventive practice and policy.
Collapse
|
6
|
Chandanshive P, Subba SH, Parida SP, Mishra S. Prevalence patterns and associated factors of elder abuse in an urban slum of eastern India. BMC Geriatr 2022; 22:317. [PMID: 35410152 PMCID: PMC8996550 DOI: 10.1186/s12877-022-02986-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Accepted: 03/24/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The prevalence of elder abuse in various parts of the world has been reported between 2.2 and 90.4%. According to some studies conducted in India, elder abuse prevalence ranges between 9.6 to 61.7%. Yet, elder abuse is an underreported issue. Most available evidence shows the involvement of close family members and caregivers in the abuse of older adults. Several factors associated with various forms of elder abuse need to be studied further. This study has attempted to capture the prevalence, pattern and associated factors of elder abuse in urban slums. METHODS This study was a cross-sectional community-based study conducted between August 2019 to August 2020 in an urban field practice area of the All India Institute of Medical Sciences, Bhubaneswar. It covers four wards of the Bhubaneswar Municipal Corporation, served by the Urban Primary Health Centre, IRC Village, Nayapalli. A total of 360 participants aged 60 years and above were included in this study. They were interviewed using various semi-structured interview schedules. Validated study tools such as Activities of Daily Living (ADL- Barthel Index), Hindi Mental Scale Examination (HMSE), Geriatric Depression Scale (GDS), and Vulnerability to Abuse Screening Scale (VASS) were also used to assess various factors. RESULTS Approximately one in five (19.4%) older adults reported some form of abuse. The types of elder abuse reported were physical abuse in 12 (3.3%), verbal abuse in 25 (6.9%), emotional abuse in 40 (11.1%), and financial abuse in 15 (4.2%) older adult participants. The sons and daughters-in-law of the older adult participants were the main perpetrators of abuse reported. Depression and past history of abuse were found significantly associated with any type of abuse. CONCLUSIONS The prevalence of elder abuse in this study was considerably high, with 70 (19.4%) out of the 360 participants reporting some form of abuse. Emotional abuse was the most reported, and physical abuse was the least reported type. The most common perpetrators were those on whom the older adults depended, like their sons and daughters-in-law.
Collapse
Affiliation(s)
- Pradnya Chandanshive
- Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, 3rd floor, Bhubaneswar, Odisha, 751019, India
| | - Sonu H Subba
- Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, 3rd floor, Bhubaneswar, Odisha, 751019, India
| | - Swayam Pragyan Parida
- Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, 3rd floor, Bhubaneswar, Odisha, 751019, India.
| | - Shree Mishra
- Department of Psychiatry, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| |
Collapse
|
7
|
Wang Z, Zhu R, Lai X, Chen W, Zhuang J. The incidence of elder abuse under East Asian cultural background: A systematic review and meta-analysis. Int J Geriatr Psychiatry 2022; 37. [PMID: 34695267 DOI: 10.1002/gps.5643] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Accepted: 10/21/2021] [Indexed: 11/07/2022]
Abstract
OBJECTIVE Elder abuse (EA) is a critical social, health, and economic issue worldwide. To date, there is limited information on EA in certain similar culture-specific subpopulations, especially in East Asia. This study aims to summarize EA incidence in East Asia through a systematic review and meta-analysis and identify its variations and heterogeneity in the incidence estimates. METHODS/DESIGN The study followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses protocol. Systematic review registration number PROSPERO CRD42020197131. A systematic literature search was performed to identify relevant articles published before July 5th, 2020, from six electronic databases. Two reviewers screened for relevance of the studies against eligible criteria and assessed the bias of the included studies independently. A random-effect model was adopted to estimate the incidence of EA, followed by subgroup analyses and multi meta-regression. Sensitivity and publication bias tests were performed to verify the robustness of the meta-analysis by Stata version 15.1. RESULTS Twelve eligible studies were included in the meta-analysis, which involved 79,395 subjects from 3 East Asian countries (China, Japan, and South Korea) ranging from 2004 to 2020. The overall incidence of EA was 78.33 per 1000 person-year (95% CI: 39.12-156.87) with high between-study variability (χ2 = 15,568, d.f. = 11, p<0.001; I2 = 99.9%). The sampling method, sample size, scope, instrument, data collection method, income classification, types of participants, and urbanity are all the sources of heterogeneity, which can explain nearly 100% of the variance between studies. CONCLUSIONS The incidence of EA in this study is not as high as the global level. It may be furtherly underestimated in East Asia due to cultural norms. It is imperative to develop a culture-tailored EA assessment instrument to evaluate potential victims. Future studies should also identify more effective educational programs to raise the public's awareness and promote recognition ability.
Collapse
Affiliation(s)
- Zhuzhu Wang
- School of Nursing, Fujian Medical University, Fuzhou, Fujian, China
| | - Rui Zhu
- School of Nursing, Fujian Medical University, Fuzhou, Fujian, China
| | - Xiaolan Lai
- School of Nursing, Fujian Medical University, Fuzhou, Fujian, China
| | - Wencong Chen
- Department of Biostatistics, Vanderbilt University Medical Center, Nashville, USA
| | - Jiayuan Zhuang
- School of Nursing, Fujian Medical University, Fuzhou, Fujian, China
| |
Collapse
|
8
|
Alraddadi K. Impacts of mistreatment on the psychological and physical health of older adults living in sheltered homes. Geriatr Nurs 2021; 43:182-187. [PMID: 34911019 DOI: 10.1016/j.gerinurse.2021.11.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 11/24/2021] [Accepted: 11/26/2021] [Indexed: 11/18/2022]
Abstract
OBJECTIVES To assess the impact of the mistreatment on psychological and physical health among older adults living in sheltered homes. METHODS This cross-sectional study included 446 older adults living in 43 sheltered homes. The psychological effects questions screened for suicidal ideation, depression, anxiety, and sleep problems. The physical health effects questions assessed perceived physical health status and healthcare resource utilization. RESULTS All subtypes of mistreatment of older adults were associated with increased prevalence rates of anxiety symptoms, depressive symptoms, and sleep problems. Perceived poor physical health is common among older mistreated adults; it was self-reported by 74% who experienced physical mistreatment and 49% who experienced other types of mistreatment. Increased healthcare utilization was higher among older adults who experienced mistreatment. DISCUSSION Mistreatment of older adults living in sheltered homes is associated with negative impacts on physical and psychological health, as well as increased healthcare utilization compared to those who are not mistreated.
Collapse
Affiliation(s)
- Khulood Alraddadi
- Department of Sociology and Social Work, College of Arts and Humanities, King Abdulaziz University, P.O. Box 80202, Jeddah 21589, Saudi Arabia.
| |
Collapse
|
9
|
Su Z. Rigorous Policy-Making Amid COVID-19 and Beyond: Literature Review and Critical Insights. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:12447. [PMID: 34886171 PMCID: PMC8657108 DOI: 10.3390/ijerph182312447] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/10/2021] [Revised: 11/22/2021] [Accepted: 11/24/2021] [Indexed: 12/23/2022]
Abstract
Policies shape society. Public health policies are of particular importance, as they often dictate matters in life and death. Accumulating evidence indicates that good-intentioned COVID-19 policies, such as shelter-in-place measures, can often result in unintended consequences among vulnerable populations such as nursing home residents and domestic violence victims. Thus, to shed light on the issue, this study aimed to identify policy-making processes that have the potential of developing policies that could induce optimal desirable outcomes with limited to no unintended consequences amid the pandemic and beyond. Methods: A literature review was conducted in PubMed, PsycINFO, and Scopus to answer the research question. To better structure the review and the subsequent analysis, theoretical frameworks such as the social ecological model were adopted to guide the process. Results: The findings suggested that: (1) people-centered; (2) artificial intelligence (AI)-powered; (3) data-driven, and (4) supervision-enhanced policy-making processes could help society develop policies that have the potential to yield desirable outcomes with limited unintended consequences. To leverage these strategies' interconnectedness, the people-centered, AI-powered, data-driven, and supervision-enhanced (PADS) model of policy making was subsequently developed. Conclusions: The PADS model can develop policies that have the potential to induce optimal outcomes and limit or eliminate unintended consequences amid COVID-19 and beyond. Rather than serving as a definitive answer to problematic COVID-19 policy-making practices, the PADS model could be best understood as one of many promising frameworks that could bring the pandemic policy-making process more in line with the interests of societies at large; in other words, more cost-effectively, and consistently anti-COVID and pro-human.
Collapse
Affiliation(s)
- Zhaohui Su
- Center on Smart and Connected Health Technologies, Mays Cancer Center, School of Nursing, UT Health San Antonio, San Antonio, TX 78229, USA
| |
Collapse
|
10
|
Elder abuse in Europe's "most elderly" city: an update of the phenomenon based on the cases reported to the Penal Court of Genoa from 2015 to 2019 and literature review. Aging Clin Exp Res 2021; 33:2865-2871. [PMID: 33517545 PMCID: PMC8531112 DOI: 10.1007/s40520-021-01790-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Accepted: 01/08/2021] [Indexed: 10/27/2022]
Abstract
BACKGROUND Elder abuse is currently a worldwide problem. The literature reports that one elderly person out of six is a potential victim. AIMS To analyse cases reported to the judicial authorities in the territory of Genoa in the period 2010-2019, to investigate the features of elder abuse, to assess the trend of this phenomenon and to propose preventive strategies. METHODS We analysed the data on reports of abuse passed by the Court of Genoa in the period 2015-2019 concerning physical and mental maltreatment, abandonment and financial exploitation of elderly subjects. These data were compared with those recorded in the previous 5-year period and in the literature. RESULTS In the period 2015-2019, 156 cases of elder abuse were identified (versus 63 in the previous period): 18 cases of domestic violence, 5 cases of abuse of the means of correction, 18 cases of caregiver neglect, 76 cases of physical injury and 39 cases of financial exploitation. DISCUSSION Abuse was seen to be perpetrated most frequently in the domestic setting and by the victims' relatives. The main risk factors were female gender and the victim's dependence on others, the maltreating subject's mental illness and substance abuse. CONCLUSIONS We documented a progressive increase in the number of abuses reported to the judicial authority; this reflects greater awareness of the problem. However, our figures remained well below the incidence estimated in the literature. It is necessary to train healthcare personnel to identify and manage cases of suspected abuse, and to provide adequate support in situations at risk.
Collapse
|
11
|
Jiang H, Liu L, Liu T, Zhu S, Hou L. Current status on the ability of the elderly in rural China: implications for future nursing and policy. Cardiovasc Diagn Ther 2020; 10:1216-1225. [PMID: 33224745 DOI: 10.21037/cdt-20-555] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Background Aging is a global problem, and the ability assessment of the elderly plays an important role in the formulation of pension policies. It's necessary to evaluate the ability of the elderly in rural China to provide insights into future nursing care and policy making. Methods The elderly in 20 rural villages were selected by convenience sampling. We used "Elderly Ability Evaluation Form" issued by the Ministry of Civil Affairs of China as survey tool. The characteristics and score differences of the elderly of different ability level were compared and analyzed. And logistic regression analyses were conducted to identify the potential risk factors for disability in the elderly. Results A total of 2,878 elders were included, of which there were 1,916 elders with intact ability, 866 elders with mild disability, 42 elders with moderate disability, 54 elders with severe disability. The incidence of disability among respondents was 33.43%. There were significantly statistical differences in the dimensions of activities of daily living, mental state, perception and communication, and social participation among elders with intact ability, mild, moderate and severe disability (all P<0.05). The age, education level, marital status and living situations were all corrected to the scores on the activities of daily living, mental state, perception and communication, and social participation among elders (all P<0.05), and the elderly with age ≥75 years, illiteracy, unmarried and live alone had higher risk for disability (all P<0.05). Conclusions The current situation of the ability level of the elderly in rural China seems to be worrying, and it's necessary to establish a long-term nursing care system and aging policy to meet the needs of the elderly with regards to those potential influencing factors.
Collapse
Affiliation(s)
- Hua Jiang
- School of Medicine, Tongji University, Shanghai, China.,School of Medicine, Jinggangshan University, Ji'an, China
| | - Lanfang Liu
- Jiangxi Health Vocational College, Nanchang, China
| | - Tao Liu
- School of Medicine, Jinggangshan University, Ji'an, China
| | - Shuihua Zhu
- School of Medicine, Jinggangshan University, Ji'an, China
| | - Lili Hou
- Department of Nursing, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| |
Collapse
|
12
|
Filipska K, Biercewicz M, Wiśniewski A, Kędziora-Kornatowska K, Ślusarz R. Prevalence and associated factors of elder psychological abuse- a cross- sectional screening study, based on a hospitalized community from Poland. Arch Gerontol Geriatr 2020; 90:104152. [PMID: 32623311 DOI: 10.1016/j.archger.2020.104152] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Revised: 04/17/2020] [Accepted: 06/10/2020] [Indexed: 11/19/2022]
Abstract
OBJECTIVE The aim of the present work was to exploring the prevalence, perpetrators and predictors of elder psychological abuse. METHOD We conducted the cross- sectional study, based on a hospitalized community. The sample consisted of 200 respondents aged ≥60. The Chi-square test and logistic regression models were used. RESULTS A total of 29 % respondents experienced at least one type of psychological abuse in the last 12 months. The percentage of women who statistically more often than men experienced arrogance, isolating, insulting and mocking was 71-77 %. It has been shown that the lower the monthly income, the higher the risk of psychological violence. Statistically, the highest percentage of violence in the form of arrogance, vulgarity and blackmail, threats was recorded in people aged 60-65 (48.9 % and 56.3 %, respectively). On the other hand, logistic regression analysis showed that the oldest respondents aged >70 more than three times more often than people from the youngest age category are victims of violence. The rate of arrogance, vulgarity (odd ratio (OR) 2.90;p < 0.01) and mocking (OR 3.56; p < 0.01) is statistically significantly higher, respectively, in people living in towns than in villages. People with chronic diseases are statistically more likely to experience violence in the form of isolation (OR 4.74; p = 0.04). Cohabitants, spouses or sons are the most frequent perpetrators of elder abuse and neglect. CONCLUSION This study reveals that statistically more often, psychological abuse is experienced by women, older adults living in urban areas and people with a low socioeconomic status and chronic disease.
Collapse
Affiliation(s)
- Karolina Filipska
- Neurological and Neurosurgical Nursing Department, Faculty of Health Science, Collegium Medicum, Nicolaus Copernicus University, Toruń, Poland.
| | - Monika Biercewicz
- Clinic of Geriatrics, Faculty of Health Science, Collegium Medicum, Nicolaus Copernicus University, Toruń, Poland
| | - Adam Wiśniewski
- Department of Neurology, Faculty of Medicine, Collegium Medicum, Nicolaus Copernicus University, Toruń, Poland
| | | | - Robert Ślusarz
- Neurological and Neurosurgical Nursing Department, Faculty of Health Science, Collegium Medicum, Nicolaus Copernicus University, Toruń, Poland
| |
Collapse
|
13
|
Chen W, Fang F, Chen Y, Wang J, Gao Y, Xiao J. The relationship between personality traits, caring characteristics and abuse tendency among professional caregivers of older people with dementia in long‐term care facilities. J Clin Nurs 2020; 29:3425-3434. [DOI: 10.1111/jocn.15380] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Revised: 05/25/2020] [Accepted: 06/05/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Weichen Chen
- School of Nursing Southern Medical University Guangzhou China
| | - Fan Fang
- School of Nursing Southern Medical University Guangzhou China
| | - Yu Chen
- School of Nursing Southern Medical University Guangzhou China
| | - Jin Wang
- School of Nursing Southern Medical University Guangzhou China
| | - Yuanmin Gao
- School of Nursing Southern Medical University Guangzhou China
| | - Julan Xiao
- School of Nursing Southern Medical University Guangzhou China
| |
Collapse
|
14
|
Li L, Lok GKI, Mei SL, Cui XL, Li L, Ng CH, Ungvari GS, Zhang J, An FR, Xiang YT. The severity of mobile phone addiction and its relationship with quality of life in Chinese university students. PeerJ 2020; 8:e8859. [PMID: 32547849 PMCID: PMC7271884 DOI: 10.7717/peerj.8859] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Accepted: 03/05/2020] [Indexed: 11/29/2022] Open
Abstract
Objective This study examined the severity of mobile phone addiction and its relationship with quality of life (QOL) in Chinese university students. Methods A total of 2,312 university students from Macao, Hong Kong and mainland China participated in this cross-sectional study. The Mobile Phone Addiction Scale (MPAS), and the World Health Organization Quality of Life-Brief version (WHOQOL-BREF) rating instruments were used to assess the severity of mobile phone addiction and QOL, respectively. Results Compared to students in mainland China, those in Macao and Hong Kong were more likely to have excessive mobile phone use. Multiple linear regression revealed that high academic pressure and poor academic performance were positively associated, while male gender, greater interest in academic major and long sleep duration were negatively associated with the severity of mobile phone addiction. Students addicted to mobile phone use had significantly lower scores across all QOL domains. Conclusion Due to the adverse impact of excessive mobile phone use on QOL, public education and effective preventive measures should be developed for Chinese university students.
Collapse
Affiliation(s)
- Lu Li
- The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China.,Center for Cognition and Brain Sciences, University of Macau, Macao SAR, China
| | - Grace K I Lok
- Center for Cognition and Brain Sciences, University of Macau, Macao SAR, China.,Kiang Wu Nursing College of Macau, Macao SAR, China
| | - Song Li Mei
- School of Public Health, Jilin University, Changchun, China
| | - Xi Ling Cui
- Department of Business Administration, Hong Kong Shue Yan University, Hong Kong SAR, China
| | - Lin Li
- Department of Pharmacy, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China
| | - Chee H Ng
- Department of Psychiatry, The Melbourne Clinic and St Vincent's Hospital, University of Melbourne, Richmond, Victoria, Australia
| | - Gabor S Ungvari
- University of Notre Dame Australia, Fremantle, WA, Australia.,Division of Psychiatry, School of Medicine, University of Western Australia, Perth, WA, Australia
| | - Juan Zhang
- Faculty of Education, University of Macau, Macao SAR, China
| | - Feng Rong An
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing, China.,Beijing Anding Hospital & The Advanced Innovation Center for Human Brain Protection, Beijing, China
| | - Yu Tao Xiang
- Center for Cognition and Brain Sciences, University of Macau, Macao SAR, China
| |
Collapse
|
15
|
Honarvar B, Gheibi Z, Asadollahi A, Bahadori F, Khaksar E, Rabiey Faradonbeh M, Farjami M. The Impact of Abuse on the Quality of Life of the Elderly: A Population-based Survey in Iran. J Prev Med Public Health 2020; 53:89-97. [PMID: 32268463 PMCID: PMC7142012 DOI: 10.3961/jpmph.19.210] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Accepted: 12/10/2019] [Indexed: 11/10/2022] Open
Abstract
Objectives The quality of life (QoL) of the elderly and elder abuse are growing public health concerns. This study aimed to evaluate the prevalence of abuse and the association between QoL and abuse in older adults. Methods Multistage random cluster sampling, along with valid QoL (LEIPAD: LEIden, the Netherlands; PADua, Italy; Helsinki, Finland) and abuse questionnaires, were used to assess QoL and elder abuse. Path analysis was performed using Mplus. SPSS and AMOS were used for the other analyses. Results A total of 386 elderly individuals with a mean age of 68.00±6.10 years were interviewed, of whom 200 (51.8%), 289 (74.9%), and 376 (97.4%) were women, educated, and married, respectively. Moreover, 167 (43.2%) had low-to-moderate QoL, and 108 (27.9%) had experienced a moderate level of abuse. QoL and abuse were inversely associated (r=-0.253), with men (β=-0.24) more affected than women (β=-0.21). Musculoskeletal disorders were also strong determinants of QoL in the elderly. QoL was strongly associated with emotional abuse, while abuse was highly related to the social component of QoL. Furthermore, emotional abuse was the type of abuse most significantly associated with the self-care, depression/anxiety, cognitive, and social components of QoL. Sexual abuse, violation of personal rights, and neglect were the main determinants of the physical functioning, life satisfaction, and sexual domains of QoL, respectively. Conclusions Nearly half of the elderly individuals lacked a high QoL, and at least one-fourth had experienced some form of abuse. Elder abuse was correlated inversely with QoL. Therefore, preventive interventions are recommended to decrease elder abuse in the family, community, and other settings.
Collapse
Affiliation(s)
- Behnam Honarvar
- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zahra Gheibi
- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.,Department of Epidemiology, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Abdolrahim Asadollahi
- Department of Healthy Aging, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Farzaneh Bahadori
- Department of Healthy Aging, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Elahe Khaksar
- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Maryam Rabiey Faradonbeh
- Department of Healthy Aging, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Farjami
- Department of Biostatistics, Shiraz University of Medical Sciences, Shiraz, Iran
| |
Collapse
|
16
|
Park EO. Tipo mais prevalente de abuso aos idosos e sua correlação com depressão do idoso. ACTA PAUL ENFERM 2019. [DOI: 10.1590/1982-0194201900013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumo Objetivo: O objetivo deste estudo foi identificar o tipo mais prevalente de abuso aos idosos na Coréia do Sul. Este estudo também analisou que tipo de abuso aos idosos mais afetou a depressão e depois discutiu contramedidas sociais em relação aos tipos prevalentes de abuso aos idosos. Métodos: Trata-se de um estudo descritivo e os dados foram coletados por meio de amostragem por conveniência. Setenta e sete participantes tinham 60 anos ou mais e não tinham deficiência mental ou transtorno depressivo. Cinco tipos diferentes de abuso aos idosos (verbal, emocional, físico, financeiro e negligência) foram medidos, bem como sintomas depressivos. Foi utilizada estatística descritiva para determinar o tipo mais prevalente de abuso aos idosos na Coréia do Sul. Além disso, utilizaram-se testes de correlação bivariada e regressão múltipla para entender a relação entre os tipos de abuso aos idosos e depressão do idoso. Resultados: Entre os cinco tipos de abuso aos idosos, o abuso verbal, emocional e negligência foram mais prevalentes do que os abusos físicos e financeiros. De acordo com a análise bivariada, o abuso emocional e o abuso verbal foram significativamente relacionados à depressão do idoso. Conclusão Os tipos invisíveis de abuso aos idosos, como abuso emocional, verbal e negligência, foram mais prevalentes do que os tipos visíveis, como abuso físico e financeiro. Esses tipos de abuso também foram significativamente correlacionados com a depressão do idoso. Este estudo permite futuros estudos intervencionais para melhorar a percepção dos idosos sobre o abuso e, assim, prevenir o desenvolvimento da depressão dos idosos.
Collapse
|