Elder abuse/mistreatment and associated covariates in India: results from the Longitudinal Aging Study in India wave 1, 2017-2018
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
OBJECTIVES: Elder abuse has significant adverse consequences for the overall health and well-being of the elderly, including premature mortality. Using cross-sectional data, we assessed the prevalence of elder abuse in India, its variation across states, and associated factors. METHODS: Nationally representative data from the first wave of the Longitudinal Aging Study in India were analyzed. Bivariate and multivariate analyses were used to study the prevalence, state variations, and associated factors of elder abuse. RESULTS: Overall, 5.2% of elderly adults (≥ 60 years) had experienced abuse in the year prior to the survey and 3% had experienced abuse within their own household. Verbal abuse or disrespect was the most common form of abuse. Considerable variation was observed in the prevalence of elder abuse across states and union territories, with the highest prevalence observed in Bihar (11.6%) and Karnataka (10.1%). In regression analysis, education level emerged as a protective factor against elder abuse, particularly among women. Older adults who lived alone, had functional limitations, had multiple morbidities, and had been hospitalized in the past year were more likely to experience abuse. Older adults who experienced abuse were 2 times more likely to experience depressive symptoms. CONCLUSIONS: Cross-state variation in the prevalence of elder abuse and subgroup differences suggest that state-specific interventions and essential monitoring of older adults with functional limitations, chronic diseases, and recent hospitalization can further reduce the prevalence and consequences of elder abuse in India.
Abstract
OBJECTIVES: Elder abuse has significant adverse consequences for the overall health and well-being of the elderly, including premature mortality. Using cross-sectional data, we assessed the prevalence of elder abuse in India, its variation across states, and associated factors. METHODS: Nationally representative data from the first wave of the Longitudinal Aging Study in India were analyzed. Bivariate and multivariate analyses were used to study the prevalence, state variations, and associated factors of elder abuse. RESULTS: Overall, 5.2% of elderly adults (≥ 60 years) had experienced abuse in the year prior to the survey and 3% had experienced abuse within their own household. Verbal abuse or disrespect was the most common form of abuse. Considerable variation was observed in the prevalence of elder abuse across states and union territories, with the highest prevalence observed in Bihar (11.6%) and Karnataka (10.1%). In regression analysis, education level emerged as a protective factor against elder abuse, particularly among women. Older adults who lived alone, had functional limitations, had multiple morbidities, and had been hospitalized in the past year were more likely to experience abuse. Older adults who experienced abuse were 2 times more likely to experience depressive symptoms. CONCLUSIONS: Cross-state variation in the prevalence of elder abuse and subgroup differences suggest that state-specific interventions and essential monitoring of older adults with functional limitations, chronic diseases, and recent hospitalization can further reduce the prevalence and consequences of elder abuse in India.
참고문헌 (47)
- "A global response to elder abuse and neglect: building primary health care capacity to deal with the problem world-wide: main report; 2008"[URL]
- Yon Y, "Elder abuse prevalence in community settings : a systematic review and meta-analysis", Lancet Glob Health, 5, pp.e147~e156 (2017)
- Dong X, "Elder self-neglect and abuse and mortality risk in a community-dwelling population", JAMA, 302, pp.517~526 (2009)
- Dong XQ, "Elder abuse and mortality : the role of psychological and social wellbeing", Gerontology, 57, pp.549~558 (2011)
- Lachs MS, "The mortality of elder mistreatment", JAMA, 280, pp.428~432 (1998)
- Chokkanathan S, "Elder mistreatment in urban India : a community based study", J Elder Abuse Negl, 17, pp.45~61 (2005)
- Evandrou M, "Elder abuse as a risk factor for psychological distress among older adults in India : a cross-sectional study", BMJ Open, 7, pp.e017152~ (2017)
- Wong JS, "Elder mistreatment predicts later physical and psychological health : results from a national longitudinal study", J Elder Abuse Negl, 29, pp.15~42 (2017)
- Dong X, "Elder abuse as a risk factor for hospitalization in older persons", JAMA Intern Med, 173, pp.911~917 (2013)
- Chokkanathan S, "Perceived quality of life following elder mistreatment in rural India", J Gerontol B Psychol Sci Soc Sci, 73, pp.e69~e80 (2018)
- Chang ES, "Protective effects of neighborhood community factors on elder abuse in India", J Elder Abuse Negl, 33, pp.1~16 (2021)
- Pillemer K, "Investigating the connection between ageism and elder mistreatment", Nat Aging, 1, pp.159~164 (2021)
- Chokkanathan S, "Factors associated with elder mistreatment in rural Tamil Nadu, India : a cross-sectional survey", Int J Geriatr Psychiatry, 29, pp.863~869 (2014)
- Skirbekk V, "Abuse against elderly in India-the role of education", BMC Public Health, 14, pp.336~ (2014)
- Jeon GS, "Gender differences in the prevalence and correlates of elder abuse in a community-dwelling older population in Korea", Int J Environ Res Public Health, 16, pp.100~ (2019)
- Laumann EO, "Elder mistreatment in the United States : prevalence estimates from a nationally representative study", J Gerontol B Psychol Sci Soc Sci, 63, pp.S248~S254 (2008)
- Pillemer K, "Elder abuse: global situation, risk factors, and prevention strategies", Gerontologist, 56(Suppl 2), pp.S194~S205 (2016)
- Tomita A, "Patterns of multimorbidity and their association with hospitalisation : a population-based study of older adults in urban Tanzania", Age Ageing, 50, pp.1349~1360 (2021)
- Sathya T, "Multimorbidity as a risk factor of elder abuse", mistreatment in India : a cross-sectional study, 2020, 886260520980391~
- Sathya T, "Association of functional limitations and disability with elder abuse in India : a cross-sectional study", BMC Geriatr, 20, pp.220~ (2020)
- Sooryanarayana R, "Elder abuse : nationwide findings among community-dwelling Malaysian older persons", Geriatr Gerontol Int, 20(Suppl 2), pp.85~91 (2020)
- Dong X, "Elder abuse and dementia: a review of the research and health policy", Health Aff(Millwood), 33, pp.642~649 (2014)
- Dong X, "Decline in cognitive function and elder mistreatment : findings from the Chicago Health and Aging Project", Am J Geriatr Psychiatry, 22, pp.598~605 (2014)
- Yunus RM, "Consequences of elder abuse and neglect : a systematic review of observational studies", Trauma Violence Abuse, 20, pp.197~213 (2019)
- "World population prospects 2019: highlights"[URL]
- Arokiasamy P, "India’s escalating burden of non-communicable diseases", Lancet Glob Health, 6, pp.e1262~e1263 (2018)
- Parmar MC, "Chronic morbidity and reported disability among older persons from the India Human Development Survey", BMC Geriatr, 18, pp.299~ (2018)
- Ingle GK, "Geriatric health in India : concerns and solutions", Indian J Community Med, 33, pp.214~218 (2008)
- Srivastava A, "Poverty among elderly in India", Soc Indic Res, 109, pp.493~514 (2012)
- Kumar S, "Living arrangement and economic dependency among the elderly in India : a comparative analysis of EAG and non EAG states", Ageing Int, 44, pp.352~370 (2019)
- Perkins JM, "Marital status, widowhood duration, gender and health outcomes : a cross-sectional study among older adults in India", BMC Public Health, 16, pp.1032~ (2016)
- Oksuzyan A, "A cross-national study of the gender gap in health among older adults in India and China : similarities and disparities", Gerontologist, 58, pp.1156~1165 (2018)
- Singh PK, "Gender difference in cognitive health among older Indian adults : a cross-sectional multilevel analysis", SSM Popul Health, 5, pp.180~187 (2018)
- "Longitudinal Ageing Study in India (LASI) wave 1, 2017-18, India report"[URL]
- Chokkanathan S, "Factor structure of the CES-D scale among older adults in Chennai, India", Aging Ment Health, 17, pp.517~525 (2013)
- Sembiah S, "Elder abuse and its predictors : a cross-sectional study in a rural area of West Bengal, eastern part of India", Psychogeriatrics, 20, pp.636~644 (2020)
- Wang JJ, "Psychological abuse and its characteristic correlates among elderly Taiwanese", Arch Gerontol Geriatr, 42, pp.307~318 (2006)
- Dong X, "Elder abuse and neglect in an urban Chinese population", J Elder Abuse Negl, 19, pp.79~96 (2007)
- Chaudhuri A, "Gender differences in living arrangements among older persons in India", J Asian Afr Stud, 44, pp.259~277 (2009)
- Kulakçı Altıntas H, "Prevalence of elder abuse among community-dwelling older adults in Turkey and its associated factors", Psychogeriatrics, 20, pp.3~10 (2020)
- Arokiasamy P, "Age, socioeconomic patterns and regional variations in grip strength among older adults(50+)in India : evidence from WHO’s Study on Global Ageing and Adult Health(SAGE)", Arch Gerontol Geriatr, 76, pp.100~105 (2018)
- Wilson RS, "Education and cognitive reserve in old age", Neurology, 92, pp.e1041~e1050 (2019)
- Arokiasamy P, "The impact of multimorbidity on adult physical and mental health in low- and middle-income countries: what does the study on global ageing and adult health (SAGE) reveal?", BMC Med, 13, pp.178~ (2015)
- Pati S, "Non communicable disease multimorbidity and associated health care utilization and expenditures in India : cross-sectional study", BMC Health Serv Res, 14, pp.451~ (2014)
- Pandey A, "Trends in catastrophic health expenditure in India : 1993 to 2014", Bull World Health Organ, 96, pp.18~28 (2018)
- Pilania M, "Prevalence of depression among the elderly(60 years and above)population in India, 1997-2016 : a systematic review and meta-analysis", BMC Public Health, 19, pp.832~ (2019)
- Martin P, "Predictors of loneliness in centenarians : a parallel study", J Cross Cult Gerontol, 12, pp.203~224 (1997)