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Wolde A, Wolancho W, Belay Y, Alemu A, Asefa A, Gebremedhin T. A Community-Based Exploratory Cross-Sectional Study of Elder Abuse Perpetration or Victimization Among Elders in Ethiopia, 2022. Clin Interv Aging 2022; 17:957-969. [PMID: 35730042 PMCID: PMC9206848 DOI: 10.2147/cia.s360548] [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: 02/15/2022] [Accepted: 06/06/2022] [Indexed: 12/02/2022] Open
Abstract
Background Elderly abuse and comorbid problematic substance use, disability, and physical and mental illness have been major problems in low-income countries. In most countries, the elderly are the most neglected segment of the population, and there is insufficient information about elderly abuse perpetration or victimization in low-income countries like Ethiopia. Therefore, this study was aimed to assess elderly abuse perpetration or victimization among the elderly in Mizan Aman town, southwest Ethiopia. Methods A community-based cross-sectional study design was conducted among 268 elderly people from May to June, 2021, by using a systematic sampling technique. The elderly abuse and the ASSIST tools were used to assess the elderly abuse and khat, alcohol, cannabis, and tobacco use disorders, respectively. Moreover, multimorbidity and physical disability were also assessed. Data were entered into EpiData version 3.1 and exported to the Statistical Package for Social Science Version 23. A logistic regression model was used to identify independent predictors of elderly abuse. Results The prevalence of elder abuse was 41.8%, and the prevalence of poly substance, alcohol, khat, and tobacco use disorder was 32.5%, 19.4%, 12%, and 4.5%, respectively. Besides, the comorbidity of physical disability and multiple chronic diseases was 8% and 24.6%, respectively. Moreover, physical disability (AOR = 5.652, CI = 1.459, 21.894), multimorbidity (AOR = 3.972, CI = 1.898, 8.314), substance use disorder (AOR = 3.877, CI = 1.814, 8.286), age above 80 years (AOR = 8.452, CI = 2.273, 31.425), and poor social support (AOR = 3.372, CI = 1.043, 10.903) were positively associated with elderly abuse. Conclusion The magnitude of elder abuse and comorbid multimorbidity, physical disability, and substance use disorder was high, and having multiple chronic diseases, physical disability, substance use disorder, advanced age, and poor social support were risk factors for elderly abuse.
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Affiliation(s)
- Asrat Wolde
- Department of Psychiatry, Mizan Tepi University, Mizan Aman, South West Regional State, Ethiopia
| | - Wadu Wolancho
- Department of Nursing, Jimma University, Jimma, Oromia Regional State, Ethiopia
| | - Yeshitila Belay
- Department of Nursing, Jimma University, Jimma, Oromia Regional State, Ethiopia
| | - Asamirew Alemu
- Department of Nursing, Mizan-Tepi University, Mizan Aman, South West Regional State, Ethiopia
| | - Ashenaf Asefa
- Department of Nursing, Mizan-Tepi University, Mizan Aman, South West Regional State, Ethiopia
| | - Tsehaye Gebremedhin
- Department of Nursing, Mizan-Tepi University, Mizan Aman, South West Regional State, Ethiopia
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Prevalence of elder abuse and its related factors in Iran: A community-based study. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-03024-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Santos FDS, de Lima Saintrain MV, de Souza Vieira LJE, Gomes Marques Sampaio E. Characterization and Prevalence of Elder Abuse in Brazil. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:NP3803-NP3819. [PMID: 29911483 DOI: 10.1177/0886260518781806] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
We aimed to assess the prevalence and characterize the profile of elder abuse in Brazil in this quantitative descriptive and exploratory study using a document analysis of cases of elder abuse against people aged 60 and over reported to Brazil's Notifiable Disease Information System (Sistema de Informação de Agravos de Notificação-SINAN) from 2009 to 2013. Association between age groups (older adults and non-older adults) and (a) characteristics of the victims (gender, age, and race), (b) characteristics of the violence (type of violence, place of occurrence, and repeated violence) and, (c) characteristics of the perpetrator (gender, suspected alcohol consumption, and victim-perpetrator relationship) were assessed using the chi-square test and odds ratios (OR) with a 95% confidence interval. Statistical significance was set at p< .05. Elder abuse accounted for 5.7% of all cases of violence, with a higher prevalence among women (54.3%). Older men and older white people were more likely to suffer violence compared with their non-older peers (OR=1.75 and OR=1.47, respectively). Financial abuse (OR=5.95), violence resulting from legal intervention (OR=1.24), repeated violence (OR=1.22), and torture (OR=1.08) were at higher chances of occurring among older adults. In all, 30.3% of the cases of elder abuse were perpetrated by their children and 22% of the perpetrators were suspected to have consumed alcohol. Older adults were 30 times more likely to be abused by their children and eight times by caregivers and presented 2.37 more chances of evolving to death due to violence and 1.8 more chances to suffer violence in the household. The cases of elder abuse reported to SINAN highlight the greater fragility of this population group. In addition to reporting this public health problem, governmental and non-governmental actions are necessary to provide older adults with a healthy aging and ensure their rights, dignity, and autonomy.
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Sembiah S, Dasgupta A, Taklikar CS, Paul B, Bandyopadhyay L, Burman J. Elder abuse and its predictors: a cross-sectional study in a rural area of West Bengal, eastern part of India. Psychogeriatrics 2020; 20:636-644. [PMID: 32250553 DOI: 10.1111/psyg.12550] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2019] [Revised: 03/03/2020] [Accepted: 03/16/2020] [Indexed: 11/29/2022]
Abstract
BACKGROUND Elder abuse is an important public health problem hidden from public view in spite of its detrimental effect on physical and mental health. In the last three decades, there is responsiveness toward abuse of children and spouses worldwide but even today abuse and neglect of aged people seem to be the matter of least concern. This study aims to reveal the magnitude of elder abuse and its predictors. METHODS This is a cross-sectional study carried out in a community setting among elderly people (60 years and older) from October 2015 to September 2017 in a rural area of West Bengal, eastern part of India. Elder abuse was elicited by questions adapted from the Actual Abuse Tool. Data were analysed using SPSS (version 16.0). Logistic regression analysis was performed to reveal the factors associated with elder abuse. RESULTS The study found that 25.6% of the respondents had experienced abuse, psychological abuse being the commonest type. Disability was the most common perceived risk for abuse. Univariate logistic regression showed higher age (70 years and older), female gender, who were Scheduled caste, living in a nuclear family, having more than three children, financially and functionally dependent, who was suffering from depression and multimorbidity had increased odds of being abused. In multivariable logistic regression, people aged above 70 years, living in a nuclear family and dependent for instrumental activities of daily living remained significant predictors of abuse. CONCLUSION Around one in four of the respondents was abused in a 1 year duration which implies the urgent need for action. Routine screening for elder abuse at ground level and abuse prevention campaigns can be an important measure to alleviate this hidden problem. Also, there is a need to explore culturally specific forms of elder abuse to provide an age-friendly environment.
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Affiliation(s)
- Sembagamuthu Sembiah
- Department of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, India
| | - Aparajita Dasgupta
- Department of Preventive and Social Medicine, All India Institute of Hygiene & Public Health, Kolkata, India
| | - Chandrashekhar S Taklikar
- Department of Health Promotion and Education, All India Institute of Hygiene & Public Health, Kolkata, India
| | - Bobby Paul
- Head of the Department, Department of Preventive and Social Medicine, All India Institute of Hygiene & Public Health, Kolkata, India
| | - Lina Bandyopadhyay
- Public Health Specialist Grade-1 & Assistant Professor, Department of Preventive and Social Medicine, All India Institute of Hygiene & Public Health, Kolkata, India
| | - Jayeeta Burman
- Department of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, India
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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.
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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
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Sathya T, Premkumar R. Association of functional limitations and disability with elder abuse in India: a cross-sectional study. BMC Geriatr 2020; 20:220. [PMID: 32576146 PMCID: PMC7310468 DOI: 10.1186/s12877-020-01619-3] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Accepted: 06/15/2020] [Indexed: 11/23/2022] Open
Abstract
Background Globally, elder abuse is a common form of violence against the elderly. This study examines the association of disability and functional ability measures with elder abuse in India. Methods Cross-sectional data from the UNFPA’s ‘Building Knowledge Base on Population Ageing in India’ (BKPAI 2011) have been analysed. Bivariate and multivariate logistic regression analyses have been used to examine the association of measures of disability and functional ability with elder abuse/mistreatment. Results The overall prevalence of elder abuse in the study population is 11.4%. The prevalence of elder abuse experienced by study participants in the month before the survey is 6%. The prevalence of disability/functional ability increases the likelihood of elder abuse. Furthermore, the association between functional ability and abuse is stronger and consistent among the elderly who experienced abuse in the month preceding the survey. In addition, the association between disability and elder abuse is stronger in urban areas. Another observation is that gender introduces considerable disparities in the association of disability and functional ability measures with elder abuse. While elderly men with more than two disabilities are 1.85 times (95% CI: 1.23, 2.77, p < 0.003) more likely to experience abuse/mistreatment, women are 3.16 times (CI: 2.22, 4.49, p < .001) more exposed to it. Conclusions The results of this study suggest a significant association of disability and functional ability with elder abuse. The association differs considerably by place of residence and gender. Measures to improve the functional health of the elderly population and measures to protect the elderly with disability and functional limitations are important in preventing abuse/mistreatment in old age.
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Affiliation(s)
- T Sathya
- Department of Development Studies, International Institute for Population Sciences, Govandi Station Road, Mumbai, 400088, India.
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Machado DR, Kimura M, Duarte YADO, Lebrão ML. [Violence perpetrated against the elderly and health-related quality of life: a populational study in the city of São Paulo, Brazil]. CIENCIA & SAUDE COLETIVA 2020; 25:1119-1128. [PMID: 32159679 DOI: 10.1590/1413-81232020253.19232018] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2018] [Accepted: 07/28/2018] [Indexed: 11/21/2022] Open
Abstract
The scope of this work was to identify the prevalence of domestic violence against non-institutionalized elderly individuals, and to establish if violence is an independent factor associated with the Physical Component (PC) and Mental Component (MC) scores of the Health-Related Quality of Life (HRQOL) of these elderly individuals. It is a cross-sectional epidemiologic and population-based investigation that is part of the SABE (Wellbeing, Health and Aging) study. A sample of 1,126 elderly individuals filled out the Short-Form 12 (SF-12) Health Survey, namely a generic instrument that assesses HRQOL through the Physical and Mental components. The prevalence of domestic violence against of the elderly was 10% (CI 95% 9.1-13.6). In the multiple analyses, violence against the elderly was significantly associated to the MC (β = -3.03; p = 0.000) and to the PC (β = -1.69; p = 0.017) of HRQOL, independently of the sociodemographic, health, family support, and functional incapacity covariables. The prevalence of domestic violence was high and compromised the physical and mental health of the elderly.
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Affiliation(s)
- Daniel Rodrigues Machado
- Escola de Enfermagem, Universidade de São Paulo (USP). Av. Dr. Enéas Carvalho de Aguiar, Cerqueira César. 05403-000, São Paulo, SP, Brasil.
| | - Miako Kimura
- Escola de Enfermagem, Universidade de São Paulo (USP). Av. Dr. Enéas Carvalho de Aguiar, Cerqueira César. 05403-000, São Paulo, SP, Brasil.
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Santos RDC, Souto RQ, Almeida AMD, Araújo GKND, Sousa RCRD, Santos RCD. Factors associated with depressive symptoms and cognition in elderly victims of violence. Rev Bras Enferm 2020; 73 Suppl 3:e20190383. [DOI: 10.1590/0034-7167-2019-0383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2019] [Accepted: 05/14/2020] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: To identify, among elderly people victims of violence, factors associated with depressive symptoms and cognitive function. Method: This was a cross-sectional study carried out with 56 elderly people classified in situation of violence. To do so it was used the Brazil Old Age Shedule (BOAS), the Conflict Tactics Scales Form R, the Geriatric Depression Scale (GDS) and the Mini-mental State examination (MMSE). Results: Depressive symptoms were more predominant in elderly men, over 70 years old, without partner, illiterate, with no job, receiving up to 1 minimum wage and who lived alone; and the cognitive deficit prevailed in women, over 70 years old, without partner, illiterate, who did not work, receiving up to 1 minimum wage and who lived alone. Conclusion: Among the elderly population victim of violence, lack of a partner and cognitive impairment were associated to depressive symptoms; and finding themselves living alone, with no partner and being illiterate were associated to cognitive deficit.
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Analysis of the relationship between the autonomy of Turkish elderly people and their happiness and anxiety-depression status: a cross-sectional study. Int Psychogeriatr 2019; 31:1841-1842. [PMID: 30855004 DOI: 10.1017/s1041610219000164] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Pereira LC, Figueiredo MDLF, Beleza CMF, Andrade EMLR, Silva MJD, Pereira AFM. Fatores preditores para incapacidade funcional de idosos atendidos na atenção básica. Rev Bras Enferm 2017; 70:112-118. [DOI: 10.1590/0034-7167-2016-0046] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2016] [Accepted: 09/01/2016] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivos: avaliar os fatores preditores para incapacidade funcional de idosos atendidos na atenção básica. Método: estudo transversal, do qual participaram 388 idosos, realizado em três Unidades Básicas de Saúde, utilizando-se o Índice de Katz e a escala de Lawton. O projeto de pesquisa foi aprovado pelo Comitê de Ética em Pesquisa. Resultados: Quanto ao grau de dependência para Atividades Básicas, 90,2% eram menos independentes para vestir-se; e para as Atividades Instrumentais, 77,1% dos idosos foram menos independentes para fazer trabalhos manuais. A incapacidade funcional para atividades básicas esteve associada à idade e à cor; as atividades instrumentais, à idade, à escolaridade, à renda do idoso e à autoavaliação de saúde. Conclusão: deve-se atentar para a avaliação global da pessoa idosa, com vistas a adequar planos de cuidados voltados para a preservação da autonomia dos idosos e para a promoção do envelhecimento ativo.
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