Elder Abuse in the Iberian Peninsula and Bolivia: A Multicountry Comparative Study

2017 ◽  
Vol 35 (21-22) ◽  
pp. 4303-4326
Author(s):  
Juan Manuel Carmona-Torres ◽  
Rosa Carvalhal ◽  
Ruth Mary Gálvez-Rioja ◽  
África Ruiz-Gandara ◽  
Thomas Goergen ◽  
...  

The objective of this study is to determine the prevalence of abuse of vulnerable older persons in the family and community environment in the following regions—Spain (Andalusia-Córdoba), Portugal (Azores), and Bolivia (Santa Cruz de la Sierra)—and to identify risk factors and delineate a profile of abused older persons. For this, a descriptive cross-sectional study was conducted. The sample consisted of people in the age group 65 years plus living in the catchment areas of health centers. The following were used as instruments to collect data: the medical record of the patients of relevant health centers, Mini-Mental State Examination (MMSE), daily activities autonomy test, adaptability, partnership, growth, affection, and resolve (APGAR) familiar test, The Elder Abuse Suspicion Index (EASI) and the Social Work Evaluation Form. Multivariable logistic regression was performed to identify factors associated with abuse. Suspected abuse was identified in 6.9% of the elderly who participated in the study in Spain, 39% in Bolivia, and 24.5% in Azores. In all areas, studied psychological abuse was the most common type of abuse. In conclusion, although the prevalence of abuse to older people in the family and community environment differs in the areas studied, it is present in all countries and the data are comparable with other developing and European countries. The profile of the abused older persons appears to be similar in all countries.

Author(s):  
Juan Manuel Carmona-Torres ◽  
Rosa María Carvalhal-Silva ◽  
Maria Helena Viera-Mendes ◽  
Beatriz Recio-Andrade ◽  
Thomas Goergen ◽  
...  

ABSTRACT Objectives: to dimension abuse against vulnerable adults within the family and community environment in the Azores Islands, identify risk factors for abuse and describe the profile of an abused elder. Method: descriptive cross-sectional study. Random sampling. The instruments used were: clinical histories of the users, Mini-Mental State Examination, Index of Independence in Basic Activities of Daily Living, Family APGAR Scale, Elder Abuse Suspicion Index and Social Work Assessment Form. Descriptive statistical analysis was used for qualitative and quantitative variables and multiple logistic regression was used to identify factors associated with elder mistreatment. Results: abuse suspicion was identified in 24.5% of elderly participants. Psychological abuse was the most common type of abuse and sons were the main abusers. Conclusion: being a woman and belonging to a dysfunctional family is associated with an increased risk of becoming a victim of abuse; the high level of domestic violence against the elderly in the Azores Islands is in line with the rest of Portugal.


Author(s):  
Gabriel Karubanga ◽  
Paul Kibwika ◽  
Florent Okry ◽  
Haroon Sseguya

Videos have the potential of enhancing learning among smallholder farmers. The study intended to establish whether timing and location of video shows influence learning among rice farmers in Kamwenge district, Uganda. A cross-sectional study was conducted by interviewing 48 focus group participants; 100 individual video participants and 16 key informants. Geographical Positioning System (GPS) mapping was used to establish the video catchment areas and distribution of video participants. Farmers approved the video for providing timely, useful and reliable information and bringing extension service providers closer to the farming communities. Majority (94%) of the farmers said that video provided useful information that fostered change in rice production practices and technologies. A one sample T-test indicated that the timing and location of video events are significant in influencing learning among farmers particularly by women, elderly and distant farmers. The implication is that locating video shows far away and running them late at night seriously compromised involvement by females, elderly and distant people. Thus, modalities suggested by farmers need to focus on adjusting the timing of video shows and ensuring rotational operational of videos in the respective villages or parishes purposely to reach out to the elderly, distant and women farmers.Int. J. Agril. Res. Innov. & Tech. 6 (2): 77-81, December, 2016


2014 ◽  
Vol 48 (3) ◽  
pp. 469-476 ◽  
Author(s):  
Rosely Almeida Souza ◽  
Gislaine Desani da Costa ◽  
Cintia Hitomi Yamashita ◽  
Fernanda Amendola ◽  
Jaqueline Correa Gaspar ◽  
...  

Objective: To classify families of elderly with depressive symptoms regarding their functioning and to ascertain the presence of an association between these symptoms, family functioning and the characteristics of the elderly. Method: This was an observational, analytical, cross-sectional study performed with 33 teams of the Family Health Strategy in Dourados, MS. The sample consisted of 374 elderly divided into two groups (with and without depressive symptoms). The instruments for data collection were a sociodemographic instrument, the GeriatricDepression Scale (15 items) and the Family Apgar. Results: An association was observed between depressive symptoms and family dysfunction, female gender, four or more people living together, and physical inactivity. Conclusion: The functional family may represent effective support for the elderly with depressive symptoms, because it offers a comfortable environment that ensures the well-being of its members. The dysfunctional family can barely provide necessary care for the elderly, which can exacerbate depressive symptoms.



2020 ◽  
pp. 002076402096859 ◽  
Author(s):  
Sheikh Shoib ◽  
Sheikh Mohammed Shariful Islam ◽  
SM Yasir Arafat ◽  
Sohail Ahmad Hakak

Background: Depression is a common disorder that can lead to suicidal behaviours among the geriatric population. Aim: We aimed to assess depression, hopelessness, and suicidal ideation among the elderly population of Kashmir. Methods: A community-based cross-sectional study was conducted in three districts of Kashmir between June and August 2019. The sample consisted of 200 persons aged >65 years. Beck’s Depression Inventory, Beck’s Hopelessness Scale, and the Beck Suicide Ideation scale were used to determine depression, hopelessness, and suicide ideation. Pearson’s correlation was performed to assess the relationships between depression, hopelessness, and suicide. Results: The prevalence of severe depression with a score of ⩾31 on Beck’s Depression Inventory was 56% among the studied population. Most of these elderly were found to have moderate levels of suicidal ideation (62.5%) and hopelessness (61%). Depression had a positive correlation with suicidal ideation ( r = 0.35). Hopelessness and suicidal intent had a more significant positive correlation ( r = 0.54), as compared to depression and hopelessness ( r = 0.43). Conclusion: More than half of the older persons in Kashmir had depression with superimposed hopelessness which is an important risk factor of suicidal ideation.


2010 ◽  
Vol 4 (3) ◽  
pp. 1457
Author(s):  
Aline Do Nascimento Silva ◽  
Eduardo Tavares Gomes ◽  
Renata Livia Alves de Souza Melo ◽  
Rutheanne Melo de Siqueira ◽  
Lucileide Silva Fonteles

ABSTRACTObjective: to elucidate the situation of the notification of cases of violence in a university in a university hospital in Recife at the beginning of training actions and professional awareness of this issue. Method: an observational cross-sectional study as conducted. Data collection was done through referrals made to the Social Service of Clinics Hospital of the Federal University of Pernambuco (HC/UFPE), by reports of professional by itself, a recording instrument from the hospital and copies of the notification form of cases. The project was approved by the Ethics Research Center of Health Sciences of the Federal University of Pernambuco/UFPE with protocol number 13/10. All cases were considered of September 2006, when began using the Notification Form from the Ministry of Health until December 2008. Results: the most notification was cases against the child (n=20, 46,51%), while there isn’t registration of cases against the elderly. Professionals who often made the notification were doctors (n=22, 51.16%) and psychologists (n=12, 27,91%). The Notification Form was used in only 41,86% of cases. Conclusion: the data underscore the under-reporting. Further research should verify the cause of poor service (lack of commitment, lack of specific training, among others) so that they can perform actions to make better situation. Descriptors: violence; epidemiology; public health; mandatory reporting.RESUMOObjetivo: elucidar a situação da notificação dos casos de violência em um hospital universitário do Recife no inicio das ações de capacitação e sensibilização dos profissionais para essa questão. Método: foi realizado um estudo observacional do tipo corte transversal. A coleta de dados foi realizada a partir dos encaminhamentos realizados para o Serviço Social do Hospital das Clínicas da Universidade Federal de Pernambuco/HC/UFPE por meio de relatórios dos profissionais, instrumento de registro próprio do hospital e cópias das Fichas de Notificação dos casos. O projeto foi aprovado pelo Comitê de Ética em Pesquisa do Centro de Ciências da Saúde/UFPE com número de protocolo 13/10. Foram considerados todos os casos de setembro de 2006, quando iniciou o uso da Ficha de Notificação do Ministério da Saúde até dezembro 2008. Resultados: a maior notificação foi de casos contra à criança (n=20, 46,51%), ao passo que não consta registro de casos contra idosos. Os profissionais que mais notificaram foram os médicos (n=22, 51,16%) e os psicólogos (n=12, 27,91%). A Ficha de Notificação foi usada em apenas 41,86% dos casos. Conclusão: os dados ressaltam a sub-notificação. Pesquisas posteriores devem verificar a causa da pouca notificação (falta de compromisso, falta de formação específica, entre outras), para que se possam realizar medidas para melhorar o quadro. Descritores: violência; epidemiologia; saúde pública; notificação de abuso.RESUMENObjetivo: conocer la situación de la notificación de casos de violencia en un hospital universitario en Recife al inicio de las acciones de formación y sensibilización del profesional de esta cuestión. Método: se realizó un estudio observacional, transversal. Recolección de datos se realiza através de consultas que el Servicio Social del Hospital de Clínicas, Universidad Federal de Pernambuco/HC/UFPE por los informes de profesionales de por sí, un instrumento de registro del hospital y copia del Formulario de Notificación de los casos. El proyecto fue aprobado por el Centro de Ética de la Investigación de las Ciencias de la Salud/UFPE com el número de protocolo 13/10.  Se consideraron todos los casos de septiembre de 2006, cuando comenzó a usar el Formulario de Notificación del Ministerio de Salud hasta diciembre de 2008. Resultados: la mayoría de los casos de notificación fue contra el niño (n=20, 46,51%), mientras que no hay registro de casos en contra de los ancianos. Los profesionales que a menudo hace la notificación eran médicos (n=22, 51,16%) y los psicólogos (n=12, 27,91%).  El Formulario de Notificación se utilizó en sólo 41,86% de los casos. Conclusión: los datos ponen de relieve la subnotificación. Las investigations futuras deberían verificar la causa de la notificación de baja (falta de compromiso, la falta de formación específica, entre otros) de modo que puedan llevar a cabo acciones para mejorar la situación. Descriptores: violencia; epidemiología; salud pública; notificatión obligatoria. 


2011 ◽  
Vol 5 (2) ◽  
pp. 174
Author(s):  
Dyego Anderson Alves de Farias ◽  
Priscilla Medeiros Neves ◽  
Geraldo Eduardo Guedes de Brito

ABSTRACTObjective: to draw the profile of the hypertensive elderly registered/accompanied in the field of basic health attention. Method: cross sectional study of descriptive characteristic, in which users who were 60 years old or more and who were in the Family Health Strategy program between 2000 and 2009 were analyzed through the HIPERDIA system of João Pessoa-PB city. Data referring to number of hypertensive patients registered in that period and association of hypertension with smoking, sedentary habits and overweigh, classified by sex and age group,  were used. Results: files of 7,156 hypertensive elderly registered/accompanied by HIPERDIA by sex and age group were found, with prevalence of arterial hypertension of 8 % in the period of study. Among these users, 68,4% are female and the age group from 60 to 64 presented the greatest number of hypertensive when both sexes are added (23.6%).  In relation to the presence of associated factors, 49% presented overweigh, 51% had sedentary habits and 15.9% smoked. Conclusion: the hypertensive elderly of João Pessoa showed characteristics which are similar to the other regions of the country. It is necessary to promote and implement public policies towards this population with emphasis on prevention and valorization of the services of Basic Attention. Descriptors: Aged; Hypertension; Primary health careRESUMOObjetivo: traçar o perfil dos idosos hipertensos cadastrados/acompanhados no âmbito da atenção básica de saúde. Método: estudo transversal de cunho descritivo, em que se analisaram por meio do sistema HIPERDIA da cidade de João Pessoa-PB os usuários 60 anos ou mais adscritos a Estratégia de Saúde da Família, entre os anos de 2000 a 2009. Utilizaram-se os dados já tabulados: número de hipertensos cadastrados no período e associação da hipertensão com tabagismo, sedentarismo e sobrepeso estratificados por sexo e faixa etária. Resultados: foram encontrados registros de 7156 idosos hipertensos cadastrados/ acompanhados pelo HIPERDIA por sexo e faixa etária, com prevalência de hipertensão arterial de 8% no período estudado. Destes usuários, 68,4% são do sexo feminino e a faixa etária de 60 a 64 anos apresentou o maior número de hipertensos somado ambos os sexos (23,6%). Quanto à presença de fatores associados, 49% apresentaram sobrepeso, 51% eram sedentários e 15,9% tabagistas. Conclusão: os hipertensos mostraram características semelhantes às demais regiões do país. Faz-se necessário incentivar e implementar políticas públicas voltadas a essa população, enfatizando a prevenção e valorizando os serviços de Atenção Básica. Descritores: Idoso; Hipertensão; Atenção básica; RESUMENObjetivo: trazar el perfil de los ancianos hipertensos registrados/acompañados en el ámbito de la atención básica de salud. Método: estudio transversal de cuño descriptivo, en el que fueron analizados por medio del sistema HIPERDIA de la ciudad de João Pessoa – PB los usuarios de 60 o más años inscritos en la Estrategia de Salud de la familia, entre el año 2000 y el 2009. Fueron utilizados los datos ya procesados: número de hipertensos registrados en el periodo y asociación de la hipertensión con tabaquismo, sedentarismo y obesidad estratificados por sexo y faja etaria. Resultados: fueron encontrados registros de 7156 ancianos hipertensos registrados/acompañados por el HIPERDIA por sexo y faja etaria, con prevalencia de hipertensión arterial de 8% en el periodo estudiado. De estos usuarios el 68,4% son del sexo femenino y los de la faja etaria entre 60 y 64 años presentaron un número mayor de hipertensos de ambos sexos (23,6%). En relación a la presencia de factores asociados el 49% presentaron obesidad, el 51% eran sedentarios y el 15,9% fumadores. Conclusión: los hipertensos mostraron características semejantes a las demás regiones del país. Se hace necesario incentivar e implementar políticas públicas orientadas a dicha población, enfatizando la prevención y dando más valor a los servicios de Atención Básica. Descriptores: Anciano; Hipertensión; Atención primaria de salud.  


2020 ◽  
Vol 9 (2) ◽  
pp. 65-72
Author(s):  
Kabiru k. Salami ◽  
Olugbenga O. Okunade

Introduction: The absence of comprehensive supports systems for older persons in Nigeria has put them on psychosocial challenges at old age. Thus, this study profiled the social supports provided by the adults to older persons in Ibadan, Southwestern Nigeria. Methods: This cross-sectional study utilized mixed method approach to administer a standardized questionnaire among 460 consented adults who had older parents, and conducted twelve in-depth interviews (IDIs) among male and female participants in Apete, a peri-urban community in Ibadan, Nigeria. Quantitative and qualitative data were analyzed respectively using SPSS ver. 20 and content analysis. Results: Most (67.2%) of the respondents were females, and 77.2% were not living with their older parents. Older parents of 32.4% of the respondents relied on children as a source of income, whereas nearly half (47.0%) of the respondents perceived the care of the elderly as government responsibility. Financial care (48.5%) from significant others was perceived the most unmet social needs of the elderly, while lack of money (44.6%) was perceived the cause of the unmet social needs of the elderly. There was significant relationship (χ2=0.056) between the average monthly income and the time frame the children give money to older parents. Conclusion: There exist social supports to the elderly in peri-urban Nigeria. The social support systems available to the elderly were influenced by the culture, blessing/prayer-needs from parents, and reciprocity factors.


2021 ◽  
Author(s):  
YiYang Pan ◽  
Yuan Chen ◽  
PingYu Cui ◽  
Nuremaguli WaiLi ◽  
Ying Li

Abstract Background: The prevalence of dependency is high among the elderly worldwide and increases with increasing life expectancy. The objective of this study was to explore from the perspective of resource demand the association between community environmental resources and dependency among the elderly. Methods: The study was designed as a population-based cross-sectional study. A total of 950 participants aged ≥ 60 years from 22 locations in China were selected using a complex multistage sampling design. All data were collected using questionnaires and face-to-face interviews. The dependency was assessed using the Chinese version of the Minnesota Multiphasic Personality Inventory-II. The community environment was assessed using 43 items. Logistic regression analysis was used to evaluate the association between the community environment and dependency. Cluster analysis was used and demonstrated that dependency was mainly associated with community primary preventive care service resources. Results: In the analysis result, both age-specific and social support levels-stratified results showed that the dependency associated with community environmental resources differed among the elderly by age group and level of social support. Conclusions: The levels of dependency were significantly associated with community environment resources. Our results suggest that the dependent on local environment resources may consider as the resource needs among elderly.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Pengcheng Du ◽  
Yu Chen

Abstract Background With the accelerated aging of the Chinese population, elder abuse has become a serious social problem. As COVID-19 has had a very large impact on economic development and lifestyle in China, it has also affected elder abuse. The purpose of this study is to estimate the prevalence of elder abuse in China during the COVID-19 pandemic, and to identify changes in risk factors for elder abuse in the context of COVID-19. Methods We designed a cross-sectional study. In Hunan Province, a face-to-face questionnaire survey was conducted among elderly people over 65 years of age. To ensure the consistency of the measurement standards, we used the elder abuse questionnaire from the “Third Survey on Chinese Women’s Social Status.” According to related research, we selected 10 victim-related risk factors as independent variables. A logistic regression model was established to analyze the relationship between the independent variables and the four kinds of abuse. Results We collected 10,362 samples from Hunan Province. During the COVID-19 pandemic, the prevalence of financial abuse and neglect was significantly higher than that in 2010. Income had a significant impact on the four types of abuse. The lower the income was, the greater the risk of abuse. Moreover, factors such as an older age, being a woman, a lower cognitive ability, and not having a cohabiting spouse increased the possibility of abuse. The greater the number of children was, the greater the risks of physical abuse, financial abuse, and elder neglect. Seniors with higher education levels, those who frequently participated in social activities, and those with religious beliefs were less likely to suffer abuse. Conclusions During the COVID-19 epidemic, the prevalence of elder abuse in China has increased, which may be related to economic instability and social distancing measures. Increasing the income of the elderly and giving them more social support are important measures to reduce the prevalence of elder abuse.


2020 ◽  
Vol 9 (2) ◽  
pp. 56
Author(s):  
A Fahmil Haq Aplizuddin ◽  
Harmayetty Harmayetty ◽  
Elida Ulfiana

Introduction: Hemodialysis is a life-long treatment for end-stage renal disease (ESRD). ESRD has physical and psychosocial challenges to experience stress which not only affects but patients but also family members who care for them or also called family caregivers. Analyzing the relationship of social support and resilience to the level of stress in the family caregiver of hemodialysis patients at Haji Hospital Surabaya.Methods: A cross-sectional study with a population of family caregiver members of hemodialysis patients at RSU Haji Surabaya. The sample size was 92 respondents with criteria, namely families who treat hemodialysis patients at RSU Haji Surabaya, live in one house with patients, aged > 18 years, and can read and write. The variables of this study are social support, resilience, and stress levels. Data collection was performed using a questionnaire and analyzed using Spearman’s Rho test. Results : There was a significant negative relationship between social support and stress levels (p = 0.004 and r = -0.296) and resiliency with stress levels (p = 0.003 and r = -0.311).Discussion: The level of stress in a family caregiver hemodialysis patient can be influenced by the social support received and the level of resilience they have. The social support has an important role for family caregivers obtained from the family and significant other.


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