scholarly journals Analysis of Repeated Violence Against Older Adults in a Brazilian State

Aquichan ◽  
2021 ◽  
Vol 21 (1) ◽  
pp. 1-14
Author(s):  
Gracielle Pampolim ◽  
Franciele Marabotti Costa Leite

Objective: To identify notified cases of repeated violence against older adults and its association with the characteristics of the victims, of the aggressor, and the aggression. Materials and methods: A cross-sectional study was conducted based on data recorded in the Information System for Notifiable Health Problems on interpersonal repeated violence perpetrated against older adults between 2011 and 2018 in Espírito Santo, Brazil. The data were analyzed employing Poisson multiple regression with robust variance. Results: The frequency of repeated violence was 50.1 % (95 % CI: 47.7-52.6). Being 80 years old or more, presenting disabilities or disorders, and having suffered violence by partners and/or children were associated with this condition in both genders. In aged men, violence was more frequently perpetrated by two or more aggressors and during the day, whereas aged women were more frequently assaulted in urban areas. Conclusion: The high frequency of repeated violence and the associations with the characteristics studied reflect the need for care to older adults with disabilities or disorders and the possible signs of burden in family caregivers that may result in situations of violence. Actions aimed at early detection and adequate assistance to the victims and to the aggressors are important to avoid the chronicity of the condition.

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 809-810
Author(s):  
Taiji Noguchi ◽  
Takahiro Hayashi ◽  
Yuta Kubo ◽  
Naoki Tomiyama ◽  
Akira Ochi ◽  
...  

Abstract COVID-19 infections are particularly lethal in older adults; thus, social activities of older adults and their families in the community have been restricted. The threat of infection, restrictions on social activities, and limitations on the provision of care services for older adults could increase family caregivers’ burden and impact their mental health. This cross-sectional study examined the association between family caregiving and change in depression during the COVID-19 pandemic. In October 2020, we conducted a mailed questionnaire survey on a random sample of functionally independent community-dwelling older adults in a semi-urban area of Japan. Based on the depression status between March and October 2020, participants were classified into four groups: “consistently non-depressed,” “depression onset,” “recovering from depression,” and “remained depressed.” Participants were assessed for providing care for their family members or not. Caregiver participants were also assessed on their caregiving role (primary or secondary), the severity of their care-recipient’s needs, and an increased caregiver burden. Data from 957 older adults were analyzed. The participants’ mean age (SD) was 80.8 (4.8) years, and 53.5% were female. Multivariable multinomial logistic regression analysis revealed that family caregiving was associated with depression onset (OR=3.17 [95%CI=1.57-6.40], p=0.001) and remaining depressed (2.53 [1.36-4.71], p=0.004). Particularly, primary caregivers, those providing care for family members with severer care need-levels, and those with an increased caregiver burden had a higher risk of depression onset and remaining depressed. Family caregivers could have severe mental health conditions during the pandemic. Developing a support system is essential to protect their mental health.


2021 ◽  
Vol 83 (4) ◽  
pp. 1741-1752
Author(s):  
Jing-Jing Zhang ◽  
Lin Li ◽  
Dan Liu ◽  
Fei-Fei Hu ◽  
Gui-Rong Cheng ◽  
...  

Background: Some studies have demonstrated an association between low and high body mass index (BMI) and an increased risk of dementia. However, only a few of these studies were performed in rural areas. Objective: This cross–sectional study investigated the associations between BMI and cognitive impairment among community–dwelling older adults from rural and urban areas. Methods: 8,221 older persons enrolled in the Hubei Memory & Ageing Cohort Study (HMACS) were recruited. Sociodemographic and lifestyle data, comorbidities, physical measurements, and clinical diagnoses of cognitive impairment were analyzed. Logistic regression was performed to assess the associations of BMI categories with cognitive impairment. A series of sensitivity analyses were conducted to test whether reverse causality could influence our results. Results: Being underweight in the rural–dwelling participants increased the risk of cognitive impairment. Being overweight was a protective factor in rural–dwelling participants aged 65–69 years and 75–79 years, whereas being underweight was significantly associated with cognitive impairment (OR, 1.37; 95% CI: 1.03–1.83; p < 0.05). Sensitivity analyses support that underweight had an additive effect on the odds of cognitive impairment and was related to risk of dementia. Interaction test revealed that the differences between urban/rural in the relationship between BMI and cognitive impairment are statistically significant. Conclusion: Associations between BMI and cognitive impairment differ among urban/rural groups. Older people with low BMI living in rural China are at a higher risk for dementia than those living in urban areas.


Author(s):  
Gracielle Pampolim ◽  
Franciele Marabotti Costa Leite

Abstract Objective: to identify the prevalence of neglect and psychological abuse of older adults and their associations with the characteristics of the victim, the aggressor and the type of aggression in Espírito Santo, Brazil. Method: a cross-sectional study, with data on reports of neglect and psychological abuse of older adults registered in the Espírito Santo Reports of Disease and Harm Information System between 2011-2018. Analyzes were conducted according to the type of abuse and the independent variables were composed of the characteristics of the victim, the aggressor and the type of aggression. For multivariate analysis, Poisson Regression with robust variance was used. Results: during the study period, 296 cases of neglect (18,1%; CI95%: 16,31-20,04) and 193 cases of psychological abuse (11,8%; CI95%: 10,32-13,46) were reported. Neglect was more prevalent against older adults aged 80 years and over, who were black, had a partner, and were disabled, and was often committed by the victim’s son(s) or daughter(s), in their home, in urban areas, in an unmotivated and chronic manner. Psychological abuse was associated with women, perpetrated by men, after alcohol consumption, motivated by intolerance, in the urban area and carried out in a chronic manner. Conclusion: the characteristics of the victim, aggressor and aggression were associated with the occurrence of negligence and psychological abuse differently for each type of abuse. Such abuse is often committed in a veiled manner, and thus goes underreported. It is believed that with the diffusion of knowledge and the carrying out of new studies will contribute to the confrontation, monitoring and prevention of this disease.


2020 ◽  
Author(s):  
Guillaume Sacco ◽  
Pauline Carliez ◽  
Frédéric Noublanche ◽  
Romain Simon ◽  
Anne Renaudin ◽  
...  

BACKGROUND Usability is the keystone in the evolution of tablet technology in healthcare. The Ardoiz® tablet has been designed with a simplified interface for older adults. OBJECTIVE To assess the perceived usability and satisfaction of the Ardoiz® tablet. METHODS We conducted a mixed methods with cross-sectional study using System Usability Scale (SUS), satisfaction score and workshops, including geriatric patients, healthcare professional and caregivers. RESULTS Between September 25, 2019 and March 11, 2020, 58 participants were included in a cross-sectional study (including 38 patients, mean ±SD 85±6 years, 66% women), 26 in workshops (including 5 patients, mean ±SD 86.4±2.9, 40% women). The SUS was 74±12/100, the satisfaction score was 2.8±0.9/4, with 59% of satisfied participants with the use of Ardoiz® pads. The intent to acquire remained low with 18% (n=6) of participants who would be interested in acquiring the tablet. This tablet computer seemed to be difficult to use by geriatric patients and healthcare professionals, mainly because of its complex homepage. Nevertheless, former caregivers and healthcare professionals thought that the tablet could be of great interest to hospitals for leisure and medical use. The main feedback in order to improve the tablet is to simplify the home page with fewer and more static icons (without switching). CONCLUSIONS Notwithstanding the usability of the tablet, the intent to acquire of Ardoiz® tablet remained low. The interface should be simplified for older adults in order to improve usability and adherence. CLINICALTRIAL NCT04091152


2021 ◽  
Vol 96 ◽  
pp. 104643
Author(s):  
Vivian F.C. Wilschut ◽  
Birgit Pianosi ◽  
Harmieke van Os-Medendorp ◽  
Henk W. Elzevier ◽  
Jan S. Jukema ◽  
...  

Vaccines ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 117
Author(s):  
Young Hwa Lee ◽  
Rebecca C. Harris ◽  
Hong Won Oh ◽  
Yongho Oh ◽  
Juan C. Vargas-Zambrano ◽  
...  

Vaccine-related errors (VREs) result from mistakes in vaccine preparation, handling, storage, or administration. We aimed to assess physicians’ and nurses’ experiences of VREs in South Korea, focusing on reconstitution issues, and to understand the barriers to and facilitators of preventing them. This was a cross-sectional study using an internet-based survey to examine experiences of reconstitution-related errors, and experience or preference with regard to ready-to-use vaccines (RTU) by physicians and nurses. A total of 700 participants, including 250 physicians and 450 nurses, responded to the questionnaire. In total, 76.4% and 41.5% of the physicians and nurses, respectively, reported an error related to reconstituted vaccines. All errors had been reported as experienced by between 4.9% and 52.0% of physicians or nurses. The errors were reported to occur in more than one in 100 vaccinations for inadequate shaking of vaccines by 28.0% of physicians and 6.9% of nurses, incomplete aspiration of reconstitution vials by 28.0% of physicians and 6.4% of nurses, and spillage or leakage during reconstitution by 20.8% of physicians and 6.9% of nurses. A total of 94.8% of physicians had experience with RTU vaccines, and all preferred RTU formulations. In conclusion, this study highlights the high frequency and types of reconstitution-related errors in South Korea. RTU vaccines could help reduce the time needed for preparation and reduce the risk of errors in South Korea.


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