[Socio-demographic determinants of violence in older people in Ecuador]. / Determinantes sociodemográficos de violencia en adultos mayores ecuatorianos.

BACKGROUND AND OBJECTIVE: Older adults are at increased risk of violence. In order to prevent this, it is necessary to identify associated risk factors. The objective of the present study was to determine the association between violence and various socio-demographic factors (age, gender, ethnic group, level of education, and place of residence) in older adults. MATERIAL AND METHODS: Cross-sectional study that included participants from the SABE-Ecuador study, who were selected through probabilistic sampling and came from all over the national territory. Data were analysed with R using ordinal logistic regression models. RESULTS: Sample included 4321 older adults, women (52%) and men (48%), with a mean age of 72 years (SD 8). Having suffered violence was reported in 21.3% (n = 922) of older adults. It was observed that the odds of suffering violence was lower in men than in women (OR = 0.753, p< .001), decreased as age increased (OR = 0.989, p = .012) and decreased as level of education increased (primary vs. no education OR = 0.866, p = .001; secondary vs. no education OR = 0.622, p = .003; higher vs. no education OR = 0.323, p< .001). CONCLUSIONS: Being a woman and having a low level of education is associated with an increased risk of violence in older adults. Reducing gender gap and improving access to education for older adults could reduce their risk of violence.

Burnout syndrome among Ecuadorian medical doctors and nurses during COVID-19 pandemic / Síndrome de Burnout en médicos/as y enfermeros/as ecuatorianos durante la pandemia de COVID-19

Objective: To determine the occurrence and intensity of Burnout Syndrome (SB) in Ecuadorian doctors and nurses during the COVID-19 pandemic.Materials and methods: Observational cross-sectional study. 224 physicians and nurses from establishments of the Ecuadorian comprehensive health network participated. Participants were administered the Maslach Burnout Inventory. Data were analyzed through linear regression models using R.Results: More than 90% of the medical and nursing staff presented moderate-severe SB, which was statistically significantly associated with function (doctor vs. nurse), age and gender. Medical personnel were affected more frequently than nursing personnel, both globally and on the emotional exhaustion and depersonalization subscales.Conclusions: During the COVID-19 pandemine more than 90% of the medical and nursingpersonnel presented moderate to severe SB, with the medical staff being the most frequentlyaffected.

Objetivo: Determinar la ocurrencia e intensidad de Síndrome de Burnout (SB) en médicos y enfermeros/as ecuatorianos/as durante la pandemia del COVID-19.Materiales y métodos: Estudio observacional de corte transversal. Participaron 224 médicos/as y enfermeros/as de establecimientos de la red integral de salud ecuatoriana, a quienes se administró el Inventario de Burnout de Maslach. Se analizaron los datos a través de modelos deregresión lineal usando R.Resultados: Más del 90% del personal médico y de enfermería presento SB moderado-severo, el cual se asoció de manera estadísticamente significativa a función (médico vs. enfermera/o),edad y género. El personal médico es afectado con mayor frecuencia que el personal de enfermería, tanto a nivel global como en las subescalas de agotamiento emocional y despersonalización.Conclusión: Durante la pandemia de COVID-19 más del 90% del personal médico y de enfermería presentó SB moderado a severo, siendo el personal médico el afectado con más frecuencia.