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1.
J Elder Abuse Negl ; 33(4): 311-326, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34496716

RESUMO

Hospital emergency departments (EDs) lack the tools and processes required to facilitate consistent screening and intervention in cases of elder abuse and neglect. To address this need, the National Collaboratory to Address Elder Mistreatment has developed a clinical care model that ED's can implement to improve screening, referral, and linkage to coordinated care and support services for older adults who are at risk of mistreatment. To gauge ED readiness to change and facilitate adoption of the care model, we developed an organizational assessment tool, the Elder Mistreatment Emergency Department Assessment Profile (EM-EDAP). Development included a phased approach in which we reviewed evidence on best practice; consulted with multidisciplinary experts; and sought input from ED staff. Based on this formative research, we developed a tool that can be used to guide EDs in focusing on practice improvements for addressing elder mistreatment that are most responsive to local needs and opportunities.


Assuntos
Abuso de Idosos , Idoso , Serviço Hospitalar de Emergência , Hospitais , Humanos , Programas de Rastreamento , Inquéritos e Questionários
2.
Soins ; 66(858): 39-41, 2021 Sep.
Artigo em Francês | MEDLINE | ID: mdl-34462068

RESUMO

While violence permeates society in many ways, it does not spare any age group. The elderly are particularly exposed to violence and abuse, especially in the current pandemic context, which they suffer without being able or daring to defend themselves. Within "Les Petits Frères des Pauvres" association, the support and advice unit for the fight against abuse is designed to support and assist, at their request, teams of volunteers and/or employees who are faced with the questionare wondering about the best choices to make in complex support situations when there is a suspicion of abuse.


Assuntos
Abuso de Idosos , Idoso , Abuso de Idosos/prevenção & controle , Humanos , Casas de Saúde , Pandemias
3.
J Am Geriatr Soc ; 69(10): 2759-2765, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34409587

RESUMO

Telecommunication assisted forensic assessments of capacity and mistreatment by geriatricians with expertise in elder abuse and self-neglect are helping to meet the demand for such forensic services for Adult Protective Services (APS) clients in remote and underserved areas of Texas. The use of synchronous audiovisual assisted interviews instead of in-person interviews with clients to provide capacity assessments has become more important with the arrival of the COVID-19 pandemic. There is growing interest in establishing similar programs in other states using geriatrician faculty from medical schools to serve the clients of their state Adult Protective Services agencies. The arrangement between APS and the geriatricians at McGovern Medical School in Houston, Texas is novel. The structure of the arrangement is important for the success of the program. Legal, ethical, and practical considerations are discussed in this article, including approaches to the Health Insurance Portability and Accountability Act, physician liability, state law, and resource limitations. It is hoped that sharing how one such collaboration has addressed these important issues will suggest approaches for the structuring of similar programs.


Assuntos
COVID-19 , Abuso de Idosos , Medicina Legal , Avaliação Geriátrica/métodos , Telemedicina , Idoso , COVID-19/epidemiologia , COVID-19/prevenção & controle , Controle de Doenças Transmissíveis/métodos , Abuso de Idosos/diagnóstico , Abuso de Idosos/ética , Abuso de Idosos/legislação & jurisprudência , Abuso de Idosos/prevenção & controle , Medicina Legal/ética , Medicina Legal/legislação & jurisprudência , Medicina Legal/métodos , Humanos , Inovação Organizacional , Avaliação de Programas e Projetos de Saúde , SARS-CoV-2 , Telecomunicações/organização & administração , Telemedicina/ética , Telemedicina/legislação & jurisprudência , Telemedicina/métodos , Estados Unidos/epidemiologia , Populações Vulneráveis
4.
J Elder Abuse Negl ; 33(4): 342-349, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34396934

RESUMO

In I Care a Lot, we follow Marla Grayson, a self-proclaimed "Professional Carer" who makes a living by financially abusing older adults. Elder abuse, financial or otherwise, is seldom explored in cinema and must be handled with care. Cinema can help raise awareness on this social problem and play an important role in the de-stigmatization of older adults. Unfortunately, in our opinion, I Care a Lot fails to do so.


Assuntos
Abuso de Idosos , Idoso , Cuidadores , Humanos , Filmes Cinematográficos , Fatores de Risco
5.
J Elder Abuse Negl ; 33(4): 249-269, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34404329

RESUMO

We investigated the association between type and frequency of elder maltreatment (EM) and residential setting (rural, suburban, and urban settings in the U.S. and northern and southern cities in Europe). We used data on 7,225 participants from European and U.S. cross-sectional studies to estimate rates of EM in three domains in the five settings in logistic-linear models that included setting and demographic variables and tested prespecified contrasts on settings. Northern Europe is similar to the U.S. in rate of financial exploitation; the Mediterranean has higher rates than either of the other two. For emotional and physical maltreatment, the Mediterranean is similar to the U.S; Northern Europe has higher rates. EM differs between and within settings in the U.S. and Europe. There is a need for rigorous research to examine the effects of residential settings and environment on EM. Interventions to reduce EM should be explored.


Assuntos
Abuso de Idosos , Idoso , Estudos Transversais , Europa (Continente)/epidemiologia , Humanos , Prevalência , Fatores de Risco , População Rural , Estados Unidos/epidemiologia
6.
J Elder Abuse Negl ; 33(4): 327-341, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34433374

RESUMO

The study aimed to estimate the associations between elder abuse and poor physical health, poor mental health, and health risk behaviors in older adults in a national community-based survey in India. The study sample included 31,477 older adults (≥60 years) from a cross-sectional national community dwelling survey in India in 2017-2018. Results indicate that the prevalence of elder abuse in the past 12 months was 5.2%. In the adjusted logistic regression analysis, elder abuse was significantly positively associated with poor mental health and poor well-being (low life satisfaction, not happy, insomnia symptoms, depressive symptoms, loneliness, neurological or psychiatric problems, and lower self-rated health status), poor physical health (bone or joint disease, physical pain, gastrointestinal problems, incontinence, functional disability, underweight, and persistent headaches), fall and health care utilization. In addition, in unadjusted analysis, elder abuse was associated with poorer cognitive functioning, current tobacco use, and dizziness. Elder abuse among older adults in India is associated with poor physical health, poor mental health, and health care utilization, emphasizing the need to consider elder abuse in various physical and mental health contexts.


Assuntos
Abuso de Idosos , Vida Independente , Idoso , Estudos Transversais , Humanos , Índia/epidemiologia , Avaliação de Resultados em Cuidados de Saúde , Prevalência , Fatores de Risco
7.
J Elder Abuse Negl ; 33(4): 288-310, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34433375

RESUMO

Abuse of older people is a major challenge for people who are aging. Studies into older people's perspectives on abuse focus mainly on developed countries, while the views of those in sub-Saharan Africa remain largely unheard in social research. To address this imbalance, we report a qualitative study using in-depth semi-structured interviews and focus group discussions to examine older people's perceptions of abuse in Uganda. Thirty-three participants were selected from four districts of Uganda to reflect different locations, levels of development, cultures, and contexts. Behaviors considered abusive were categorized into five themes: economic abuse, harassment and violence, disrespect, neglect and abandonment, and discrimination. Results showed that participants largely viewed their abuse from a cultural perspective, contrary to the West's perception based on a discourse of human rights. The findings show the need for a broader definition that includes the cultural dimensions of the abuse of older people in developing societies.


Assuntos
Abuso de Idosos , Idoso , Envelhecimento , Grupos Focais , Humanos , Pesquisa Qualitativa , Uganda
8.
Washington, D.C.; PAHO; 2021-08-06.
em Português | PAHO-IRIS | ID: phr-54599

RESUMO

A idade é uma das primeiras coisas que percebemos nas outras pessoas. O idadismo, que é o preconceito em relação a idade, surge quando ela é usada para categorizar e dividir as pessoas de maneira a causar prejuízos, desvantagens e injustiças. O Relatório mundial sobre o idadismo: resumo executivo descreve uma estrutura de ação para reduzir esse fenômeno, incluindo recomendações específicas para diferentes atores, como por exemplo, governos, agências da ONU, organizações da sociedade civil e setor privado. Essas estratégias podem ser divididas em três grandes grupos: políticas e leis, atividades educativas e intervenções de contato intergeracional. O documento também reúne as melhores evidências disponíveis sobre a natureza e a magnitude do idadismo, seus determinantes e o seu impacto. Dentre as áreas de ação importantes elencadas nesse contexto estão: investir em estratégias com base científica para prevenir e combater o idadismo; melhorar os dados e as pesquisas para compreender melhor esse fenômeno, assim como as maneiras de reduzi-lo e construir um movimento para mudar o discurso em torno da idade e do envelhecimento. Implementar essas recomendações requer compromisso político, participação de diferentes setores e atores, e adaptações específicas para os diferentes contextos. Quando possível, devem ser implementadas conjuntamente para maximizar o seu impacto. O documento também identifica lacunas e propõe linhas de pesquisa futuras para melhorar a nossa compreensão do idadismo. Dessa forma, este documento demonstra conteúdos e propõe áreas de ação que auxiliam a melhorar a saúde, aumentar as oportunidades, reduzir os custos e permitir que as pessoas prosperem em qualquer idade.


Assuntos
Idoso , Abuso de Idosos , Saúde do Idoso , Envelhecimento Saudável , Envelhecimento
9.
Rev Esc Enferm USP ; 55: e20200528, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34448805

RESUMO

OBJECTIVE: To analyze the risk of violence associated to functional capacity and sociodemographic characteristics of hospitalized elderly. METHOD: Quantitative, cross-sectional, multicenter study conducted with elderly receiving care at university hospitals of the municipalities of João Pessoa and Campina Grande, in the state of Paraíba, Brazil. The scales Katz and Hwalek-Sengstock Elder Abuse Screening Test were applied. The data was analyzed through descriptive and inferential statistics using Chi-squared Pearson test, Spearman correlation test, and multiple logistic regression. RESULTS: The participating elderly amounted to 323. The risk of violence was predominant among female elders aged 60 to 70 who are unable to read or write, live with someone, perform no labor activity, and whose income is higher than a minimum wage. Elders who were dependent for basic and instrumental activities presented a 2.11 score (Confidence Interval = 1.22-3.64; p = 0.000) and 1.70 (1.01-2.85; p = 0.044) and a higher risk of violence. CONCLUSION: Elders who depended on other people to perform both complex and basic activities are the most exposed to situations of violence.


Assuntos
Abuso de Idosos , Idoso , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Modelos Logísticos , Violência
10.
BMC Geriatr ; 21(1): 455, 2021 08 06.
Artigo em Inglês | MEDLINE | ID: mdl-34362311

RESUMO

BACKGROUND: Knowledge translation (KT) is challenging to carry out and assess. The content of a program developed to foster KT activities pertaining to the Elder Abuse Suspicion Index (EASI)©, a tool to help identify elder abuse, is described, along with reporting and analysis of some of its outcomes. METHODS: Enquiries about the use of the EASI were encouraged through completion of a structured questionnaire available on an EASI website. These were submitted by email and guided individualized responses. Descriptive data collated anonymously from the questionnaires described in aggregate corresponders' occupations, countries of work, information needs about the tool, and intent of use. The processes that generated this data were evaluated as to whether they conformed to established elements of KT. RESULTS: One hundred thirty-eight queries were received over 6 years coming from enquirers with 12 different professional backgrounds, working in 25 countries. The information sought aimed to facilitate EASI use in clinical, quality improvement, public health, research, teaching, KT, and commercial ventures. CONCLUSIONS: This activity, incorporating recognized elements of a KT undertaking, documents specific global interests in elder abuse detection. It suggests a model for researchers to gauge interest in their findings and to promote exchange around them.


Assuntos
Abuso de Idosos , Idoso , Abuso de Idosos/diagnóstico , Humanos , Inquéritos e Questionários , Pesquisa Médica Translacional
11.
BMC Public Health ; 21(1): 1348, 2021 07 08.
Artigo em Inglês | MEDLINE | ID: mdl-34233660

RESUMO

BACKGROUND: Elder abuse is recognized as a serious public health concern and top priority aging issues. World Health Organization reported that around 1 out of 6 old people in the world experienced some form of abuse. This study was carried out to find out the prevalence of different forms of abuse among elderly Nepalese people. METHODS: The cross-sectional, quantitative analytical study was carried out among 373 elders of the Syangja district of Nepal. The study population was selected through simple, proportionate, and systematic sampling methods. Data was collected through face-to-face interviews using a structured questionnaire. RESULTS: The majority of participants were female (54.5%). The prevalence of elderly abuse was found to be 54.5%. The most common form of abuse among the elderly population was neglect (23.1%), psychological abuse (20.6%), physical abuse (6.5%), financial abuse (2.4%), and sexual abuse (1.9%). Elderly females were significantly more likely to experience physical and psychological abuse. CONCLUSION: More than half of the elderly experienced at least one form of abuse. Neglect was found to be the most common form of abuse. The abuse was prevalent among elderly who were ill and with the habit of tobacco and alcohol consumption.


Assuntos
Abuso de Idosos , Idoso , Estudos Transversais , Feminino , Humanos , Masculino , Nepal/epidemiologia , Prevalência , Inquéritos e Questionários
13.
BMC Health Serv Res ; 21(1): 684, 2021 Jul 11.
Artigo em Inglês | MEDLINE | ID: mdl-34247595

RESUMO

BACKGROUND: Elder abuse in nursing homes (NH) is a widespread and complex problem. Residents' ability to share their experiences are impeded, due to a high degree of cognitive problems and frailty, and previous studies are thus mainly based on reports from staff. Therefore, we aimed to give voice to the residents by investigating their relatives' experiences with elder abuse in NH. METHODS: Qualitative individual interviews were conducted with 16 relatives of residents with experience of abuse and/or neglect in NH. Content analysis was used to analyse the data. RESULTS: Relatives perceived neglect as most pervasive and staff-to-resident psychological abuse as a key problem. Physical abuse was mostly related to resident-to-resident aggression. Relatives perceived elder abuse in NH to be related to low competence among staff, low staffing, poor NH leadership, working cultures characterized by fear and loyalty to employer or co-workers, and a lack of individualized care for the residents. Furthermore, relatives themselves experienced maltreatment from NH, which caused them to suffer stress, anxiety and distrust. Relatives also expressed a need to compensate for lack of care. CONCLUSIONS: Relatives of NH residents who had experienced abuse reported that neglect of basic care and individual rights was predominant and viewed organizational explanations as most important. Relatives perceive themselves as collaborators in care and are emotionally attached to their family member. Therefore, if relatives experience resident abuse or neglect, it inflicts a feeling of being mistreated themselves, particularly if they are not listened to or their notice of abuse on the part of the resident is ignored or trivialized. Including relatives in a committed partnership with NH in care practices is not only a valuable path to reduce the risk of abuse, but it also leads to a more sustainable healthcare with high standards of quality and safety.


Assuntos
Abuso de Idosos , Casas de Saúde , Idoso , Família , Humanos , Noruega/epidemiologia , Pesquisa Qualitativa
14.
BMC Geriatr ; 21(1): 413, 2021 07 03.
Artigo em Inglês | MEDLINE | ID: mdl-34217225

RESUMO

BACKGROUND: With an increasing number of older adults in low- and middle-income countries (LMIC), the burden of multimorbidity and functional dependence is on the rise. At the same time, a higher prevalence of elder abuse is observed in these populations. There is scarce evidence on the interplay between elder abuse and multimorbidity with no reports from LMIC settings yet. Present study examined the association of multimorbidity with the risk of elder abuse and its correlates in a rural elderly population of Odisha, India. METHODS: The data for this study was collected as a part of our AHSETS study comprising of 725 older adults residing in rural Odisha, India. Multimorbidity was assessed by the MAQ PC tool while Hwalek-Sengstock elder abuse screening test (HS-EAST) was used to assess the risk of elder abuse. Functional dependence was measured by the Lawton IADL questionnaire. We used ordinal logistic regression models to identify the correlates of elder abuse and test for mediation by functional dependence. RESULTS: Around 48.8 % (95 % CI:45.13-52.53 %) older adults had multimorbidity while 33.8 % (95 % CI:30.35-37.35 %) had some form of dependence. Out of 725, 56.6 % (CI 52.85-60.19 %) were found to be at low-risk elder abuse and 15.9 % (CI 13.27-18.72 %) being at high-risk. The prevalence of higher risk of elder abuse was greater among females, non-literates, widowed persons, those not currently working and those belonging to lower socio-economic strata. The risk of elder abuse was significantly associated with multimorbidity (AOR = 1.68; 95 %CI: 1.11-2.57) and functional dependence (AOR = 2.08; 95 %CI: 1.41-3.06). Additionally, we found a partial mediation mechanism of functional dependency between the pathway of multimorbidity and elder abuse. CONCLUSIONS: Elder abuse and multimorbidity are emerging as issues of significant concern among rural elderly in Odisha, India. Multimorbidity and functional dependence are associated with significantly higher odds of elder abuse among rural older adults. Further, we report the role of functional dependence as a partial mediator between multimorbidity and elder abuse. Therefore, potential interventions on reducing the economic, physical and care dependence among multimorbid patients may reduce the risk of elder abuse.


Assuntos
Abuso de Idosos , Multimorbidade , Idoso , Estudos Transversais , Feminino , Humanos , Índia , Prevalência , Fatores de Risco , Inquéritos e Questionários
16.
Glob Public Health ; 16(10): 1675-1679, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34115568

RESUMO

This paper discusses the potential abuse and mistreatment against older adults by informal caregivers during the COVID-19 pandemic in Africa. The COVID-19 pandemic has distorted many informal caregivers' roles, which require serious adjustment for reducing caregiving stress and burden. Moreover, the COVID-19 pandemic has created challenging situations in caregiving spaces, which have the tendency to cause informal caregivers to abuse older adults. However, research on elder abuse and mistreatment, up to this point, remains underexplored in Africa. We, therefore, call for a deeper research and interrogation on the pathways and dynamics of violence and abuse against older adults in Africa. We also raise awareness of increased risks of domestic elder abuse and neglect during COVID-19 to stimulate the interest of social welfare institutions in understanding this phenomenon and its prevalence in Africa. We argue that the COVID-19 pandemic should serve as an avenue for governments, social welfare institutions, public health authorities, civil society and traditional leaders in African countries to develop a comprehensive programme and create public awareness to protect older adults against abuse, violence and neglect. The practical ways of minimising the effect of COVID-19 on domestic elder abuse in African settings are further discussed.


Assuntos
COVID-19 , Abuso de Idosos , Idoso , Humanos , Pandemias , Fatores de Risco , SARS-CoV-2
17.
J Elder Abuse Negl ; 33(3): 206-220, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34074224

RESUMO

Holding beliefs such as elder respect seems to make Chinese older adults vulnerable to feel abused. This study investigated how Chinese older people in the countryside perceive abuse and make sense of their abusive experiences while telling their life stories. Following a narrative approach, we conducted semi-structured interviews with 17 older persons living in a rural village, Yunnan province, China, collected their life stories, and paid special attention to their telling of abuses. Thematic analysis of the data suggests that elder abuse for the participants is a betrayal of trust that is established within Chinese cultural values. Four themes were identified in explaining the participants' experiences of abuse: disrespect, dependency and the down-valued self, disconnection and rejection, and social comparisons in the construction of abuse. We discuss implications for future research and practices in stopping elder abuse.


Assuntos
Abuso de Idosos , Idoso , Idoso de 80 Anos ou mais , China , Humanos , Pesquisa Qualitativa , População Rural
18.
J Elder Abuse Negl ; 33(3): 221-229, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34096472

RESUMO

Searching for clinical manifestations of elder abuse may help healthcare professionals identify cases of elder abuse. The aim of the present study was to explore characteristics of older patients with fractures that increase the likelihood that the fracture was associated with abuse. This is a retrospective chart review study of 1,000 patients aged 65 and older who presented to an emergency department in northern-central Israel with a fracture during 2019. The chart review included participant characteristics - sociodemographic data, medical data, data regarding the fracture, and data on the presence of forensic markers of elder abuse in individual patients. Descriptive statistics and regression models were used for the analyses. Older age, presence of dementia, and hand and facial fractures were associated with the presence of forensic markers, and were also found to predict having at least one forensic factor. This study provides further support for the creation of clinical guidelines for identification of elder abuse.


Assuntos
Abuso de Idosos , Idoso , Serviço Hospitalar de Emergência , Medicina Legal , Humanos , Estudos Retrospectivos
19.
J Elder Abuse Negl ; 33(3): 181-205, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34134594

RESUMO

The present study assessed how accurate adults are at detecting fraudulent e-mail activity. A total of 100 younger (18-26 years) and 96 older adults (60-90 years) categorized a series of e-mails as legitimate or fraudulent phishing schemes and self-reported their fraud experiences. Younger and older adults did not differ in accuracy rates when categorizing the e-mails (72%), but older adults used a "high-suspicion" strategy where they were more likely to mislabel a legitimate e-mail as fraudulent compared to younger adults. Younger adults were less likely to be targeted by fraud than older adults, but the groups were victimized at similar rates. Being a prior fraud victim negatively related to e-mail detection performance, but this differed across age groups and the extent of fraud experience. Together, these results provide insight into the relation between fraud experience and the ability to detect e-mail scams and can inform fraud prevention and education initiatives.


Assuntos
Abuso de Idosos , Correio Eletrônico , Idoso , Fraude , Humanos , Autorrelato
20.
J Elder Abuse Negl ; 33(3): 230-247, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34148521

RESUMO

The relationship between aging and consumer fraud victimization is mixed in the literature. Most studies based on survey data have found older consumers less likely to be fraud victims, while a few studies have found older consumers more likely to be victimized, especially with certain fraud types. We developed a two-stage conceptual framework to differentiate fraud exposure from fraud victimization once exposed. Using nationally representative Chinese data and controlling for confounders, we found that consumers between 65 and 74 face similar risks of being targeted by perpetrators compared to younger groups, while consumers 75+ and older are less likely to be exposed to fraud. However, once exposed, both groups of older consumers are significantly more likely to become fraud victims. In the Chinese context, these two opposing effects led to an overall higher risk of consumer financial fraud victimization by older consumers.


Assuntos
Vítimas de Crime , Abuso de Idosos , Idoso , Envelhecimento , China , Fraude , Humanos
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