Prevalence, pattern and predictors of elder abuse in rural communities of Edo State, Nigeria.

Fatelyn I Okakah, Simeon N Awunor, Oluwaseun E Daramola, Danny A Asogun, Charles O Aluede, Ejiroghene C Ucho
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Abstract

Objective: This study aimed to investigate the prevalence, pattern, and predictors of elder abuse in two rural communities in Edo State, Nigeria.

Design: A cross-sectional study.

Setting: Individuals residing in rural communities in Edo state were studied.

Participants: Two hundred and thirty-two participants aged ≥ 60 years.

Main outcome measures: The prevalence and pattern of elder abuse, and predictors of abuse.

Results: The mean age of participants was 73.2±9.1 years, and the prevalence of elder abuse was 79.3%. The pattern of abuse observed was neglect (73.4%), financial abuse (64.1%) and emotional abuse (53.8%), with many of the perpetrators being children of the victims. Risk factors associated with abuse in this study included sex (p = 0.009), marital status (p = 0.028), employment status (p = 0.002), educational qualification (p = 0.001), living arrangement (p = 0.001), financial status (p = 0.017), and dependency level (p = 0.015). The top barriers to help-seeking by the elderly were stigmatisation (24.4%), fear of retaliatory assault (19.3%) and abandonment (19.4%) respectively.

Conclusion: Elder abuse is prevalent in the study area, with neglect being the most typical form of abuse and children of the victims are the major perpetrators. Consequently, concerted efforts to respect and care for the elderly should be directed by all stakeholders at the International, Federal, State, and Local Levels (including the community and family).

Funding: None declared.

尼日利亚埃多州农村社区虐待老人的流行、模式和预测因素
目的:本研究旨在调查尼日利亚埃多州两个农村社区老年人虐待的患病率、模式和预测因素。设计:横断面研究。环境:研究居住在江户州农村社区的个人。参与者:年龄≥60岁的232人。主要结果测量:虐待老人的流行程度和模式,以及虐待的预测因素。结果:参与者的平均年龄为73.2±9.1岁,虐待老人的发生率为79.3%。观察到的虐待模式是忽视(73.4%),经济虐待(64.1%)和情感虐待(53.8%),许多施暴者是受害者的孩子。本研究中与虐待相关的危险因素包括性别(p = 0.009)、婚姻状况(p = 0.028)、就业状况(p = 0.002)、教育程度(p = 0.001)、生活安排(p = 0.001)、经济状况(p = 0.017)和依赖程度(p = 0.015)。老年人寻求帮助的最大障碍分别是污名化(24.4%)、害怕报复攻击(19.3%)和被遗弃(19.4%)。结论:老年人虐待在研究区域普遍存在,忽视是最典型的虐待形式,受害者的子女是主要的施暴者。因此,国际、联邦、州和地方各级(包括社区和家庭)的所有利益攸关方应共同努力,尊重和照顾老年人。资金:未宣布。
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