An Evaluation of Abuse and Neglect in Elderly with the Hwalek-Sengstock Elder Abuse Screening Test

Şahin, Hande; Erkal, Sibel

doi:10.31086/tjgeri.2018137961

Cited by 7 publications

(5 citation statements)

References 8 publications

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“…We determined that as the education level of the participants decreased, the level of exposure to abuse increased. The results obtained in previous studies [36][37][38] are in line with the results of our study.…”

Section: Discussionsupporting

confidence: 93%

“…We determined that individuals with low income levels had a higher level of exposure to abuse. The results obtained in previous studies 37 are in line with the results of our study. Poverty due to a decrease in income in old age, loneliness brought by long life, increasing need for care, and abandonment to their fate cause an increase in crimes against older individuals.…”

Section: Discussionsupporting

confidence: 93%

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The effect of rumination and elder abuse level on successful aging in elderly individuals: Analysis with a machine learning approach

et al. 2023

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Background This study aimed to determine the effect of rumination and elder abuse levels on successful aging in elderly individuals. Methods This descriptive‐correlational study was conducted with older individuals (n = 297) in Ağrı, Turkey, between October 2021 and May 2022. SPSS‐22 and R v.4.1.3 were used in the study. Analysis was done with machine learning and artificial neural networks. Results In the study, the mean age of the older individuals was 67.49 ± 3.04. Statistical estimates showed the regression model to be significant and usable, F(2,294) = 116.659, P = 0.001. Elder abuse and ruminative thought levels together explained 43.9% of the total variance (R2 = 0.439) of successful aging. The regression model indicated that increases in both the elder abuse level (t = −3.672, P < 0.001) and the ruminative thought level (t = −12.771, P < 0.001) of participants caused a statistically significant decrease in the successful aging level. The combined elder abuse and ruminative thought levels had a greater effect on successful aging (Model 1: F = 45.321, Model 2: F = 116.659, R2 Change = 0.309). The R2 value of the Random Forest regression model was 0.529, showing that the independent variables could explain 52.92% of the variation in the dependent variable. According to the SHapley Additive exPlanation values, which show the contribution or importance of each variable in the estimation of the model, it was determined that the most important variables for estimating the Successful Aging Scale variable were ruminative thought style and elder abuse screening. Conclusions Our study indicates that a decrease in the levels of rumination and elder abuse could lead to improvement in successful aging. Longitudinal studies on successful aging in older individuals are recommended.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

The effect of rumination and elder abuse level on successful aging in elderly individuals: Analysis with a machine learning approach

et al. 2023

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“…In studies using H-S/EAST in Turkey, average scores were found to be below three. 20,27,28 Elder abuse is a multifactorial condition. Culture, the presence and nature of the disease, the individual and sociodemographic characteristics of the elderly and their caregivers can affect abuse status.…”

Section: Discussionmentioning

confidence: 99%

“…The mean H‐S/EAST scores of the elderly who participated in this study were found to be 4.22 ± 3.49. In studies using H‐S/EAST in Turkey, average scores were found to be below three 20,27,28 . Elder abuse is a multifactorial condition.…”

Section: Discussionmentioning

confidence: 99%

The effect of health empowerment on elder abuse in older adults

Karaman,

Özer,

Bahçecioğlu Turan

et al. 2023

Psychogeriatrics

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BackgroundUnderstanding elder abuse requires an assessment of variables that may limit older adults' capacities to handle their everyday lives, to live independently, and to defend themselves. This study was conducted to examine the effect of health empowerment on elder abuse in older adults.MethodsThis cross‐sectional and correlational study was conducted with 250 elderly individuals who applied to the internal medicine clinics of a university hospital in Elazig, eastern Turkey. Data were collected using the Descriptive Information Form, Elders Health Empowerment Scale (EHES) and the Hwalek‐Sengstock Elder Abuse Screening Test (H‐S/EAST).ResultsThe average EHES total score of participants was 25.52 ± 6.58. The H‐S/EAST total score was 4.22 ± 3.49. Among subscales, the score of “Characteristics of the elder that make him or her vulnerable to abuse” subscale was 1.04 ± 0.83, the score of ‘Overt violation of personal rights and direct abuse’ subscale was 1.55 ± 1.30, and the score of ‘Characteristics of potentially abusive situations’ subscale was 1.62 ± 1.94. It was determined that the EHES (β = −0.163, P < 0.01) variable had a negative and significant effect on H‐S/EAST. It was found that a one‐unit decrease in the EHES variable increased the level of H‐S/EAST 0.849 times.ConclusionIt was determined that the level of empowerment of the participants was moderate. Elderly individuals were found to have a moderate risk of elder abuse. It was found that the risk of elder abuse decreased as older individuals became stronger.

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“…Satu jawaban dihitung 1 poin yang kemudian poin tersebut ditambah untuk menyusun skor total. Menurut Ozmete E, pertanyaan dalam H-S/EAST dikategorikan menjadi tiga, yaitu: (1) pelanggaran terang-terangan terhadap hak pribadi dan penyalahgunaan langsung (butir 4, 9, 10, 11, dan 15); (2) karakteristik lansia yang menyebabkan rentan terhadap abuse (butir 1, 3, dan 6); (3) karakteristik situasi yang berpotensi terjadinya abuse (butir 2, 5, 7, 8, 12, 13, dan 14) (Sahin & Erkal, 2018). Hasil screening melalui H-S/EAST pada responden ditunjukkan pada Tabel 5.…”

Section: Potensi Elder Abuse Lansia Melalui Deteksi H-s/eastunclassified

Analisis Risiko Elder Abuse dan Peran Pemerintah dalam Perlindungan Sosial Lansia

Probosiwi,

Suryani

2022

aspirasi

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This paper aims to analyze the risk of elder abuse and the role of the government in protecting the elderly. This research is a qualitative study conducted on 30 elderly people in Gunungkidul Regency. The risk of elder abuse was assessed through the H-S/EAST screening instrument which was conducted in the respondent's local language. The data were analyzed descriptively and deepened through other instruments regarding the types of abuse that might be accepted. The answers were then deepened through interviews with several key informants from families, communities where they live, and also government officials. The data were analyzed descriptively and concluded. The results show that the elderly in Gunungkidul Regency experience low levels of abuse, but on the other hand, they experience open violations, especially in terms of finance. The limited information regarding the rights and possible abuses received causes respondents' answers to tend not to consider violations as abuse. The local government has paid special attention to the welfare of the elderly, especially how to reduce depression in the elderly, considering the suicide rate of the elderly in Gunungkidul Regency is quite high. Further research is needed on the association of elder abuse with suicide rates. In addition, it is necessary to advocate for policies regarding elderly protection programs, especially regarding the welfare of caregivers. The DPR RI is also expected to immediately finalize and ratify the draft Law on Elderly Social Welfare in order to provide social protection for the elderly against potential abuses that may be experienced.Abstrak Tulisan ini bertujuan menganalisis risiko perlakuan salah dan kekerasan (elder abuse) terhadap lansia dan peran pemerintah dalam melindungi lansia. Penelitian ini merupakan studi kualitatif yang dilakukan pada 30 lansia di Kabupaten Gunungkidul. Risiko elder abuse terhadap lansia dijaring melalui instrumen skrining H-S/EAST yang dilakukan melalui bahasa lokal responden. Data kemudian dianalisis secara deskriptif dan diperdalam melalui instrumen lain mengenai jenis elder abuse yang mungkin diterima. Jawaban kemudian diperdalam melalui wawancara dengan beberapa informan kunci dari keluarga, masyarakat tempat tinggal dan juga aparat pemerintah. Data dianalisis secara deskriptif untuk kemudian diambil kesimpulan. Hasil menunjukkan bahwa lansia di Kabupaten Gunungkidul rendah mengalami perlakuan salah dan kekerasan, tetapi di sisi lain ternyata mengalami pelanggaran terang-terangan terutama pada segi finansial. Keterbatasan informasi mengenai hak dan kemungkinan elder abuse yang diterima menyebabkan jawaban responden cenderung tidak menganggap pelanggaran sebagai perlakuan salah dan kekerasan. Pemerintah daerah telah memberikan perhatian khusus pada kesejahteraan lansia terutama cara mengurangi depresi lansia mengingat tingkat bunuh diri lansia di Kabupaten Gunungkidul cukup tinggi. Perlu dilakukan penelitian lanjutan mengenai keterkaitan elder abuse dengan tingkat bunuh diri. Selain itu, perlu advokasi kebijakan mengenai program perlindungan lansia terutama mengenai kesejahteraan pengasuh lansia. DPR RI juga diharapkan dapat segera menuntaskan dan mengesahkan rancangan Undang-Undang tentang Kesejahteraan Lanjut Usia demi memberikan perlindungan sosial lanjut usia atas potensi abuse yang mungkin dialami.

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An Evaluation of Abuse and Neglect in Elderly with the Hwalek-Sengstock Elder Abuse Screening Test

Cited by 7 publications

References 8 publications

The effect of rumination and elder abuse level on successful aging in elderly individuals: Analysis with a machine learning approach

The effect of rumination and elder abuse level on successful aging in elderly individuals: Analysis with a machine learning approach

The effect of health empowerment on elder abuse in older adults

Analisis Risiko Elder Abuse dan Peran Pemerintah dalam Perlindungan Sosial Lansia

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