Association of functional limitations and disability with elder abuse in India: a cross-sectional study.


Journal

BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548

Informations de publication

Date de publication:
23 06 2020
Historique:
received: 11 02 2020
accepted: 15 06 2020
entrez: 25 6 2020
pubmed: 25 6 2020
medline: 22 12 2020
Statut: epublish

Résumé

Globally, elder abuse is a common form of violence against the elderly. This study examines the association of disability and functional ability measures with elder abuse in India. Cross-sectional data from the UNFPA's 'Building Knowledge Base on Population Ageing in India' (BKPAI 2011) have been analysed. Bivariate and multivariate logistic regression analyses have been used to examine the association of measures of disability and functional ability with elder abuse/mistreatment. The overall prevalence of elder abuse in the study population is 11.4%. The prevalence of elder abuse experienced by study participants in the month before the survey is 6%. The prevalence of disability/functional ability increases the likelihood of elder abuse. Furthermore, the association between functional ability and abuse is stronger and consistent among the elderly who experienced abuse in the month preceding the survey. In addition, the association between disability and elder abuse is stronger in urban areas. Another observation is that gender introduces considerable disparities in the association of disability and functional ability measures with elder abuse. While elderly men with more than two disabilities are 1.85 times (95% CI: 1.23, 2.77, p < 0.003) more likely to experience abuse/mistreatment, women are 3.16 times (CI: 2.22, 4.49, p < .001) more exposed to it. The results of this study suggest a significant association of disability and functional ability with elder abuse. The association differs considerably by place of residence and gender. Measures to improve the functional health of the elderly population and measures to protect the elderly with disability and functional limitations are important in preventing abuse/mistreatment in old age.

Sections du résumé

BACKGROUND
Globally, elder abuse is a common form of violence against the elderly. This study examines the association of disability and functional ability measures with elder abuse in India.
METHODS
Cross-sectional data from the UNFPA's 'Building Knowledge Base on Population Ageing in India' (BKPAI 2011) have been analysed. Bivariate and multivariate logistic regression analyses have been used to examine the association of measures of disability and functional ability with elder abuse/mistreatment.
RESULTS
The overall prevalence of elder abuse in the study population is 11.4%. The prevalence of elder abuse experienced by study participants in the month before the survey is 6%. The prevalence of disability/functional ability increases the likelihood of elder abuse. Furthermore, the association between functional ability and abuse is stronger and consistent among the elderly who experienced abuse in the month preceding the survey. In addition, the association between disability and elder abuse is stronger in urban areas. Another observation is that gender introduces considerable disparities in the association of disability and functional ability measures with elder abuse. While elderly men with more than two disabilities are 1.85 times (95% CI: 1.23, 2.77, p < 0.003) more likely to experience abuse/mistreatment, women are 3.16 times (CI: 2.22, 4.49, p < .001) more exposed to it.
CONCLUSIONS
The results of this study suggest a significant association of disability and functional ability with elder abuse. The association differs considerably by place of residence and gender. Measures to improve the functional health of the elderly population and measures to protect the elderly with disability and functional limitations are important in preventing abuse/mistreatment in old age.

Identifiants

pubmed: 32576146
doi: 10.1186/s12877-020-01619-3
pii: 10.1186/s12877-020-01619-3
pmc: PMC7310468
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

220

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Auteurs

T Sathya (T)

Department of Development Studies, International Institute for Population Sciences, Govandi Station Road, Mumbai, 400088, India. sathya@iips.net.

Ramaswamy Premkumar (R)

Arora Health Initiative, Bangalore, India.

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