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1.
BMJ Open ; 12(5): e060314, 2022 May 04.
Artículo en Inglés | MEDLINE | ID: mdl-35508341

RESUMEN

INTRODUCTION: Elder abuse is prevalent and associated with different forms of ill health. Despite this, healthcare providers are often unaware of abusive experiences among older patients and many lack training about elder abuse. The overall aim of this study is to determine the effectiveness of an educational intervention on healthcare providers' propensity to ask older patients questions about abusive experiences. METHODS AND ANALYSIS: Healthcare providers at hospital clinics and primary healthcare centres in Sweden will undergo full-day education about elder abuse between the fall of 2021 and spring of 2023. The education consists of (1) theory and group discussions; (2) forum theatre, a form of interactive theatre in which participants are given the opportunity to practise how to manage difficult patient encounters; and (3) post-training reflection on changing practices.The design is a non-randomised cluster, stepped wedge trial in which all participants (n=750) gradually transit from control group to intervention group with 6-month interval, starting fall 2021. Data are collected using the Responding to Elder Abuse in GERiAtric care-Provider questionnaire which was distributed to all clusters at baseline. All participants will also be asked to answer the questionnaire in conjunction with participating in the education as well as at 6-month and 12-month follow-up. Main outcome is changes in self-reported propensity to ask older patients questions about abuse post-intervention compared with pre-intervention. Linear mixed models including cluster as a random effect will be used to statistically evaluate the outcome. ETHICS AND DISSEMINATION: The study has been approved by the Swedish Ethical Review Authority. The results will be published in peer-reviewed journals and conference proceedings. If the intervention is successful, a manual of the course content will be published so that the education can be disseminated to other clinics. TRIAL REGISTRATION NUMBER: NCT05065281.


Asunto(s)
Abuso de Ancianos , Anciano , Abuso de Ancianos/prevención & control , Personal de Salud/educación , Humanos , Encuestas y Cuestionarios , Suecia
2.
Violence Against Women ; 28(8): 1750-1772, 2022 06.
Artículo en Inglés | MEDLINE | ID: mdl-35475662

RESUMEN

Although there is a growing volume of research on violence against women, violence against older women has received little attention to date. Little is known about the experience of elder abuse, discrimination, loneliness, and health among older women, in particular in the era of COVID-19 when our lives have been changed drastically. Using two waves of survey data (N = 1,498), this study compared the estimates of elder abuse and age discrimination before and during the COVID-19 pandemic, examined their associations with physical and mental health, and explored the mediating effects of loneliness on the associations in two independent samples of older women in Hong Kong. Reductions in some forms of abuse and discrimination against older women during the pandemic were observed. Findings from regression analyses show that elder abuse and age discrimination were associated with poorer health, and these associations were mediated by loneliness.


Asunto(s)
COVID-19 , Abuso de Ancianos , Anciano , Abuso de Ancianos/psicología , Femenino , Hong Kong/epidemiología , Humanos , Pandemias , Factores de Riesgo , Encuestas y Cuestionarios
3.
BMC Geriatr ; 22(1): 317, 2022 Apr 11.
Artículo en Inglés | MEDLINE | ID: mdl-35410152

RESUMEN

BACKGROUND: The prevalence of elder abuse in various parts of the world has been reported between 2.2 and 90.4%. According to some studies conducted in India, elder abuse prevalence ranges between 9.6 to 61.7%. Yet, elder abuse is an underreported issue. Most available evidence shows the involvement of close family members and caregivers in the abuse of older adults. Several factors associated with various forms of elder abuse need to be studied further. This study has attempted to capture the prevalence, pattern and associated factors of elder abuse in urban slums. METHODS: This study was a cross-sectional community-based study conducted between August 2019 to August 2020 in an urban field practice area of the All India Institute of Medical Sciences, Bhubaneswar. It covers four wards of the Bhubaneswar Municipal Corporation, served by the Urban Primary Health Centre, IRC Village, Nayapalli. A total of 360 participants aged 60 years and above were included in this study. They were interviewed using various semi-structured interview schedules. Validated study tools such as Activities of Daily Living (ADL- Barthel Index), Hindi Mental Scale Examination (HMSE), Geriatric Depression Scale (GDS), and Vulnerability to Abuse Screening Scale (VASS) were also used to assess various factors. RESULTS: Approximately one in five (19.4%) older adults reported some form of abuse. The types of elder abuse reported were physical abuse in 12 (3.3%), verbal abuse in 25 (6.9%), emotional abuse in 40 (11.1%), and financial abuse in 15 (4.2%) older adult participants. The sons and daughters-in-law of the older adult participants were the main perpetrators of abuse reported. Depression and past history of abuse were found significantly associated with any type of abuse. CONCLUSIONS: The prevalence of elder abuse in this study was considerably high, with 70 (19.4%) out of the 360 participants reporting some form of abuse. Emotional abuse was the most reported, and physical abuse was the least reported type. The most common perpetrators were those on whom the older adults depended, like their sons and daughters-in-law.


Asunto(s)
Abuso de Ancianos , Áreas de Pobreza , Actividades Cotidianas , Anciano , Estudios Transversales , Abuso de Ancianos/psicología , Humanos , India/epidemiología , Prevalencia , Factores de Riesgo
4.
BMC Geriatr ; 22(1): 256, 2022 Mar 28.
Artículo en Inglés | MEDLINE | ID: mdl-35351038

RESUMEN

BACKGROUND: Elder abuse is underreported and undertreated. Methods for prevention and intervention are being developed, but the knowledge guiding such measures is often insufficiently based on the victims' own voices due to a paucity of studies. The aim of this study was therefore to explore experiences of elder abuse among the victims themselves. METHODS: Consecutive inpatients ≥ 65 years of age at a hospital clinic in Sweden were invited to participate, and 24 victims of elder abuse were identified. Semi-structured qualitative interviews were conducted, and transcripts were analyzed using qualitative content analysis. RESULTS: The analysis generated four themes that together give a comprehensive picture of elder abuse from the participants' subjective perspectives. The participants' experiences of abuse were similar to previous third-party descriptions of elder abuse and to descriptions of abuse among younger adults, but certain aspects were substantially different. Vulnerability due to aging and diseases led to dependance on others and reduced autonomy. Rich descriptions were conveyed of neglect, psychological abuse, and other types of abuse in the contexts of both care services and family relations. CONCLUSIONS: Elder abuse is often associated with an individual vulnerability mix of the aging body, illnesses, and help dependence in connection with dysfunctional surroundings. As individual differences of vulnerability, exposure to violence, and associated consequences were so clear, this implies that components of prevention and intervention should be individually tailored to match the needs and preferences of older victims.


Asunto(s)
Abuso de Ancianos , Anciano , Abuso de Ancianos/prevención & control , Humanos , Investigación Cualitativa , Suecia/epidemiología
5.
J Gerontol Nurs ; 48(4): 21-25, 2022 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-35343841

RESUMEN

Elder abuse is a global call to action. Nurses have a primary role to play in its detection and prevention. Globally, demographic change is creating an increasing number of older adults. Consequently, this increased number of people will be affected by age discrimination and ageism, both of which contribute to elder abuse. Despite the existence of the Universal Declaration of Human Rights, older adults are not recognized explicitly under the international human rights laws that legally oblige governments to address the rights of all people. Drawing initially on global conversations specific to elder abuse and the role of nurses, the current article explores the challenges of recognizing and combating elder abuse. To provide specific gerontological nursing strategies, recognition is given to actions implemented in Canada to address this major health challenge. The desired outcome is an advocacy framework for gerontological nurses to use in working toward the recognition and prevention of elder abuse. [Journal of Gerontological Nursing, 48(4), 21-25.].


Asunto(s)
Abuso de Ancianos , Enfermería Geriátrica , Anciano , Canadá , Abuso de Ancianos/diagnóstico , Abuso de Ancianos/prevención & control , Humanos
6.
West Afr J Med ; 39(2): 183-192, 2022 Feb 28.
Artículo en Inglés | MEDLINE | ID: mdl-35278286

RESUMEN

BACKGROUND: Elder abuse is a growing concern globally and the consequences can be detrimental to the wellbeing of the elderly. In Nigeria, it is a hidden problem, under-reported with limited national response. This study compared the prevalence and pattern of elder abuse and its determinants between urban and rural communities in Benin-City. METHODS: A comparative cross-sectional analytical studywas conducted among 445 urban and 468 rural elderly respondents selected using multi-stage sampling technique. Data was collected using a structured interviewer-administered questionnaire and analysed by IBM SPSS version 23.0. Descriptive and inferential statistics were done with level of significance set at p<0.05. RESULTS: The lifetime prevalence of elder abuse was 18.6% and 17.6% while the one-year prevalence was 14.7% and 13.3% in the rural and urban areas, respectively. The most common was psychological abuse (86.2% vs 84.2%) while the least was sexual abuse (3.4% vs 9.2%) in rural and urban areas, respectively. The predictors of elder abuse in the urban area were low level of education (aOR=2.080; 95%CI=1.031-4.196), poor social support (aOR=2.249; 95%CI=1.005-5.033) and social dissatisfaction (aOR=9.308; 95%CI=3.876-22.353) while predictors in the rural area included male gender (aOR=2.051; 95%CI=1.042-4.036), poor social support (aOR=3.555; 95%CI=1.642-7.696), social dissatisfaction (aOR=65.320; 95%CI=21.656-97.022) and good social network (aOR= 0.261; 95%CI=0.092-0.739). CONCLUSION: Elder abuse is not uncommon in our environment and the pattern is in consonance with the global typologies. Appropriate strategies to raise awareness on this emerging public health concern and establishing a holistic policy to respond to the problem and care for the elderly are recommended.


BACKGROUND: La maltraitance des personnes âgées est une préoccupation croissante dans le monde entier, et ses conséquences peuvent être préjudiciables au bien-être des personnes âgées. Au Nigéria, il s'agit d'un problème caché, insuffisamment signalé avec une réponse nationale limitée. Cette étude a comparé la prévalence et le modèle de la maltraitance des personnes âgées et ses déterminants entre les communautés urbaines et rurales de la ville de Bénin. MÉTHODES: Une étude analytique transversale comparative a été menée auprès de 445 personnes âgées en milieu urbain et 468 en milieu rural sélectionnées à l'aide d'une technique d'échantillonnage à plusieurs degrés. Les données ont été recueillies à l'aide d'un questionnaire structuré administré par un enquêteur, et analysées par la version 23.0 du IBM SPSS. Des statistiques descriptives et inférentielles ont été réalisées avec un niveau de signification fixé à p<0,05. de signification fixé à p<0,05. RÉSULTATS: La prévalence à vie de la maltraitance des personnes âgées était de 18,6 % et 17,6 %, tandis que la prévalence sur un an était de 14,7 % et 13,3 % dans les zones rurales et urbaines respectivement. La plus fréquente était l'abus psychologique (86,2% vs 84,2 %) et la moins fréquente était l'abus sexuel (3,4 % vs 9,2 %) dans les zones rurales et urbaines, respectivement. Les prédicteurs de la maltraitance des personnes âgées dans la zone urbaine étaient un faible niveau d'éducation (aOR=2,080; 95%CI=1,031-4,196), soutien social insuffisant (aOR=2,249; 95%CI=1,005-5,033) et l'insatisfaction sociale (aOR=9,005 ; 95%CI=1,005-5,033), sociale (aOR=9,308; 95%CI=3,876-22,353), tandis que les prédicteurs prédicteurs dans la zone rurale comprenaient le sexe masculin (aOR=2,051; 95%CI=1,042-4,036), un faible soutien social (aOR=3,555; 95%CI=1,642-7,696), l'insatisfaction sociale (aOR=65,320; 95%CI=21,656-97,022) et un bon réseau social (aOR= 0,261; 95%CI=0,092-0,739). CONCLUSION: La maltraitance des personnes âgées n'est pas rare dans notre environnement et le modèle est en consonance avec les typologies mondiales. Des stratégies appropriées pour sensibiliser à cette problème de santé publique émergent et l'établissement d'une politique politique holistique pour répondre au problème et prendre soin des personnes âgées recommandées. Mots clés: Maltraitance des personnes âgées; Prévalence; Modèle; Déterminants; Ville de Bénin.


Asunto(s)
Abuso de Ancianos , Anciano , Estudios Transversales , Abuso de Ancianos/psicología , Humanos , Masculino , Nigeria/epidemiología , Prevalencia , Factores de Riesgo , Población Rural
7.
Arch Gerontol Geriatr ; 100: 104656, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35176530

RESUMEN

OBJECTIVES: Elder abuse is a growing global public health concern. Previous studies have reported that elder abuse increases the risk of dementia; however, to the best of our knowledge, no studies have investigated the association between different types of abuse and dementia onset yet. This study, therefore, investigated the association between physical, psychological, and financial abuses and dementia onset in independent older adults in Japan. METHODS: A 6-year prospective cohort data from the Japan Gerontological Evaluation Study (JAGES) were collected in 2010 through a mail survey conducted among 5,674 men and 6,562 women aged ≥65 years across Japan. Dementia was assessed using the nationally standardized dementia scale proposed by the Ministry of Health, Labor and Welfare. Poisson regression analysis was performed separately for each type of abuse to calculate the incidence rate ratios and 95% confidence intervals. RESULTS: During follow-up, 552 (9.7%) men and 728 (11.1%) women developed dementia. After adjusting for potential confounders, participants who experienced financial abuse were 1.53 (1.09-2.16) times more likely to develop dementia than those who did not. On the other hand, participants who experienced physical abuse were 1.53 (0.92-2.56) times more likely and those who experienced psychological abuse were 0.98 (0.82-1.17) times less likely to develop dementia than participants who did not experience such abuses. However, the difference was not significant. CONCLUSION: Financial abuse may promote dementia among older adults in Japan, suggesting that preventing this abuse may help prevent dementia onset. However, further studies with larger data sets are warranted.


Asunto(s)
Demencia , Abuso de Ancianos , Anciano , Demencia/epidemiología , Femenino , Humanos , Japón/epidemiología , Estudios Longitudinales , Masculino , Estudios Prospectivos , Factores de Riesgo
8.
Soc Sci Med ; 297: 114835, 2022 03.
Artículo en Inglés | MEDLINE | ID: mdl-35219049

RESUMEN

BACKGROUND AND AIM: The World Health Organization has identified child abuse, intimate partner violence (IPV), and elder abuse (EA) as common types of interpersonal violence. Research showed individuals exposed to interpersonal violence in one life stage were at higher risks of exposure to interpersonal violence in other life stages. This study aims to examine the relationship between cumulative interpersonal violence and cognitive function. METHODS: Data were derived from the PINE Study in which 3,157 Chinese older adults aged 60 and above received interviews in Chicago. We used a 56-item modified Conflict Tactics Scale to evaluate EA. Abuse history was defined as exposure to child abuse (before age 18) and/or IPV (age 18-59) measured respectively by the Extended Hurt, Insult, Threaten, Scream scale. We divided participants into four groups: EA and abuse history (n = 204), EA only (n = 439, reference group), abuse history only (n = 310), and no interpersonal violence (n = 2181). Global cognition was evaluated by episodic memory, working memory, processing speed, and MMSE. Linear regression was used. RESULTS: Older adults with EA and abuse history (b = 0.147, SE = 0.052, p < .01) or abuse history only (b = 0.118, SE = 0.046, p < .01) had higher global cognition than the EA only group. CONCLUSIONS: Individuals with abuse history might develop resilience in the face of interpersonal violence in old age through gaining a sense of mastery and developing effective coping skills from prior experience. Healthcare professionals could assess older adults' prior victimizations and recent victimizations to plan family violence counseling and promote healthy cognitive aging.


Asunto(s)
Maltrato a los Niños , Abuso de Ancianos , Violencia de Pareja , Anciano , Niño , Cognición , Humanos , Vida Independiente
10.
BMC Geriatr ; 22(1): 41, 2022 01 10.
Artículo en Inglés | MEDLINE | ID: mdl-35012475

RESUMEN

BACKGROUND: The victimization of women constitutes a human rights violation and a health risk factor. The central objectives of this study were to analyze the probability of revictimization among older adult Mexican women and to examine whether child abuse (CA) and/or intimate partner violence (IPV) are associated with a greater risk of elder abuse (EA) victimization. METHODS: We conducted a secondary data analysis of 18416 women 60 and older, based on data from the National Survey on the Dynamics of Household Relationships (2016), which is national and subnational representative. A descriptive analysis was carried out using retrospective self-reports of victimization experiences (CA, IPV, and EA). The prevalence of victimization and multiple victimizations in the various stages of the lives of women, as well as of revictimization among older adult women were obtained. Bayesian logistic regression models were used to examine the associations between victimization, multiple victimization, and EA victimization. RESULTS: A total of 17.3% of the older adult women reported EA in the last year; of these, 81.0% had been revictimized and 14.0% reported CA, IPV, and EA. The risk of EA rose among women who reported a combination of psychological and sexual CA, and psychological, physical and sexual CA and psychological and sexual IPV, and a psychological, economic, physical and sexual IPV. EA was higher among women who had suffered more than one type of violence. CONCLUSION: CA and IPV, particularly sexual abuse and psychological violence, can be risk factors for EA. Screening tools used to prevent and detect EA should include questions about domestic violence over the course of a person's lifetime.


Asunto(s)
Víctimas de Crimen , Abuso de Ancianos , Violencia de Pareja , Anciano , Teorema de Bayes , Femenino , Humanos , Estudios Retrospectivos
11.
J Elder Abuse Negl ; 34(1): 56-69, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35000556

RESUMEN

Our aim was to assess the psychometric properties and reliability of a Polish version of the VASS. This cross-sectional validation study involved 228 patients above 65 years of age. Authors-Designed Questionnaire, the Geriatric Depression Scale, and the Activities of Daily Living Scale were used to assess construct validity. Psychometric properties, reliability and repeatability were assessed. Cronbach's alpha coefficient for the VASS scale was 0.89. Almost all items showed a high correlation value in relation to the others (R > 0.45). A high coefficient of repeatability and narrow limits of agreement were observed in the Bland-Altman analysis. All items analyzed had excellent intraclass correlation coefficient (ICC>0.9) and weighted kappa (κ > 0.9) scores. Very strong, significant correlations with other tools confirm the accuracy of the VASS scale. Our research shows promising validity and reliability Polish version of the VASS scale to assess the risk of elder abuse and neglect.


Asunto(s)
Actividades Cotidianas , Abuso de Ancianos , Anciano , Estudios Transversales , Abuso de Ancianos/diagnóstico , Humanos , Polonia , Psicometría , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
12.
J Elder Abuse Negl ; 34(1): 1-19, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35023814

RESUMEN

The current study aimed to clarify the relationships among loneliness, susceptibility to persuasion, self-control, and vulnerability to fraud among older adults. Especially, we wanted to investigate whether susceptibility to persuasion mediates the association between loneliness and vulnerability to fraud, and whether self-control moderates the relationship in this process. A moderated mediation model was examined with 252 Chinese older adults (Mage = 67.94, SD = 6.27) who completed questionnaires regarding loneliness, susceptibility to persuasion, self-control, and vulnerability to fraud. The results revealed that loneliness significantly predicted older adults' vulnerability to fraud and susceptibility to persuasion partially mediated this relationship. Moreover, this mediating effect was only significant for older adults with low self-control. These findings enrich our understanding of how loneliness affects older adults' vulnerability to fraud and provide practical guidance for establishing protections against fraud targeting older adults.


Asunto(s)
Abuso de Ancianos , Soledad , Anciano , Fraude , Humanos , Comunicación Persuasiva , Encuestas y Cuestionarios
13.
J Elder Abuse Negl ; 34(1): 77-92, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35034566

RESUMEN

As federal agencies support the development of data systems for adult protective services (APS), researchers and practitioners are increasingly using administrative data to study types of adult maltreatment, including self-neglect, and the systems that respond to them. To date, however, APS has worked with little guidance about how best to use these data. This situation has contributed to inconsistent findings and uneven quality of research. Based on the authors' experience in multiple states and using examples from research and practice, this paper reviews practical considerations related to organizing and analyzing APS administrative data. We address concerns related to time-limited, erroneous, and missing data, as well as defining metrics and accounting for the multilevel structure of data with repeated observations. Reviewing these methodological details can help APS practitioners strengthen quality assurance processes and improve research in this important area.


Asunto(s)
Abuso de Ancianos , Autoabandono , Anciano , Abuso de Ancianos/prevención & control , Agencias Gubernamentales , Humanos , Bienestar Social
14.
J Contin Educ Nurs ; 53(1): 30-34, 2022 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-34978479

RESUMEN

One of the current worldwide public health problems is elderly financial abuse (EFA). Although EFA remains a hidden social phenomenon, it has been recognized as a serious concern in the United States, and currently, one in 18 cognitively intact older adults is affected by EFA. Detecting EFA is difficult because the perpetrators are often family members, trusted friends, or guardians. Thus, EFA is frequently unrecognized and grossly under-reported. In the coming decades, EFA will increase as the elderly population continues to grow rapidly worldwide. This article highlights the magnitude of the problem and the role of nurses and other health care providers in identifying, intervening in, and reporting EFA. [J Contin Educ Nurs. 2022;53(1):30-34.].


Asunto(s)
Abuso de Ancianos , Rol de la Enfermera , Anciano , Personal de Salud , Humanos , Estados Unidos
15.
Artículo en Inglés | MEDLINE | ID: mdl-34695267

RESUMEN

OBJECTIVE: Elder abuse (EA) is a critical social, health, and economic issue worldwide. To date, there is limited information on EA in certain similar culture-specific subpopulations, especially in East Asia. This study aims to summarize EA incidence in East Asia through a systematic review and meta-analysis and identify its variations and heterogeneity in the incidence estimates. METHODS/DESIGN: The study followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses protocol. Systematic review registration number PROSPERO CRD42020197131. A systematic literature search was performed to identify relevant articles published before July 5th, 2020, from six electronic databases. Two reviewers screened for relevance of the studies against eligible criteria and assessed the bias of the included studies independently. A random-effect model was adopted to estimate the incidence of EA, followed by subgroup analyses and multi meta-regression. Sensitivity and publication bias tests were performed to verify the robustness of the meta-analysis by Stata version 15.1. RESULTS: Twelve eligible studies were included in the meta-analysis, which involved 79,395 subjects from 3 East Asian countries (China, Japan, and South Korea) ranging from 2004 to 2020. The overall incidence of EA was 78.33 per 1000 person-year (95% CI: 39.12-156.87) with high between-study variability (χ2  = 15,568, d.f. = 11, p<0.001; I2  = 99.9%). The sampling method, sample size, scope, instrument, data collection method, income classification, types of participants, and urbanity are all the sources of heterogeneity, which can explain nearly 100% of the variance between studies. CONCLUSIONS: The incidence of EA in this study is not as high as the global level. It may be furtherly underestimated in East Asia due to cultural norms. It is imperative to develop a culture-tailored EA assessment instrument to evaluate potential victims. Future studies should also identify more effective educational programs to raise the public's awareness and promote recognition ability.


Asunto(s)
Abuso de Ancianos , Anciano , China , Lejano Oriente/epidemiología , Humanos , Incidencia , Japón
16.
Artículo en Inglés | MEDLINE | ID: mdl-34633703

RESUMEN

OBJECTIVE: This meta-analysis investigated the relationships between chronic diseases and different forms of elder mistreatment (physical, emotional, sexual, financial, neglect, or overall abuse). METHOD: Twelve different chronic disease risk markers linked to elder mistreatment were gathered from 48 studies (yielding 178 effect sizes (ESs) and a combined sample size of n = 390,785), then organized in to four broad chronic disease categories: endocrine disease, heart disease, neurological disease, and other chronic diseases. Data were analyzed with Comprehensive Meta-Analysis Software using a random effects approach. RESULTS: Neurological disease (odds ratio [OR] = 1.51), endocrine disease (OR = 1.38), heart disease (OR = 1.17), and other chronic diseases (OR = 1.26) were all significantly associated with elder mistreatments. Neurological disease (OR = 1.51) was found to have a significantly stronger association with elder mistreatment when compared to the heart disease category (OR = 1.17) and the other chronic disease category (OR = 1.26). When specifically investigating emotional abuse, there was a significantly stronger link with neurological disease (OR = 1.48) compared to other chronic diseases (OR = 1.21). CONCLUSIONS: This study provides the first meta-analytic benchmarks for understanding the links between chronic disease risk markers and different forms of elder mistreatment.


Asunto(s)
Abuso de Ancianos , Anciano , Enfermedad Crónica , Humanos , Oportunidad Relativa
17.
J Appl Gerontol ; 41(4): 945-951, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-34878330

RESUMEN

OBJECTIVE: Informed by Family Systems Theory, this study examines the interwoven nature of intergenerational family structures and roles in which elder family financial exploitation (EFFE) takes place. METHOD: Data from a mixed-methods study were utilized to examine patterns of family structures and roles within and across 23 family systems. Participants were non-perpetrator/non-victim concerned family members (CFMs) who had experienced EFFE. RESULTS: Four family context profiles were identified, organized by the number and roles of victim(s) and perpetrator(s) in each family system, including: Single victim, Single perpetrator; Single victim, Multiple perpetrators; Two victims, Single perpetrator; and Two victims, Multiple perpetrators. It is possible for multiple perpetrators to be involved, with up to five perpetrators across three generations in our sample. DISCUSSION: Findings offer insight into the range of intergenerational family structures and roles affected by EFFE. Practitioners are encouraged to understand and address family contexts to improve EFFE intervention outcomes.


Asunto(s)
Víctimas de Crimen , Abuso de Ancianos , Anciano , Relaciones Familiares , Humanos
19.
Eur Geriatr Med ; 13(1): 53-85, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-34514555

RESUMEN

PURPOSE: Elder abuse is a worldwide problem with serious consequences for individuals and society. The recognition of elder abuse is complex due to a lack of awareness and knowledge. In this systematic review, types, characteristics and anatomic location of physical signs in elder abuse were identified. METHODS: Databases of MEDLINE, COCHRANE, EMBASE and CINAHL were searched. The publication dates ranged from March 2005 to July 2020. In addition to the electronic searches, the reference lists and citing of included articles were hand-searched to identify additional relevant studies. The quality of descriptive and mixed-methods studies was assessed. RESULTS: The most commonly described physical signs in elder abuse were bruises. The characteristics of physical signs can be categorized into size, shape and distribution. Physical signs were anatomically predominantly located on the head, face/maxillofacial area (including eyes, ears and dental area), neck, upper extremities and torso (especially posterior). Physical signs related to sexual elder abuse were mostly located in the genital and perianal area and often accompanied by a significant amount of injury to non-genital parts of the body, especially the area of the head, arms and medial aspect of the thigh. CONCLUSIONS: Most common types, characteristics and anatomic location of physical signs in elder abuse were identified. To enhance (early) detection of physical signs in elder abuse, it is necessary to invest in (more) in-depth education and to include expertise from a forensic physician or forensic nurse in multidisciplinary team consultations.


Asunto(s)
Contusiones , Abuso de Ancianos , Anciano , Abuso de Ancianos/diagnóstico , Cabeza , Humanos , Cuello , Torso
20.
Orthopedics ; 45(1): 50-56, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-34734777

RESUMEN

Approximately 10% of US adults experience elder abuse, which often manifests as musculoskeletal and soft tissue injuries. The goal of our study was to determine the rate of elder abuse among orthopedic surgery patients and characterize which patients may be at an increased risk. National Inpatient Sample Healthcare Cost and Utilization Project data from 2001 to 2015 were parsed with the Clinical Classifications Software tool. Patients 60 years and older were identified by International Classification of Diseases, Ninth Revision (ICD-9), code for elder abuse. Primary orthopedic procedures and subsequent inpatient diagnoses and comorbidities were used to develop a binary logistic regression model to predict an elder's risk of abuse. Of a total of 20,532,211 admissions for an orthopedic procedure, 0.010% (2084) were classified as elder abuse. Patients with a classification of abuse more commonly were women (74.8% vs 60.6%) and from the lowest socioeconomic quartile by income (28.5% vs 21.7%). In addition, these patients had hospital stays that were twice as long (10.2 vs 5.3 days) and had higher admission mortality rates (4.4% vs 1.2%). No primary orthopedic procedures were associated with a higher risk of elder abuse. Nonorthopedic diagnoses made during admission that were associated with increased risk of abuse included superficial injury or contusion (odds ratio [OR], 3.252), chronic skin ulcer (OR, 3.119), nutritional deficiency (OR, 3.418), fluid and electrolyte disturbances (OR, 1.729), and delirium or dementia (OR, 2.210). The incidence of elder abuse among orthopedic surgery patients is significantly lower than national estimates. This finding warrants further investigation to determine whether it is a function of underreporting or differences in patient populations, given the 4-fold increase in mortality risk. [Orthopedics. 2022;45(1):50-56.].


Asunto(s)
Abuso de Ancianos , Ortopedia , Adulto , Anciano , Comorbilidad , Femenino , Hospitalización , Humanos , Tiempo de Internación , Factores de Riesgo
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