Developing a comprehensive understanding of elder abuse prevention in immigrant communities: a comparative mixed methods study protocol

Abstract

IntroductionOlder adults are the fastest growing age group in Canada. Elder abuse has significant individual and societal implications, so it is critical to address. While interest in this topic is increasing, little is known about the risk factors for elder abuse in immigrant communities in Canada, or about culturally relevant strategies to address these risk factors.Methods and analysisThis mixed-methods study is guided by the intersectionality and ecological frameworks. We will include two long-term (ie, established) and two recent immigrant communities from East Asian and South Asian communities in the Greater Toronto Area: Chinese, Korean, Punjabi and Tamil. Through structured group interviews, we will first identify factors that contribute to elder abuse within and across each of the immigrant communities and then explore culturally relevant strategies to address those risk factors. Group interviews will be conducted separately with five stakeholder groups in each of the four languages: older women, older men, family members, community leaders and service providers. Quantitative and qualitative data will be analysed at the level of the particular interview groups, subgroups and communities, and will be integrated across communities to identify common and unique risk factors and strategies to address elder abuse.Ethics and disseminationThe study protocol has received ethics approval from the two universities associated with the research team. Given the comprehensive approach to incorporate local knowledge and expert contributions from multi-level stakeholders, the empirical and theoretical findings will facilitate practice change and improve the well-being of older men and women in immigrant communities.

Developing a Comprehensive Understanding of Older Person Abuse in Canadian Immigrant Communities: An Integrative Review

“…Yet the majority of Canadian and immigrant older people live in the community (Garner et al, 2018), where abuse often occurs behind closed doors. Thus, the risk factors of abuse among community dwelling older immigrant groups are understudied and under-reported (Guruge et al, 2019a). The under-reporting of abuse in immigrant communities, is linked with cultural values, social ties, physical, emotional and financial dependance (Roger et al, 2015), family loyalty, language barriers (Dong, 2014), lack of social connections outside of the perpetrator and lack of awareness about existing social support systems (Guruge et al, 2019b).…”

A Critical Ethnographic Inquiry Into Newcomer Women's Experiences With Perinatal Care During The Three-Month Health Insurance Waiting Period In Ontario

“…Further, Dr. Joanna Anneke Rummens (2003) has used this framework to discuss concepts of identity and diversity, including how identities may overlap and intersect, presenting a multidimensional perspective. Additionally, Dr. Sepali Guruge has used this framework to examine how intersecting social identities can: impact the mental health of newcomer and refugee women (Guruge & Khanlou, 2004); influence an individual's responses to and experiences of intimate partner violence (2012); and contribute to elder abuse among two long-term and two recent newcomer communities (Chinese, Korean, Punjabi, and Tamil, respectively) in the Greater Toronto Area (Guruge, Sidani, Matsuoka, Man, & Pirner, 2019). I chose intersectionality for this study because it provides a multi-faceted approach for analyzing the individual and systemic factors that intersect to shape perinatal care for newcomer women during the three-month OHIP waiting period.…”

Aspectos Biológicos E Tecnológicos Do Processo De Envelhecimento Humano

“…Pode definir-se como um ato único ou repetido que ocorre no âmbito de qualquer relacionamento onde havia uma expectativa de confiança, que cause mal ou aflição a uma pessoa mais velha (WHO, 2002). Este ato de violência pode dirigir-se à dimensão física, psicológica, sexual e financeira, traduzindo-se em maus tratos, isolamento, abandono, violação de direitos legais e médicos, privação de escolhas e respeito (GURUGE et al, 2019).…”