Moraes Claudia Leite de, Apratto Júnior Paulo Cavalcante, Reichenheim Michael Eduardo
Universidade Estácio de Sá, Rio de Janeiro, Brasil.
Cad Saude Publica. 2008 Oct;24(10):2289-300. doi: 10.1590/s0102-311x2008001000010.
The objective of this paper was to study the prevalence of domestic physical violence against the elderly in an area covered by the Family Health Program in Niterói, Rio de Janeiro State, Brazil. Using a household survey, 322 subjects 60 years or older were randomly selected from the census of seniors assigned to six health teams. Violence against seniors was detected by means of the Conflict Tactics Scales (CTS1). Physical violence in general was reported by 10.1% (95%CI: 6.7; 13.4) of interviewees, whereas 7.9% (95%CI: 4.9; 10.8) referred having been victims of severe physical violence in the preceding year. Violence was more frequent: against the "younger" elderly; in larger households; and against seniors with a history of diabetes and/or arthritis. The extent of violence against the elderly, even higher prevalence among those with other vulnerabilities, and its negative health consequences highlight the need for measures to deal with the problem within routine activities under the Family Health Program.
本文的目的是研究巴西里约热内卢州尼泰罗伊市家庭健康项目覆盖地区针对老年人的家庭内暴力的流行情况。通过一项家庭调查，从分配给六个卫生团队的老年人普查中随机选取了322名60岁及以上的受试者。采用冲突策略量表（CTS1）来检测针对老年人的暴力行为。10.1%（95%置信区间：6.7；13.4）的受访者报告曾遭受过一般身体暴力，而7.9%（95%置信区间：4.9；10.8）的受访者称在前一年曾是严重身体暴力的受害者。暴力行为在以下情况中更为常见：针对“较年轻”的老年人；在大家庭中；以及针对有糖尿病和/或关节炎病史的老年人。针对老年人的暴力程度，尤其是在其他弱势群体中更高的患病率，以及其对健康的负面后果，凸显了在家庭健康项目的日常活动中采取措施应对该问题的必要性。
