Factors Associated With Elder Abuse According to the Levels of Social Determinants in Brazil.

Gleicy Karine Nascimento de Araújo Monteiro, Renata Clemente Dos Santos, Wesley Ferreira de Moraes Brandão, Gabriela Maria Cavalcanti Costa, Ana Maria de Almeida, Rafaella Queiroga Souto
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Abstract

Objective: The aim of this study was to analyze the factors associated with elder abuse according to the levels of social determinants.

Methodology: This is a quantitative and multicentric study, with a cross-sectional cut. It was developed in two teaching hospitals in Paraíba, Brazil, with 323 older adults, from July 2019 to February 2020. Data were collected using the Hwalek-Sengstock Elder Abuse Screening Test and Conflict Tactics Scale-1 and then analyzed using descriptive and inferential statistics.

Results: There was a significant association between risk for violence and female gender (p = 0.004), residing with grandchildren (p = 0.025), and having four or more comorbidities (p < 0.00). Physical violence was associated with income (p = 0.048). A positive correlation was observed between the number of comorbidities and the risk for violence score (p < 0.001), psychological violence (p = 0.004), and physical violence (p = 0.005). The probability of presenting a risk to violence increased by 2.08 times for women, 1.03 times for those who were illiterate, and 7.03 times for those with four or more comorbidities.

Conclusion: The social determinants of health that integrate the macrosystem, such as income and number of comorbidities, correlate with situations of violence.

根据巴西社会决定因素水平划分的虐待老人相关因素。
研究目的本研究旨在根据社会决定因素的水平分析与虐待老人相关的因素:这是一项横断面多中心定量研究。研究于 2019 年 7 月至 2020 年 2 月在巴西帕拉伊巴州的两家教学医院进行,共调查了 323 名老年人。研究使用Hwalek-Sengstock老年人虐待筛查测试和冲突策略量表-1收集数据,然后使用描述性和推论性统计进行分析:暴力风险与女性性别(p = 0.004)、与孙辈同住(p = 0.025)和患有四种或更多合并症(p < 0.00)之间存在明显关联。身体暴力与收入有关(p = 0.048)。合并症数量与暴力风险评分(p < 0.001)、心理暴力(p = 0.004)和身体暴力(p = 0.005)之间呈正相关。女性遭受暴力风险的概率增加了 2.08 倍,文盲增加了 1.03 倍,有四种或更多合并症的人增加了 7.03 倍:结论:整合宏观系统的健康社会决定因素,如收入和合并症数量,与暴力情况相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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