Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.061
Filtrar
1.
Cien Saude Colet ; 25(suppl 2): 4177-4184, 2020 Oct.
Artigo em Português, Inglês | MEDLINE | ID: mdl-33027354

RESUMO

Most Brazilian state and municipal governments have used social distancing as the primary strategy for reducing the transmission speed of the new Coronavirus (SARS-CoV-2), which causes COVID-19. However, this social isolation has had several adverse repercussions, including increased intrafamily violence against children, adolescents, and women. Recently, violence against older adults (VAOA) during the pandemic has also been on the agenda of concerns, although discussing possible strategies for coping with VAOA during COVID-19 is still unimpressive worldwide. Aiming to broaden the debate on the theme in Brazil, this paper aims to offer theoretical elements and evidence from previous studies for a greater understanding of the situation of vulnerability of older adults to situations of violence, of the possible motivations for the increased number of cases of VAOA during the COVID-19 pandemic, and possible strategies to address the problem.


Assuntos
Infecções por Coronavirus/epidemiologia , Maus-Tratos ao Idoso/prevenção & controle , Pneumonia Viral/epidemiologia , Quarentena , Idoso , Betacoronavirus , Brasil/epidemiologia , Infecções por Coronavirus/prevenção & controle , Maus-Tratos ao Idoso/estatística & dados numéricos , Conflito Familiar , Humanos , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Isolamento Social
2.
PLoS One ; 15(6): e0234195, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32502200

RESUMO

A framework of social inclusion can promote equity and aid in preventing and addressing the abuse of older adults. Our objective was to build a social inclusion framework for a comprehensive hospital-based elder abuse intervention being developed. Potential components of such a framework, namely, health determinants and guiding principles, were extracted from a systematic scoping review of existing responses (e.g., interventions, protocols) to elder abuse and collated. These were subsequently rated for their importance to the elder abuse intervention by a panel of violence experts and further evaluated by a panel of elder abuse experts. The final social inclusion framework comprised 12 health determinants each representing factors underpinning susceptibility for abuse in aging populations: history of trauma/abuse, communication needs, disability, health status, mental capacity, social support, culture, language, sexuality, religion, gender identity, and socioeconomic status. The framework also comprised 19 guiding principles each encompassing considerations for equitable engagement with older adults (e.g., All older adults have the right to self-determination, All older adults have the right to be safe, All older adults are assumed competent unless determined otherwise). Integrating this social inclusion framework into the design and delivery of an elder abuse intervention could empower older adults, while at the same time ensuring that practices and policies are tailored to meet their unique and varying needs.


Assuntos
Maus-Tratos ao Idoso/prevenção & controle , Hospitais , Apoio Social , Idoso , Maus-Tratos ao Idoso/psicologia , Humanos , Isolamento Social/psicologia , Participação dos Interessados
4.
J Appl Gerontol ; 39(7): 690-699, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32380891

RESUMO

New York City is currently experiencing an outbreak of COVID-19, a highly contagious and potentially deadly virus, which is particularly dangerous for older adults. This pandemic has led to public health policies including social distancing and stay-at-home orders. We explore here the impact of this unique crisis on victims of elder mistreatment and people at risk of victimization. The COVID-19 outbreak has also had a profound impact on the organizations from many sectors that typically respond to protect and serve victims of elder mistreatment. We examine this impact and describe creative solutions developed by these organizations and initial lessons learned in New York City to help inform other communities facing this pandemic and provide guidance for future crises.


Assuntos
Infecções por Coronavirus , Vítimas de Crime/psicologia , Serviços de Saúde para Idosos , Pandemias , Pneumonia Viral , Política Pública , Isolamento Social/psicologia , Idoso , Betacoronavirus/isolamento & purificação , Betacoronavirus/patogenicidade , Doença Crônica/epidemiologia , Controle de Doenças Transmissíveis/métodos , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/mortalidade , Infecções por Coronavirus/fisiopatologia , Infecções por Coronavirus/psicologia , Maus-Tratos ao Idoso/economia , Maus-Tratos ao Idoso/legislação & jurisprudência , Maus-Tratos ao Idoso/prevenção & controle , Maus-Tratos ao Idoso/psicologia , Feminino , Serviços de Saúde para Idosos/normas , Serviços de Saúde para Idosos/tendências , Humanos , Masculino , Mortalidade , Cidade de Nova Iorque/epidemiologia , Pneumonia Viral/diagnóstico , Pneumonia Viral/mortalidade , Pneumonia Viral/fisiopatologia , Pneumonia Viral/psicologia , Política Pública/legislação & jurisprudência , Política Pública/tendências , Medição de Risco
5.
JAMA Netw Open ; 3(5): e204099, 2020 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-32379330

RESUMO

Importance: Elder mistreatment is underdetected and underreported. The more than 800 000 medics providing services in every county in the United States represent an important and underused surveillance system. Objective: To investigate the association between the Detection of Elder Mistreatment Through Emergency Care Technician (DETECT) screening tool use and the number of medic reports made to Adult Protective Services (APS) over a period of approximately 3 years. Design, Setting, and Participants: This quality improvement study used a difference in difference in differences design and included adults aged 65 years and older who were reported to Texas APS in the study region (246 cities in Denton, Johnson, and Tarrant Counties) between December 31, 2014, and February 28, 2018. Exposures: The DETECT screening tool. Main Outcomes and Measures: Reports to APS. Results: The mean (SD) age of the 11 178 older adults included in this study was 76 (8) years (range, 65-105 years); there was no reported data on patient sex. A total of 18 080 reports of elder mistreatment were recorded. Medics within the study region reported more cases of elder mistreatment during the implementation of the screening tool (relative risk [RR], 4.14; 95% CI, 3.25-5.27). After adjusting for changes in the number of elder mistreatment reports in the comparison groups (ie, underlying changes in reporting trends), the number of reports to APS increased (RR, 3.03; 95% CI, 2.06-4.46). The occurrence of elder mistreatment was validated in 83% (95% CI, 75%-91%) of the reports investigated by APS during the periods when medics did not have access to the screening tool compared with 82% (95% CI, 77%-87%) during the periods when medics had access to the screening tool, indicating that there were no differences in the proportion of reports that resulted in a validated APS investigation. Conclusions and Relevance: The findings suggest that incorporating the DETECT screening tool into the routine practices of medics is associated with substantial increases in the frequency with which clinicians report potential cases of elder mistreatment to APS.


Assuntos
Maus-Tratos ao Idoso/diagnóstico , Inquéritos e Questionários , Idoso , Idoso de 80 Anos ou mais , Maus-Tratos ao Idoso/prevenção & controle , Serviços Médicos de Emergência , Auxiliares de Emergência , Feminino , Humanos , Masculino , Política Pública , Sensibilidade e Especificidade , Texas
6.
J Aging Soc Policy ; 32(4-5): 310-315, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32245346

RESUMO

The elderly in long-term care (LTC) and their caregiving staff are at elevated risk from COVID-19. Outbreaks in LTC facilities can threaten the health care system. COVID-19 suppression should focus on testing and infection control at LTC facilities. Policies should also be developed to ensure that LTC facilities remain adequately staffed and that infection control protocols are closely followed. Family will not be able to visit LTC facilities, increasing isolation and vulnerability to abuse and neglect. To protect residents and staff, supervision of LTC facilities should remain a priority during the pandemic.


Assuntos
Infecções por Coronavirus/epidemiologia , Pandemias , Pneumonia Viral/epidemiologia , Instituições Residenciais/organização & administração , Idoso , Envelhecimento , Betacoronavirus , Maus-Tratos ao Idoso/prevenção & controle , Maus-Tratos ao Idoso/psicologia , Família/psicologia , Humanos , Controle de Infecções/organização & administração , Instituições Residenciais/normas , Fatores de Risco , Isolamento Social/psicologia
9.
Ann Emerg Med ; 75(2): 181-191, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31959308

RESUMO

This scoping review aimed to synthesize the available evidence on the epidemiology, patient- and caregiver-associated factors, clinical characteristics, screening tools, prevention, interventions, and perspectives of health care professionals in regard to elder abuse in the out-of-hospital or emergency department (ED) setting. Literature search was performed with MEDLINE, EMBASE, the Cumulative Index of Nursing and Allied Health, PsycINFO, and the Cochrane Library. Studies were eligible if they were observational or experimental and reported on elder abuse in the out-of-hospital or ED setting. A qualitative approach, performed independently by 2 reviewers, was used to synthesize and report the findings. A total of 413 citations were retrieved, from which 55 studies published between 1988 and 2019 were included. The prevalence of elder abuse reported during the ED visit was lower than reported in the community. The most commonly detected type of elder abuse was neglect, and then physical abuse. The following factors were more common in identified cases of elder abuse: female sex, cognitive impairment, functional disability, frailty, social isolation, and lower socioeconomic status. Psychiatric and substance use disorders were more common among victims and their caregivers. Screening tools have been proposed, but multicenter validation and influence of screening on patient-important outcomes were lacking. Health care professionals reported being poorly trained and acknowledged numerous barriers when caring for potential victims. There is insufficient knowledge, limited training, and a poorly organized system in place for elder abuse in the out-of-hospital and ED settings. Studies on the processes and effects of screening and interventions are required to improve care of this vulnerable population.


Assuntos
Maus-Tratos ao Idoso/estatística & dados numéricos , Serviço Hospitalar de Emergência , Idoso , Instituições de Assistência Ambulatorial , Cuidadores , Maus-Tratos ao Idoso/diagnóstico , Maus-Tratos ao Idoso/prevenção & controle , Feminino , Humanos , Masculino , Notificação de Abuso , Programas de Rastreamento , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Estados Unidos , Populações Vulneráveis
10.
Gerontologist ; 60(3): 472-482, 2020 04 02.
Artigo em Inglês | MEDLINE | ID: mdl-30576536

RESUMO

BACKGROUND AND OBJECTIVES: Without an effective screening tool, accompanied by clear guidelines of what to do when elder abuse is suspected, health workers may face challenges when asking questions about elder abuse. This study aimed to find the most effective and acceptable existing elder abuse screening tool and to create guidelines for using the tool. RESEARCH DESIGN AND METHODS: A rapid review of the literature identified existing validated elder abuse screening tools. Then, 5 tools (Vulnerability to Abuse Screening Scale [VASS], Elder Abuse Suspicion Index [EASI], Elder Assessment Instrument [EAI], Caregiver Abuse Screen [CASE], and Brief Abuse Screen for the Elderly [BASE]), selected based on their internal rigor, were presented to health professionals to assess the tools' relevance to their practice. Three focus groups were held with 23 health professionals in Victoria, Australia, in 2017. Data were thematically analyzed. RESULTS: None of the tools were deemed suitable by participants for use in their practice. Criticisms of the tools included: using outdated terminology, asking binary questions, asking multiple questions at once, failure to consider the older person's cognitive status, failure to consider how culture mediates elder abuse, and failure to outline a referral pathway to those administering the tool. Participants emphasized that the screening tool must promote trust and rapport between the assessor and the older person to solicit a story on this sensitive subject. DISCUSSION AND IMPLICATIONS: A successful elder abuse screening tool must be concise, easy to use, account for the older person's health and social vulnerabilities, and outline a referral pathway if elder abuse is suspected.


Assuntos
Maus-Tratos ao Idoso/prevenção & controle , Programas de Rastreamento/normas , Idoso , Estudos Transversais , Feminino , Grupos Focais , Humanos , Masculino , Psicometria/normas , Pesquisa Qualitativa , Vitória
11.
Acad Med ; 95(4): 540-545, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-31599756

RESUMO

In 1995, the Texas Department of Family and Protective Services: Adult Protective Service Agency began a partnership with the Baylor College of Medicine geriatrics program to form the Texas Elder Abuse and Mistreatment (TEAM) Institute. The medical school-state agency partners overcame institutional and bureaucratic barriers to work collaboratively on mutually beneficial projects, including research and publications. Interprofessional students gained first-hand experience about abuse and neglect cases. As of 2019, there are 4 divisions: Clinical and Forensic Evaluation, Education and Outreach, Research and Program Evaluation, and Senior Justice. TEAM members have published numerous articles and chapters, educated members from multiple disciplines, and served thousands of mistreated older patients. In 2017, TEAM launched the first statewide telecommunication program for elder mistreatment to improve practice for the entire state. Perseverance, teamwork, and dedication to the mission of the intervention and prevention of elder mistreatment have sustained this program for over 30 years. This article describes the steps to forming TEAM, the institute's early struggles, and the subsequent community and academic contributions of this medical school-state agency collaboration.


Assuntos
Comportamento Cooperativo , Maus-Tratos ao Idoso/terapia , Geriatria/organização & administração , Órgãos Governamentais/organização & administração , Desenvolvimento de Programas , Idoso , Maus-Tratos ao Idoso/prevenção & controle , Medicina Legal , Geriatria/educação , Visita Domiciliar , Humanos , Faculdades de Medicina/organização & administração , Governo Estadual , Texas
12.
Ciênc. Saúde Colet ; 25(supl.2): 4177-4184, Mar. 2020. tab
Artigo em Português | LILACS, Coleciona SUS, Sec. Est. Saúde SP | ID: biblio-1133184

RESUMO

Resumo O distanciamento social tem sido usado pela maioria dos governos estaduais e municipais do Brasil como principal estratégia para a redução da velocidade de transmissão do novo coronavírus (SARS-CoV-2), agente etiológico da COVID-19. Entretanto, esse isolamento social tem tido várias repercussões negativas, dentre elas o aumento da violência intrafamiliar contra crianças, adolescentes e mulheres. Recentemente, a violência contra a pessoa idosa (VCPI) durante a pandemia também vem entrando na pauta das preocupações, embora a discussão sobre as possíveis estratégias de enfrentamento da VCPI durante a COVID-19 ainda seja inexpressiva em todo o mundo. Visando ampliar o debate sobre o tema no Brasil, este artigo pretende oferecer elementos teóricos e evidências de estudos anteriores para uma maior compreensão da situação de vulnerabilidade do idoso às situações de violência, das possíveis motivações para o aumento do número de casos de VCPI durante a COVID-19, bem como sugerir possíveis estratégias para o enfrentamento do problema.


Abstract Most Brazilian state and municipal governments have used social distancing as the primary strategy for reducing the transmission speed of the new Coronavirus (SARS-CoV-2), which causes COVID-19. However, this social isolation has had several adverse repercussions, including increased intrafamily violence against children, adolescents, and women. Recently, violence against older adults (VAOA) during the pandemic has also been on the agenda of concerns, although discussing possible strategies for coping with VAOA during COVID-19 is still unimpressive worldwide. Aiming to broaden the debate on the theme in Brazil, this paper aims to offer theoretical elements and evidence from previous studies for a greater understanding of the situation of vulnerability of older adults to situations of violence, of the possible motivations for the increased number of cases of VAOA during the COVID-19 pandemic, and possible strategies to address the problem.


Assuntos
Humanos , Idoso , Pneumonia Viral/epidemiologia , Quarentena , Infecções por Coronavirus/epidemiologia , Maus-Tratos ao Idoso/prevenção & controle , Pneumonia Viral/prevenção & controle , Isolamento Social , Brasil/epidemiologia , Infecções por Coronavirus , Infecções por Coronavirus/prevenção & controle , Maus-Tratos ao Idoso/estatística & dados numéricos , Conflito Familiar , Pandemias/prevenção & controle , Betacoronavirus , Pessoa de Meia-Idade
13.
Clin Interv Aging ; 14: 1797-1815, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31695349

RESUMO

Purpose: The main objective of this study was to investigate abuse of residents with either dementia or Alzheimer's disease in long-term care settings, to identify facilitators and barriers surrounding implementation of systems to prevent such occurrences, and to draw conclusions on combating the issue of abuse. Patients and methods: A systematic review was conducted using the Medline, CINAHL, and Academic Search Ultimate databases. With the use of key terms via Boolean search, 30 articles were obtained which were determined to be germane to research objectives. The review was conducted and structured based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: Residents with dementia or Alzheimer's disease are at greater risk of abuse. The growing population could increase this problem exponentially. The most common facilitators were the introduction of policies/programs in the facility, education, and working conditions. The most cited barriers were poor training, lack of research, and working conditions in the long-term care setting. Conclusion: The examples given would be useful in minimizing the potential for abuse in the long-term care setting. Leadership can take an active role in the prevention of abuse of the elderly through their actions, education of employees, and changes in the work environment.


Assuntos
Doença de Alzheimer , Maus-Tratos ao Idoso/prevenção & controle , Pessoal de Saúde/educação , Política Organizacional , Local de Trabalho/organização & administração , Idoso , Doença de Alzheimer/psicologia , Demência/psicologia , Instituição de Longa Permanência para Idosos/organização & administração , Humanos , Assistência de Longa Duração , Casas de Saúde/organização & administração , Fatores de Proteção , Fatores de Risco
14.
BMC Geriatr ; 19(1): 307, 2019 11 12.
Artigo em Inglês | MEDLINE | ID: mdl-31718591

RESUMO

BACKGROUND: Elder abuse is a serious violation of human rights and a worldwide issue. Upon hospital admission, elderly patients become vulnerable and susceptible to abuse. Understanding the issues perceived as abuse by the elderly patients and their family members allows us to identify, manage, and prevent elder abuse; especially in hospital settings. The present study aimed to identify and describe the abuse of hospitalized elders from the perspective of patients and their family members. METHODS: The present exploratory qualitative study was conducted from October 2017 to September 2018 at six different teaching hospitals affiliated to Shiraz University of Medical Sciences, Shiraz, Iran. The target population was elderly patients in different wards across various hospitals and their family members. Based on the purposive sampling method, 16 hospitalized elderly patients and 11 family members were recruited and interviewed. The data were analyzed using the inductive content analysis method in accordance with the process described by Elo and Kyngas (J Adv Nurs 62:107-15, 2008). RESULTS: Based on the analysis of the interview data, four main categories were extracted and classified as Micro-level, Meso-level, Exo-level, and Macro-level issues. CONCLUSION: Hospitalized elder abuse is a multi-dimensional phenomenon caused by personal and professional factors as well as issues related to the inadequate physical environment and organizational structure. To prevent the occurrence of elderly abuse, it is recommended to train hospital staff, rearrange the physical environment, reform the organizational structure, and better plan and manage the financial, physical, and human resources.


Assuntos
Maus-Tratos ao Idoso/psicologia , Maus-Tratos ao Idoso/tendências , Família/psicologia , Hospitalização/tendências , Hospitais/tendências , Pesquisa Qualitativa , Adulto , Idoso , Idoso de 80 Anos ou mais , Maus-Tratos ao Idoso/prevenção & controle , Feminino , Hospitais/normas , Humanos , Irã (Geográfico)/epidemiologia , Masculino , Pessoa de Meia-Idade , Adulto Jovem
15.
Health Aff (Millwood) ; 38(10): 1630-1637, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31589527

RESUMO

Although often perceived to be a problem of the young, violence commonly affects older adults, a rapidly growing segment of the population. Violence can be directed toward older adults (elder abuse and intimate partner violence), self-directed (suicide), or perpetrated by older adults against others (intimate partner violence and violence in dementia). Across forms of violence, firearm access increases lethality, and veterans may be a particularly high-risk population. The forms of violence in older adults have some common risk factors (such as medical or psychiatric illness) and common challenges for prevention (such as balancing autonomy and well-being in vulnerable adults). The integration of prevention strategies across the life span, disciplines, and forms of violence offers promise for promoting older adult health and well-being. Looking forward, key areas for attention will include raising awareness about these topics and prioritizing funding for the implementation and evaluation of violence prevention interventions in health care settings and the community.


Assuntos
Maus-Tratos ao Idoso/estatística & dados numéricos , Violência por Parceiro Íntimo/estatística & dados numéricos , Suicídio/estatística & dados numéricos , Idoso , Maus-Tratos ao Idoso/prevenção & controle , Feminino , Armas de Fogo/estatística & dados numéricos , Humanos , Violência por Parceiro Íntimo/prevenção & controle , Masculino , Transtornos Mentais/psicologia , Fatores de Risco , Suicídio/prevenção & controle , Veteranos
17.
J Elder Abuse Negl ; 31(4-5): 424-436, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31476978

RESUMO

This article reports the findings of an international scoping literature review focussed on social policy, prevention, and service responses to elder abuse in rural and remote communities. Forty-seven articles were included in the review, and fourteen types of prevention or service responses were identified in the literature, including several Indigenous-specific initiatives. The review highlighted the need for meaningful inclusion of rural and remote communities in elder abuse policy, as well as the importance of community consultation and consideration of the local context in developing prevention and response initiatives for these communities.


Assuntos
Maus-Tratos ao Idoso/prevenção & controle , Política Pública , População Rural , Idoso , Humanos
18.
Psychiatr Danub ; 31(Suppl 3): 345-353, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31488751

RESUMO

BACKGROUND: Elder abuse and neglect can be defined as refusing or failing to fulfil a caregiver's obligation to meet the needs of elderly individuals in order to punish or hurt them. We aimed to explore perceptions of elder mistreatment of both caregivers and residents during long-term care, and highlight significant differences in the overall mistreatment perception regarding socio-demographic variables, as well as the type of care facility. SUBJECTS AND METHODS: The study involved 171 caregivers and 245 elderly individuals in stationary facilities. Two structured questionnaires were used - one for caregivers and the other for institutionalized elderly residents, whose initial validation concerning question and factor selection has been based upon exploratory factor analysis and discriminant validity. Parametric and nonparametric tests were employed in the statistical analysis, and statistical significance was set at p<0.05 (two-sided). RESULTS: We found significant differences in the perception of elder abuse and neglect between caregivers and elderly residents. More specifically, caregivers tend to recognize unnecessary or inappropriate medical/care procedures as indicators of elder mistreatment, while the elderly residents emphasize the removal of their personal belongings and inappropriate physical contact. According to the care facility, residents reported abuse/neglect more frequently in extended care units (21.4%), compared to the county-owned nursing home (11.4%) and private nursing home (12.1%) (p=0.001). Similarly, caregivers reported abuse/neglect more frequently in extended care units (75.4%), in comparison to county-owned nursing home (24.6%) and private nursing home (0%) (p=0.039). Shift work was also a significant predictor, as the morning nursing staff perceived abuse/neglect more frequently (p=0.011). CONCLUSIONS: This study has shown that residents and caregivers have contrasting vantage points in relation to elder abuse/neglect perception, which underlines the need for evidence-based standardization of procedures to prevent any type of elder mistreatment.


Assuntos
Cuidadores/psicologia , Maus-Tratos ao Idoso/psicologia , Assistência de Longa Duração/normas , Idoso , Maus-Tratos ao Idoso/prevenção & controle , Humanos , Assistência de Longa Duração/estatística & dados numéricos , Casas de Saúde/normas , Casas de Saúde/estatística & dados numéricos , Inquéritos e Questionários
19.
J Am Geriatr Soc ; 67(S3): S499-S505, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31403191

RESUMO

OBJECTIVES: Research has examined the relationships between positive social support (PSS) and elder mistreatment (EM) but less is known regarding the negative aspect of social support (NSS), especially among minority groups in the United States. This study aimed to investigate the relationships between PSS/NSS from different sources and EM among US Chinese older adults. DESIGN: Population-based cross-sectional study. SETTING: Greater Chicago, IL, area. PARTICIPANTS: A representative sample of Chinese older adults aged 60 years or older (N = 3157) from the Population Study of ChINese Elderly in Chicago in 2011 to 2013. MEASUREMENTS: We applied a 10-item widely used instrument to assess EM. PSS and NSS from spouse/family members/friends were measured by a 12-item scale. Multivariate logistic regression analyses were conducted to examine the relationships. RESULTS: After adjusting for confounders, higher levels of overall PSS from all three sources, including spouse, family members, and friends (odds ratio [OR] = 0.88 [95% confidence interval {CI} = 0.85-0.91]), were associated with lower risk of EM. But participants with a higher level of overall NSS from all three sources (OR = 1.51 [95% CI = 1.41-1.61]) were more likely to experience EM. The results on the relationships between PSS from spouse (OR = 0.70 [95% CI = 0.64-0.76]), PSS from family members (OR = 0.73 [95% CI = 0.68-0.79]), and EM were similar to overall PSS. But PSS from friends had a nonsignificant association with EM. Greater levels of NSS from spouse (OR = 1.84 [95% CI = 1.64-2.07]), family members (OR = 2.36 [95% CI = 2.03-2.75]), and friends (OR = 1.69 [95% CI = 1.32-2.17]) were associated with increased risks of EM. CONCLUSION: Higher levels of SS were not always associated with lower risks of EM among US Chinese older adults. NSS might have counter effects. Future qualitative or longitudinal research needs to explore detailed cultural explanations and casual relationships between SS and EM. J Am Geriatr Soc 67:S499-S505, 2019.


Assuntos
Americanos Asiáticos/estatística & dados numéricos , Atitude Frente a Saúde/etnologia , Maus-Tratos ao Idoso/etnologia , Apoio Social , Idoso , Chicago , Estudos Transversais , Maus-Tratos ao Idoso/prevenção & controle , Família/etnologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Grupos Minoritários/estatística & dados numéricos , Fatores de Risco
20.
J Cross Cult Gerontol ; 34(3): 325-336, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31230164

RESUMO

Information about elder abuse has not only been sparse due to factors such as underreporting or lack of standardized research, but also in defining elder abuse. However elder abuse is commonly understood to be a single/repeated act, or lack of appropriate action, occurring within any relationship which embodies an expectation of trust, which causes harm or distress to elderly individual. In elder abuse, the relationship of trust usually entails the family, as it family members who are noted to be the most likely perpetrators of elder abuse With the increased prevalence of elder abuse in developed countries and a proclivity towards individualized interventions, this narrative review sought to explore family-centered interventions used to address elder abuse by using a RE-AIM framework.


Assuntos
Maus-Tratos ao Idoso/prevenção & controle , Família/psicologia , Idoso , Humanos , Narração
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...