scholarly journals Screening of domestic abuse and its relationship with demographic variables among elderly individuals referred to primary healthcare centers of Shiraz in 2018

2020 ◽  
Author(s):  
Maryam Mashayekh ◽  
Maryam Hazrati ◽  
Nasrin Sharifi
Keyword(s):  
Physical Abuse ◽  
Elderly People ◽  
Primary Healthcare ◽  
Significant Relationship ◽  
Elder Abuse ◽  
Domestic Abuse ◽  
Cognitive Status ◽  
Elderly Individuals ◽  
Financial Abuse ◽  
Primary Healthcare Centers

Abstract BackgroundConsidering the global growth in the number of elderly individuals, elder abuse has turned into an important health challenge with significant effects on reduction of this vulnerable group’s health and security. The present screening study aimed to determine the prevalence of domestic abuse and its relationship with demographic characteristics among elderly people referred to primary healthcare centers of Shiraz in 2018.MethodsThis descriptive-analytical, cross-sectional study was conducted on 400 elderly people aged 60 years and above who had referred to 30 comprehensive health centers of Shiraz. The study data were collected using observation, face-to-face interview, and examination. After obtaining the participants’ informed consents and making sure about their cognitive and mental health using mini-mental state examination, demographic information questionnaire, domestic abuse scale, Katz index, and observational elder neglect checklist were completed. Then, the individuals who were suspicious of abuse in the interview or observation were further evaluated through examinations and experiments.ResultsThe results indicated that 52.5% of the participants were female and 51.8% aged 60-69 years. Additionally, 74% of the participants were married, 53.3% were illiterate, and 49.8% were homemaker. Moreover, 52.8% of the participants had pensions, 87.8% lived in their own houses, and 67% lived with their spouses. The frequency of misbehaviors was as follows: care negligence, 42.8%; psychological abuse, 41.3%; emotional negligence, 38.8%; financial abuse, 34.3%; authority deprival, 29.5%; financial negligence, 28.8%; physical abuse, 5.3%; ostracism4.3%.The results showed a significant relationship among elder abuse and all abuse subscales. Education level was significantly related to financial negligence (p=0.003). Besides, having a pension was significantly associated with emotional negligence (p=0.019), care negligence (p=0.014), and financial negligence (p<0.001). A significant relationship was also observed among having a house and care negligence (p=0.026), authority deprival (p=0.004), and ostracism (p=0.025). Additionally, living status was significantly associated with emotional negligence (p=0.015), care negligence (p=0.008), financial abuse (p=0.034), and physical abuse (p=0.003). Health status also showed a significant relationship with financial abuse (p=0.040) and authority deprival (p=0.020). Indeed, insurance status was significantly associated with emotional negligence (p=0.040) and financial abuse (p=0.039). Finally, a significant relationship was observed among cognitive status and emotional negligence (p=0.015) and care negligence (p=0.005).ConclusionThe results revealed a considerable rate of domestic abuse against elderly people, causing a serious risk for their health and security. Therefore, various dimensions of this phenomenon have to be identified in order to create appropriate strategies for its prevention.

scholarly journals ASSOCIATION BETWEEN ELDER ABUSE AND TELOMERE LENGTH IN OLDER ADULTS WITH COGNITIVE IMPAIRMENT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S490-S490
Author(s):  
Boye FANG ◽  
Elsie Yan ◽  
Keith Tung ◽  
Gengzhen Chen
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Telomere Length ◽  
Physical Abuse ◽  
Elder Abuse ◽  
Domestic Abuse ◽  
Psychological Abuse ◽  
Previous Experience ◽  
Outcome Variable ◽  
Current Experience

Abstract Objectives: Elder abuse is a stressful event that can lead to compromised psychological and physical health consequences. This study examines the association between elder abuse and telomere length (TL), a biomarker reflecting cellular aging and disease pathogenesis. Methods: Between 2015 and 2016, 1,002 older adults (aged≥55 years) with cognitive impairment were consecutively recruited from the geriatric and neurological departments of three Grade-A hospitals in Guangdong Province of People’s Republic of China. At two-year follow-up, 958 of these participants were reassessed and 600 of them were randomly selected for this study. The outcome variable is TL (measured in blood cells using a multiplex quantitative polymerase chain reaction) and the major independent variables were current experience of overall abuse, psychological abuse, physical abuse, caregiver neglect, and previous experience of domestic abuse in the past two years. Potential confounding variables include demographic variables and increased severity of cognitive impairment, neuropsychiatric symptoms, sleep disorders, and depressive symptoms. Results: Multivariate regression models show that current experience of overall domestic abuse (t= -5.116, β= -0.376, confidence interval[CI] -20.231–-9.006), psychological abuse (t= -4.431, β= -0.231, [CI] -13.023–-5.023), physical abuse (t= -2.474, β= -0.151, CI -14.116–-1.621), and caregiver neglect were associated with shorter TL (t= -4.470, β= -0.185, CI -10.457–-4.072). Other predictors of shorter TL were previous experience of domestic abuse and increased severity of depression. Discussion: Both current and previous experiences of elder abuse are associated with shorter TL. Multidisciplinary efforts were needed to prevent and intervene elder abuse.

Abuse of the elderly with dementia

1996 ◽  
Vol 13 (3) ◽  
pp. 94-97 ◽  
Author(s):  
Colm Cooney ◽  
Margo Wrigley
Keyword(s):  
At Risk ◽  
Elderly People ◽  
Medical Literature ◽  
Elder Abuse ◽  
The Elderly ◽  
Prevalence Studies ◽  
Financial Abuse ◽  
Abuse And Neglect

It is 20 years since the first references to elder abuse appeared in the medical literature. Since then there h as been a growing realisation that although most elderly people are cherished by their families a substantial minority are at risk of abuse. Prevalence studies in different countries have suggested that approximately 5% of those over 65 may be subjected to various forms of abuse including physical, verbal, financial abuse and neglect.

scholarly journals Assessing the cognitive status of older adults attending primary healthcare centers in Saudi Arabia using the Mini-Mental State Examination

2020 ◽  
Vol 41 (12) ◽  
pp. 1315-1323
Author(s):  
Sulaiman Alshammari ◽  
Adel Alhamdan ◽  
Saad Bindawas ◽  
Maysoon Al-Amoud ◽  
Saada Al-Orf ◽  
...  
Keyword(s):  
Older Adults ◽  
Saudi Arabia ◽  
Mental State ◽  
Primary Healthcare ◽  
Mini Mental State Examination ◽  
Cognitive Status ◽  
State Examination ◽  
Primary Healthcare Centers

scholarly journals Elder Abuse Characteristics Based on Calls to the National Center on Elder Abuse Resource Line

2019 ◽  
Vol 39 (10) ◽  
pp. 1078-1087 ◽  
Author(s):  
Gali H. Weissberger ◽  
Morgan C. Goodman ◽  
Laura Mosqueda ◽  
Julie Schoen ◽  
Annie L. Nguyen ◽  
...  
Keyword(s):  
Physical Abuse ◽  
Elder Abuse ◽  
Family Members ◽  
Financial Abuse ◽  
Abuse Characteristics ◽  
Unique Source

Characterizing the types of elder abuse and identifying the characteristics of perpetrators are critically important. This study examined the types of elder abuse reported to the National Center on Elder Abuse (NCEA) resource line. Calls were coded with regard to whether abuse was reported, types of abuse alleged, whether multiple abuse subtypes occurred, and who perpetrated the alleged abuse. Of the 1,939 calls, 818 (42.2%) alleged abuse, with financial abuse being the most commonly reported (449 calls, 54.9%). A subset of calls identified multiple abuse types (188, 23.0%) and multiple abusers (149, 18.2%). Physical abuse was most likely to co-occur with another abuse type (61/93 calls, 65.6%). Family members were the most commonly identified perpetrators (309 calls, 46.8%). This study reports the characteristics of elder abuse from a unique source of frontline data, the NCEA resource line. Findings point to the importance of supportive resources for elder abuse victims and loved ones.

scholarly journals Prevalence of Elder Abuse and Neglect: Findings from First Macedonian Study

2014 ◽  
Vol 2 (2) ◽  
pp. 353-359
Author(s):  
Dimitrinka Jordanova Peshevska ◽  
Marijana Markovik ◽  
Dinesh Sethi ◽  
Eleonora Serafimovska ◽  
Tamara Jordanova
Keyword(s):  
Sexual Abuse ◽  
Physical Abuse ◽  
Elder Abuse ◽  
Psychological Abuse ◽  
Statistical Significance ◽  
Depression Scale ◽  
Physical Injury ◽  
Elder Abuse And Neglect ◽  
Financial Abuse ◽  
Abuse And Neglect

OBJECTIVES: One of the study objectives was to explore the prevalence of elder abuse and neglect in the country.METHOD: Total of 960 respondents aged 65 years and above (44.7% of male and 55.3%) in private households, from all eight statistical regions participated in the study. Respondents were sampled through three staged national representative sampling procedure. Data were collected using a cognitively validated questionnaire for investigating elder abuse and neglect (psychological abuse, physical abuse, physical injury; financial abuse; sexual abuse and neglect) and Geriatric Depression Scale. The MMSE test was used as a pre-selection method. Statistical significance was set up at p < 0.05.RESULTS: Three hundred seven (32.0%) respondents reported experience of any type of abuse and neglect.  A single form of abuse was reported by 56.4% of participants, and two types of abuse by 27.4% of participants reporting abuse. Data showed that psychological abuse was the most prevalent form of abuse (25.7%), followed by financial abuse (12.0%), physical abuse (5.7%), physical injury (3.1%) and sexual abuse, and reported only by females (1.3%). Some type of neglect was reported by 6.5% of respondents.CONCLUSIONS: Defining the phenomenon of elder abuse and neglect in the context of our country can facilitate support of abused older people and, most importantly, may help develop policy and programmes based on evidence-based practices, targeting prevention and response.

scholarly journals Clinical laboratory services for primary healthcare centers in urban cities: a pilot ACO model of ten primary healthcare centers

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Soha A. Tashkandi ◽  
Ali Alenezi ◽  
Ismail Bakhsh ◽  
Abdullah AlJuryyan ◽  
Zahir H AlShehry ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Quality Improvement ◽  
Primary Healthcare ◽  
Laboratory Testing ◽  
Gap Analysis ◽  
Reference Laboratory ◽  
Pilot Model ◽  
Laboratory Services ◽  
Analytical Phase ◽  
Primary Healthcare Centers

Abstract Background Primary healthcare centers (PHC) ensure that patients receive comprehensive care from promotion and prevention to treatment, rehabilitation, and palliative care in a familiar environment. It is designed to provide first-contact, continuous, comprehensive, and coordinated patient care that will help achieve equity in the specialty healthcare system. The healthcare in Saudi Arabia is undergoing transformation to Accountable Care Organizations (ACO) model. In order for the Kingdom of Saudi Arabia (KSA) to achieve its transformational goals in healthcare, the improvement of PHCs’ quality and utilization is crucial. An integral part of this service is the laboratory services. Methods This paper presents a pilot model for the laboratory services of PHC's in urban cities. The method was based on the FOCUS-PDCA quality improvement method focusing on the pre-analytical phase of the laboratory testing as well as the Saudi Central Board for Accreditation of Healthcare Institutes (CBAHI) gap analysis and readiness within the ten piloted primary healthcare centers. Results The Gap analysis, revealed in-consistency in the practice, lead to lower the quality of the service, which was seen in the low performance of the chosen key performance indicators (KPI's) (high rejection rates, lower turn-around times (TAT) for test results) and also in the competency of the staff. Following executing the interventions, and by using some of the ACO Laboratory strategies; the KPI rates were improved, and our results exceeded the targets that we have set to reach during the first year. Also introducing the electronic connectivity improved the TAT KPI and made many of the processes leaner. Conclusions Our results revealed that the centralization of PHC's laboratory service to an accredited reference laboratory and implementing the national accreditation standards improved the testing process and lowered the cost, for the mass majority of the routine laboratory testing. Moreover, the model shed the light on how crucial the pre-analytical phase for laboratory quality improvement process, its effect on cost reduction, and the importance of staff competency and utilization.

scholarly journals Prevalence and Social Inequality in Experiences of Domestic Abuse Among Mothers of Young Children: A Study Using National Survey Data from Scotland

2021 ◽  
pp. 088626052098039
Author(s):  
Valeria Skafida ◽  
Fiona Morrison ◽  
John Devaney
Keyword(s):  
Physical Abuse ◽  
Social Stratification ◽  
Domestic Abuse ◽  
Income Quintile ◽  
Coercive Control ◽  
Policy Interventions ◽  
The Social ◽  
Different Types ◽  
Study Child ◽  
Nationally Representative

Domestic abuse is a pernicious societal issue that has both short- and long-term consequences for those who are victimized. Research points to motherhood being linked to women’s victimization, with pregnancy being a particular point of risk. Across UK jurisdictions, new legislation aims to extend the criminalization of domestic abuse to include coercive control. Less clear is the relationship between mothers’ victimization of different “types” of abuse and other factors such as age, socioeconomic status, and level of education. The article makes an original contribution to knowledge by addressing these limitations of the existing literature. Using nationally representative data from a Scottish longitudinal survey ( N = 3,633) into children’s development this article investigates the social stratification of mothers’ exposure to different types of abuse, including coercive control, physical abuse, and threats. Overall, 14% of mothers report experiencing any type of domestic abuse since the birth of the study child (age 6), of which 7% experienced physical abuse. Compared to mothers in the highest income households, mothers in the lowest income quintile were far more likely to experience any form of abuse (Logistic Regression, OR = 3.55), more likely to have experienced more types of abuse and to have experienced these more often ( OR = 5.54). Age had a protective effect, with mothers aged 20 or younger at most risk of abuse ( OR = 2.60 compared to mothers aged 40+). Interaction effects between age and income suggested that an intersectional lens may help explain the cumulative layers of difficulty which young mothers on low incomes may find themselves in when it comes to abusive partners. The pattern of social stratification remained the same when comparing different types of abuse. Mothers of boys were more likely to experience abuse, and to experience more types of abuse, more often. We reflect on how these findings could inform existing policy interventions.

Challenges for tuberculosis control at selected primary healthcare centers in Bangladesh: A mixed-method study

2021 ◽  
Author(s):  
Sarmin Sultana ◽  
Marium Salwa ◽  
Muhammad Ibrahim Ibne Towhid ◽  
Syed Shariful Islam ◽  
Haque M Atiqul
Keyword(s):  
Primary Healthcare ◽  
Mixed Method ◽  
Mixed Method Study ◽  
Tuberculosis Control ◽  
Primary Healthcare Centers
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