The Impact of Abuse on the Quality of Life of the Elderly: A Population-based Survey in Iran
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Objectives: The quality of life (QoL) of the elderly and elder abuse are growing public health concerns. This study aimed to evaluate the prevalence of abuse and the association between QoL and abuse in older adults. Methods: Multistage random cluster sampling, along with valid QoL (LEIPAD: LEIden, the Netherlands; PADua, Italy; Helsinki, Finland) and abuse questionnaires, were used to assess QoL and elder abuse. Path analysis was performed using Mplus. SPSS and AMOS were used for the other analyses. Results: A total of 386 elderly individuals with a mean age of 68.00±6.10 years were interviewed, of whom 200 (51.8%), 289 (74.9%), and 376 (97.4%) were women, educated, and married, respectively. Moreover, 167 (43.2%) had low-to-moderate QoL, and 108 (27.9%) had experienced a moderate level of abuse. QoL and abuse were inversely associated (r=-0.253), with men (β=-0.24) more affected than women (β=-0.21). Musculoskeletal disorders were also strong determinants of QoL in the elderly. QoL was strongly associated with emotional abuse, while abuse was highly related to the social component of QoL. Furthermore, emotional abuse was the type of abuse most significantly associated with the self-care, depression/anxiety, cognitive, and social components of QoL. Sexual abuse, violation of personal rights, and neglect were the main determinants of the physical functioning, life satisfaction, and sexual domains of QoL, respectively. Conclusions: Nearly half of the elderly individuals lacked a high QoL, and at least one-fourth had experienced some form of abuse. Elder abuse was correlated inversely with QoL. Therefore, preventive interventions are recommended to decrease elder abuse in the family, community, and other settings.
Abstract
Objectives: The quality of life (QoL) of the elderly and elder abuse are growing public health concerns. This study aimed to evaluate the prevalence of abuse and the association between QoL and abuse in older adults. Methods: Multistage random cluster sampling, along with valid QoL (LEIPAD: LEIden, the Netherlands; PADua, Italy; Helsinki, Finland) and abuse questionnaires, were used to assess QoL and elder abuse. Path analysis was performed using Mplus. SPSS and AMOS were used for the other analyses. Results: A total of 386 elderly individuals with a mean age of 68.00±6.10 years were interviewed, of whom 200 (51.8%), 289 (74.9%), and 376 (97.4%) were women, educated, and married, respectively. Moreover, 167 (43.2%) had low-to-moderate QoL, and 108 (27.9%) had experienced a moderate level of abuse. QoL and abuse were inversely associated (r=-0.253), with men (β=-0.24) more affected than women (β=-0.21). Musculoskeletal disorders were also strong determinants of QoL in the elderly. QoL was strongly associated with emotional abuse, while abuse was highly related to the social component of QoL. Furthermore, emotional abuse was the type of abuse most significantly associated with the self-care, depression/anxiety, cognitive, and social components of QoL. Sexual abuse, violation of personal rights, and neglect were the main determinants of the physical functioning, life satisfaction, and sexual domains of QoL, respectively. Conclusions: Nearly half of the elderly individuals lacked a high QoL, and at least one-fourth had experienced some form of abuse. Elder abuse was correlated inversely with QoL. Therefore, preventive interventions are recommended to decrease elder abuse in the family, community, and other settings.
참고문헌 (28)
- Hosseinkhani Z, "Elder abuse : screening in Iranian families", Med J Islam Repub Iran, 31, pp.126~ (2017)
- "Elder abuse" (2018)[URL]
- "Census 2016 - general results"[URL]
- Tobiasz-Adamczyk B, "Health-related quality of life in older age and a risk of being a victim of domestic violence", Arch Gerontol Geriatr, 58(3), pp.388~398 (2014)
- Wang F, "Elder abuse and its impact on quality of life in nursing homes in China", Arch Gerontol Geriatr, 78, pp.155~159 (2018)
- Hirsch RD, "Violence against elderly people", Recognize—sensitize—act! Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz, 59(1), pp.105~112 (2016)
- Yon Y, "Elder abuse prevalence in community settings : a systematic review and meta-analysis", Lancet Glob Health, 5(2), pp.e147~e156 (2017)
- Yon Y, "The prevalence of elder abuse in institutional settings : a systematic review and meta-analysis", Eur J Public Health, 29(1), pp.58~67 (2019)
- Mosqueda L, "The abuse intervention model : a pragmatic approach to intervention for elder mistreatment", J Am Geriatr Soc, 64(9), pp.1879~1883 (2016)
- Fraga S, "Lifetime abuse and quality of life among older people", Health Soc Work, 42(4), pp.215~222 (2017)
- Kashfi SM, "Elder abuse in Shiraz, Iran", Iran J Psychiatry Behav Sci, 11(2), pp.e4667~ (2017)
- De Leo D, "LEIPAD, an internationally applicable instrument to assess quality of life in the elderly", Behav Med, 24(1), pp.17~27 (1998)
- Hesamzadeh A, "Comparison of elderlys"quality of life"living at homes and in private or public nursing homes", Iran J Ageing, 4(4), pp.66~74 (2010)
- Keyghobadi F, "Prevalence of elder abuse against women and associated factors", J Mazandaran Univ Med Sci, 24(117), pp.125~132 (2014)
- Yan E, "A systematic review of prevalence and risk factors for elder abuse in Asia", Trauma Violence Abuse, 16(2), pp.199~219 (2015)
- Molaei M, "Prevalence of elder abuse in Iran : a systematic review and meta analysis", Iran J Ageing, 12(2), pp.242~253 (2017)
- Manouchehri H, "Degree and types of domestic abuse in the elderly referring to parks of Tehran", Adv Nurs Midwifery, 18(63), pp.39~45 (2009)
- Guedes DT, "Socioeconomic status, social relations and domestic violence (DV) against elderly people in Canada, Albania, Colombia and Brazil", Arch Gerontol Geriatr, 60(3), pp.492~500 (2015)
- Ruiz-Pérez I, "Intimate partner violence and mental disorders : co-occurrence and gender differences in a large cross-sectional population based study in Spain", J Affect Disord, 229, pp.69~78 (2018)
- Humphries KH, "Sex differences in cardiovascular disease-impact on care and outcomes", Front Neuroendocrinol, 46, pp.46~70 (2017)
- Micheli K, "Family ties and functional limitation in the elderly : results from the Survey of Health Ageing and Retirement in Europe(SHARE)", Arch Gerontol Geriatr, 78, pp.23~29 (2018)
- Heravi-Karimooi M, "Health-related quality of life among abused and non-abused elderly people : a comparative study", Payesh, 12(5), pp.479~488 (2013)
- Mohebi L, "Comparison of the rates and types of domestic elder abuse and the impact on their quality of life in Dezful", Nova J Med Biol Sci, 4(4), pp.1~9 (2015)
- Fisher BS, "The extent and frequency of abuse in the lives of older women and their relationship with health outcomes", Gerontologist, 46(2), pp.200~209 (2006)
- Schofield MJ, "Three year health outcomes among older women at risk of elder abuse : women’s health Australia", Qual Life Res, 13(6), pp.1043~1052 (2004)
- Yan E, "Prevalence and psychological impact of Chinese elder abuse", J Interpers Violence, 16(11), pp.1158~1174 (2001)
- Schiamberg LB, "Elder abuse by adult children : an applied ecological framework for understanding contextual risk factors and the intergenerational character of quality of life", Int J Aging Hum Dev, 50(4), pp.329~359 (2000)
- Lankarani K, "The prevalence and predictors of sleep disturbance in the elderly: a population-based study in Shiraz, Iran", Shiraz E-Med J, 20(11), pp.e88349~ (2019)