@2024 Afarand., IRAN
ISSN: 1027-1457 Scientific Journal of Forensic Medicine 2018;24(3):219-227
ISSN: 1027-1457 Scientific Journal of Forensic Medicine 2018;24(3):219-227
Relationship between Socio-Demographic Factors and the Prevalence of Abuse among the Elderly Population Covered by Health Centers in Kashan
ARTICLE INFO
Article Type
Descriptive & Survey StudyAuthors
Khalili Z. (1)Sadrollahi A. (*2 )
(*2 ) Nursing Science Department, Nursing Faculty, Bandargaz Branch, Islamic Azad University, Bandar Gaz, Iran
(1) Medical Surgical Nursing Department, Nursing & Midwifery Faculty, Ardabil University of Medical Sciences, Ardabil, Iran
Correspondence
Address: Nursing Science Department, Nursing Faculty, Bandargaz Branch, Islamic Azad University, Bndargaz, Iran.Phone: +98-17-34342222
Fax:
ali.sadrollahi@yahoo.com
Article History
Received: April 11, 2016Accepted: May 13, 2017
ePublished: December 20, 2018
ABSTRACT
Aims
Growth of the elderly population has led to an increase in the prevalence of abuse against them, which is considered a major social health problem in today's communities. The aim of the present study was to examine the relationship between socio-demographic factors and the prevalence of abuse among the elderly population covered by health centers in Kashan.
Instrument & Methods In this descriptive-analytical study in 2014, 500 elderly people over 60 years covered by health centers in Kashan were selected through multistage cluster sampling. The domestic elder abuse questionnaire was used to collect the data. Data were analyzed by SPSS 21, using Chi-square and logistic regression analysis.
Findings The mean age of the study population was 72.07±9.03 years. The prevalence of emotional neglect, neglect of care, and financial neglect, divest, experienced psychological abuse, financial abuse, physical abuse, and rejection was 6.8%, 8.29%, 2.35%, 6.37%, 45%, 2.41%, 22.45%, and 16.6%, respectively. A significant statistical relationship was observed between the abuse and age (p=0.001), number of children (p=0.001), marital status (p=0.011), the living conditions of elder with family (p=0.001), having disease (p=0.029), and having the ability to walk (p=0.001).
Conclusion Adults with a higher age, more children, without a spouse, living with a child, and having a history of illness and inability to walk are more exposed to abuse.
Instrument & Methods In this descriptive-analytical study in 2014, 500 elderly people over 60 years covered by health centers in Kashan were selected through multistage cluster sampling. The domestic elder abuse questionnaire was used to collect the data. Data were analyzed by SPSS 21, using Chi-square and logistic regression analysis.
Findings The mean age of the study population was 72.07±9.03 years. The prevalence of emotional neglect, neglect of care, and financial neglect, divest, experienced psychological abuse, financial abuse, physical abuse, and rejection was 6.8%, 8.29%, 2.35%, 6.37%, 45%, 2.41%, 22.45%, and 16.6%, respectively. A significant statistical relationship was observed between the abuse and age (p=0.001), number of children (p=0.001), marital status (p=0.011), the living conditions of elder with family (p=0.001), having disease (p=0.029), and having the ability to walk (p=0.001).
Conclusion Adults with a higher age, more children, without a spouse, living with a child, and having a history of illness and inability to walk are more exposed to abuse.
CITATION LINKS
[1]Devons CA. Comprehensive geriatric assessment: making the most of the aging years. Curr Opin Clin Nutr Metab Care. 2002;5(1):19-24.
[2]Goh VH. Aging in Asia: A cultural, socio-economical and historical perspective. Aging Male. 2005;8(2):90-6.
[3]Amir-Sadri A, Soleimani H. Elderly phenomena and its outcomes in IRAN. J Hyg Health. 2005;1(2):19-35. [Persian]
[4]Lowenstein A. Elder Abuse and Neglect-“Old Phenomenon”: New Directions for Research, Legislation, and Service Developments: (2008 Rosalie S. Wolf memorial elder abuse prevention award-international category lecture). J Elder Abuse Negl. 2009;21(3):278-87.
[5]Heravi-Karimooi M, Rejeh N, Montazeri A. Health-related quality of life among abused and non-abused elderly people: a comparative study. Payesh. 2013;12(5):479-88. [Persian
[6]Lloyd-Sherlock P, Penhale B, Ayiga N. Financial abuse of older people in low and middle-income countries: the case of South Africa. J Elder Abuse Negl. 2018;30(3):236-46.
[7]Yon Y, Mikton CR, Gassoumis ZD, Wilber KH. Elder abuse prevalence in community settings: a systematic review and meta-analysis. Lancet Glob Health. 2017;5(2):e147-56.
[8]Dong X. Elder self-neglect: research and practice. Clin Interv Aging. 2017;12:949-54.
[9]Acierno R, Hernandez-Tejada MA, Anetzberger GJ, Loew D, Muzzy W. The national elder mistreatment study: an 8-year longitudinal study of outcomes. J Elder Abuse Negl. 2017;29(4):254-69.
[10]Yan E, Chan KL, Tiwari A. A systematic review of prevalence and risk factors for elder abuse in Asia. Trauma, Violence Abuse. 2015;16(2):199-219.
[11]Cooper C, Selwood A, Livingston G. The prevalence of elder abuse and neglect: a systematic review. Age Ageing. 2008;37(2):151-60.
[12]Danesh MJ, Chang AL. The role of the dermatologist in detecting elder abuse and neglect. J Am Acad Dermatol. 2015;73(2):285-93.
[13]Dong X. Elder abuse in Chinese populations: a global review. J Elder Abuse Negl. 2015;27(3):196-232.
[14]Yan E, Chan KL. Prevalence and correlates of intimate partner violence among older Chinese couples in Hong Kong. Int Psychogeriatr. 2012;24(9):1437-46.
[15]Switzer JA, Michienzi AE. Elder abuse: an update on prevalence, identification, and reporting for the orthopaedic surgeon. J Am Acad Orthop Surg. 2012;20(12):788-94.
[16]Manoochehri H, Ghorbi B, Hosseini M, Nasiri Oskooei N, Karbakhsh Davari M. Degree and types of domestic abuse in the elderly referring to Parks of Tehran. Adv Nurs Midwifery. 2009;18(63):39-45. [Persian]
[17]Karimi M, Elahi N. Elderly abuse in Ahwaz city and its relationship with individual and social characteristics. Iran J Ageing. 2008;3(1):42-7. [Persian]
[18]Heravi-Karimooi M, Rejeh N, Foroughan M, Montazeri A. Elderly abuse rates within family among members of senior social clubs in Tehran. Iran J Ageing. 2012;6(4):37-50. [Persian
[19]Naughton C, Drennan J, Lyons I, Lafferty A, Treacy M, Phelan A, et al. Elder abuse and neglect in Ireland: results from a national prevalence survey. Age Ageing. 2012;41(1):98-103.
[20]Oh J, Kim HS, Martins D, Kim H. A study of elder abuse in Korea. Int J Nurs Stud. 2006;43(2):203-14.
[21]Dong XQ, Simon M, Evans D. Cross-sectional study of the characteristics of reported elder self-neglect in a community-dwelling population: findings from a population-based cohort. Gerontology. 2010;56(3):325-34.
[22]Kishimoto Y, Terada S, Takeda N, Oshima E, Honda H, Yoshida H, et al. Abuse of people with cognitive impairment by family caregivers in Japan (a cross-sectional study). Psychiatry Res. 2013;209(3):699-704.
[23]Wu L, Chen H, Hu Y, Xiang H, Yu X, Zhang T, et al. Prevalence and associated factors of elder mistreatment in a rural community in People's Republic of China: a cross-sectional study. PloS one. 2012;7(3):e33857.
[24]Lachs MS, Pillemer K. Elder abuse. Lancet. 2004;364(9441):1263-72.
[25]Eshaghi SR, Shahsanai A, Mellat Ardakani M. Assessment of the physical activity of elderly population of Isfahan, Iran. Jo Isfahan Med Sch. 2011;29(147):939-46. [Persian]
[26]Heravi-Karimooi M, Anoosheh M, Foroughan M, Sheykhi MT, Hajizadeh E. Designing and determining psychometric properties of the Domestic Elder Abuse Questionnaire. Iran J Ageing. 2010;5(1):7-21. [Persian]
[27]Santos CM, De Marchi RJ, Martins AB, Hugo FN, Padilha DM, Hilgert JB. The prevalence of elder abuse in the Porto Alegre metropolitan area. Braz Oral Res. 2013;27(3):197-202.
[28]Paveza GJ, Cohen D, Eisdorfer C, Freels S, Semla T, Ashford JW, et al. Severe family violence and Alzheimer's disease: prevalence and risk factors. Gerontologist. 1992;32(4):493-7.
[29]Pillemer K, Suitor JJ. Violence and violent feelings: What causes them among family caregivers? J Gerontol. 1992;47(4):S165-72.
[30]Miller RB, Dodder R. The abused-Abuser dyad: Elder abuse in the state of Florida. In Ingmore SR, Filinson R, editors. Elder abuse: Practice and policy. New York: Human Sciences Press; 1989. p. 166-78.
[31]Bendik MF. Reaching the breaking point: dangers of mistreatment in elder caregiving situations. J Elder Abuse Negl. 1993;4(3):39-60.
[32]Garre‐Olmo J, Planas‐Pujol X, López‐Pousa S, Juvinyà D, Vilà A, Vilalta‐Franch J. Prevalence and risk factors of suspected elder abuse subtypes in people aged 75 and older. J Am Geriatr Soc. 2009;57(5):815-22.
[33]Morowatisharifabad MA, Rezaeipandari H, Dehghani A, Zeinali A. Domestic elder abuse in Yazd, Iran: a cross-sectional study. Health Promot Perspect. 2016;6(2):104-10.
[34]Ziloochi MH, Pourreza A, Akbari F, Rahimi Forooshani A. Evaluating the hospitalization costs for elderly patients in teaching hospitals of Kashan university of medical sciences during 2009-10. Feyz. 2012;16(1):86-94. [Persian]
[35]Sibley KM, Voth J, Munce SE, Straus SE, Jaglal SB. Chronic disease and falls in community-dwelling Canadians over 65 years old: a population-based study exploring associations with number and pattern of chronic conditions. BMC Geriatr. 2014;14(1):22.
[36]Woolf LM. Elder abuse and neglect. Webster Univ. 1998.
[2]Goh VH. Aging in Asia: A cultural, socio-economical and historical perspective. Aging Male. 2005;8(2):90-6.
[3]Amir-Sadri A, Soleimani H. Elderly phenomena and its outcomes in IRAN. J Hyg Health. 2005;1(2):19-35. [Persian]
[4]Lowenstein A. Elder Abuse and Neglect-“Old Phenomenon”: New Directions for Research, Legislation, and Service Developments: (2008 Rosalie S. Wolf memorial elder abuse prevention award-international category lecture). J Elder Abuse Negl. 2009;21(3):278-87.
[5]Heravi-Karimooi M, Rejeh N, Montazeri A. Health-related quality of life among abused and non-abused elderly people: a comparative study. Payesh. 2013;12(5):479-88. [Persian
[6]Lloyd-Sherlock P, Penhale B, Ayiga N. Financial abuse of older people in low and middle-income countries: the case of South Africa. J Elder Abuse Negl. 2018;30(3):236-46.
[7]Yon Y, Mikton CR, Gassoumis ZD, Wilber KH. Elder abuse prevalence in community settings: a systematic review and meta-analysis. Lancet Glob Health. 2017;5(2):e147-56.
[8]Dong X. Elder self-neglect: research and practice. Clin Interv Aging. 2017;12:949-54.
[9]Acierno R, Hernandez-Tejada MA, Anetzberger GJ, Loew D, Muzzy W. The national elder mistreatment study: an 8-year longitudinal study of outcomes. J Elder Abuse Negl. 2017;29(4):254-69.
[10]Yan E, Chan KL, Tiwari A. A systematic review of prevalence and risk factors for elder abuse in Asia. Trauma, Violence Abuse. 2015;16(2):199-219.
[11]Cooper C, Selwood A, Livingston G. The prevalence of elder abuse and neglect: a systematic review. Age Ageing. 2008;37(2):151-60.
[12]Danesh MJ, Chang AL. The role of the dermatologist in detecting elder abuse and neglect. J Am Acad Dermatol. 2015;73(2):285-93.
[13]Dong X. Elder abuse in Chinese populations: a global review. J Elder Abuse Negl. 2015;27(3):196-232.
[14]Yan E, Chan KL. Prevalence and correlates of intimate partner violence among older Chinese couples in Hong Kong. Int Psychogeriatr. 2012;24(9):1437-46.
[15]Switzer JA, Michienzi AE. Elder abuse: an update on prevalence, identification, and reporting for the orthopaedic surgeon. J Am Acad Orthop Surg. 2012;20(12):788-94.
[16]Manoochehri H, Ghorbi B, Hosseini M, Nasiri Oskooei N, Karbakhsh Davari M. Degree and types of domestic abuse in the elderly referring to Parks of Tehran. Adv Nurs Midwifery. 2009;18(63):39-45. [Persian]
[17]Karimi M, Elahi N. Elderly abuse in Ahwaz city and its relationship with individual and social characteristics. Iran J Ageing. 2008;3(1):42-7. [Persian]
[18]Heravi-Karimooi M, Rejeh N, Foroughan M, Montazeri A. Elderly abuse rates within family among members of senior social clubs in Tehran. Iran J Ageing. 2012;6(4):37-50. [Persian
[19]Naughton C, Drennan J, Lyons I, Lafferty A, Treacy M, Phelan A, et al. Elder abuse and neglect in Ireland: results from a national prevalence survey. Age Ageing. 2012;41(1):98-103.
[20]Oh J, Kim HS, Martins D, Kim H. A study of elder abuse in Korea. Int J Nurs Stud. 2006;43(2):203-14.
[21]Dong XQ, Simon M, Evans D. Cross-sectional study of the characteristics of reported elder self-neglect in a community-dwelling population: findings from a population-based cohort. Gerontology. 2010;56(3):325-34.
[22]Kishimoto Y, Terada S, Takeda N, Oshima E, Honda H, Yoshida H, et al. Abuse of people with cognitive impairment by family caregivers in Japan (a cross-sectional study). Psychiatry Res. 2013;209(3):699-704.
[23]Wu L, Chen H, Hu Y, Xiang H, Yu X, Zhang T, et al. Prevalence and associated factors of elder mistreatment in a rural community in People's Republic of China: a cross-sectional study. PloS one. 2012;7(3):e33857.
[24]Lachs MS, Pillemer K. Elder abuse. Lancet. 2004;364(9441):1263-72.
[25]Eshaghi SR, Shahsanai A, Mellat Ardakani M. Assessment of the physical activity of elderly population of Isfahan, Iran. Jo Isfahan Med Sch. 2011;29(147):939-46. [Persian]
[26]Heravi-Karimooi M, Anoosheh M, Foroughan M, Sheykhi MT, Hajizadeh E. Designing and determining psychometric properties of the Domestic Elder Abuse Questionnaire. Iran J Ageing. 2010;5(1):7-21. [Persian]
[27]Santos CM, De Marchi RJ, Martins AB, Hugo FN, Padilha DM, Hilgert JB. The prevalence of elder abuse in the Porto Alegre metropolitan area. Braz Oral Res. 2013;27(3):197-202.
[28]Paveza GJ, Cohen D, Eisdorfer C, Freels S, Semla T, Ashford JW, et al. Severe family violence and Alzheimer's disease: prevalence and risk factors. Gerontologist. 1992;32(4):493-7.
[29]Pillemer K, Suitor JJ. Violence and violent feelings: What causes them among family caregivers? J Gerontol. 1992;47(4):S165-72.
[30]Miller RB, Dodder R. The abused-Abuser dyad: Elder abuse in the state of Florida. In Ingmore SR, Filinson R, editors. Elder abuse: Practice and policy. New York: Human Sciences Press; 1989. p. 166-78.
[31]Bendik MF. Reaching the breaking point: dangers of mistreatment in elder caregiving situations. J Elder Abuse Negl. 1993;4(3):39-60.
[32]Garre‐Olmo J, Planas‐Pujol X, López‐Pousa S, Juvinyà D, Vilà A, Vilalta‐Franch J. Prevalence and risk factors of suspected elder abuse subtypes in people aged 75 and older. J Am Geriatr Soc. 2009;57(5):815-22.
[33]Morowatisharifabad MA, Rezaeipandari H, Dehghani A, Zeinali A. Domestic elder abuse in Yazd, Iran: a cross-sectional study. Health Promot Perspect. 2016;6(2):104-10.
[34]Ziloochi MH, Pourreza A, Akbari F, Rahimi Forooshani A. Evaluating the hospitalization costs for elderly patients in teaching hospitals of Kashan university of medical sciences during 2009-10. Feyz. 2012;16(1):86-94. [Persian]
[35]Sibley KM, Voth J, Munce SE, Straus SE, Jaglal SB. Chronic disease and falls in community-dwelling Canadians over 65 years old: a population-based study exploring associations with number and pattern of chronic conditions. BMC Geriatr. 2014;14(1):22.
[36]Woolf LM. Elder abuse and neglect. Webster Univ. 1998.