Screening for domestic abuse and its relationship with demographic variables among elderly individuals referred to primary health care centers of Shiraz in 2018

Abstract

Background: Elder abuse is an important public health problem. The present study was aimed to determine the rate of domestic abuse and its relationship with demographic characteristics among elderly people referred to Primary Health Care (PHC) centers in Shiraz, Iran, 2018. Methods: This descriptive and cross-sectional study was conducted on 400 older people aged 60 years old and above who referred to 22 PHC centers of Shiraz. The data were collected using demographic characteristics questionnaire, Katz index, the domestic elder abuse questionnaire, and elder neglect checklist through face-to-face interview and observation methods. Backward linear regression model was used for analyzing the data. Results: The results indicated that 52.5% of the participants were female and 51.8% aged 60-69 years old. A total of 159 cases (39.8%) reflected at least one form of elder abuse or neglect. The results indicated that 21% of the participants (n = 84) were abused by their own children. Care neglect was the most reported form (42.8%), followed by psychological abuse (41.3%), emotional neglect (38.8%), and financial abuse (34.3%). The most common types of neglect were motion limitations (25%) followed by the dental problems (23.8%). The results also showed a significant relationship between domestic elder abuse and level of income (p = 0.017), having a house (p = 0.028), type of perpetrator (< 0.001), and insurance status (p = 0.027). Conclusions: The results revealed a considerable rate of domestic abuse against elderly people, causing a serious risk for their health and security.

Gambaran Kejadian Tindakan Kekerasan pada Lansia : Literature Review

“…Berdasarkan hasil penelitian pada ke-5 artikel (tabel 1), menunjukkan bahwa mayoritas usia responden berusia 60-69 tahun. Hal ini sejalan dengan penelitian yang dilakukan oleh [11]bahwa rata-rata usia responden dalam rentang usia 60-69 tahun sebesar 51,8%. Suatu hasil penelitian menyatakan bahwa angka kekerasan pada lansia masih cukup tinggi karena lansia mengalami proses menua (ageing).…”

“…Hasil penelitian berdasarkan tabel 2 menunjukkan bahwa distribusi frekuensi jumlah responden yang paling banyak yaitu berjenis kelamin perempuan. Penelitian ini sejalan dengan penelitian [11]didapatkan hasil bahwa lansia berjenis kelamin perempuan lebih banyak dibanding lansia berjenis kelamin laki-laki yaitu sebanyak 52,5% responden.…”

“…Hasil tersebut juga sejalan dengan penelitian yang menyatakan bahwa lansia dengan jenis kelamin perempuan memiliki status ekonomi dan sosial yang lebih rendah dibandingkan dengan laki-laki [16]; [11]. Selain itu, perempuan dianggap lebih dominan sering mengalah dan bersifat lemah, hal tersebut dapat memicu terjadinya tindakan kekerasan pada lansia [17].…”

“…Hasil review terhadap 5 artikel penilaian mengenai jenis tindakan kekerasan (tabel 7) yang paling banyak dialami lansia yaitu kekerasan psikologis sebanyak 459 (41%). Hal ini sejalan dengan penelitian dimana jenis kekerasan yang paling banyak dialami lansia yaitu kekerasan psikologis sebanyak 165 (41,3%) [11].…”

Gambaran Karakteristik Demografi Lansia Yang Mengalami Pengabaian : Literature Review

“…Lansia perempuan lebih bergantung secara finansial, mental, dan sosial pada keluarganya. Wanita memiliki status ekonomi dan sosial yang lebih rendah dibandingkan lansia pria, dengan demikian mereka lebih cenderung disalahgunakan dan diabaikan oleh keluarga [16].…”