Apratto Júnior Paulo Cavalcante
Fundação Municipal de Saúde de Niterói, Niterói, RJ.
Cien Saude Colet. 2010 Sep;15(6):2983-95. doi: 10.1590/s1413-81232010000600037.
This article investigates the magnitude and characteristics of violence against the elderly by trusted people at Ilha da Conceição, Niterói--RJ registered at the Family Health Program. A domestic survey interviewed 343 individuals with 60 years or more, selected by a simple random sample. To identify the violence it was used the Conflict Tactics Scales. Information about identification, demographics and socio-economics characteristics were obtained using the National Health Interview Survey. The Mini-Mental State Examination was used to evaluate mental health. In order to evaluate the functional capacity, the Health Assessment Questionnaire was used. In cases of alcohol suspicion among men, it was used the instrument CAGE. To female elder or caregivers, the TWEAK instrument was used. 43% reported at least one episode of psychological violence. Physical violence was reported by 9.6% of the interviewed, 6.1% reported serious physical violence in this period. The prevalence of different modalities of violence was higher among the youngest individuals, with higher scholarity, among those who have one of the pathologies that characterize the elderly as having a vulnerability (depression and/or urinary incontinence/fecal and/or diabetes and/or rheumatism) and those living with the greatest number of individuals.
本文调查了在尼泰罗伊市康塞桑岛家庭健康项目登记的、受信任之人对老年人实施暴力的程度和特征。一项家庭调查对343名60岁及以上的个体进行了访谈，这些个体通过简单随机抽样选取。为识别暴力行为，使用了冲突策略量表。通过国民健康访谈调查获取了关于身份识别、人口统计学和社会经济特征的信息。使用简易精神状态检查表评估心理健康状况。为评估功能能力，使用了健康评估问卷。对于男性中疑似饮酒的情况，使用了CAGE量表。对于老年女性或照料者，使用了TWEAK量表。43%的人报告至少有一次心理暴力事件。9.6%的受访者报告遭受过身体暴力，6.1%的人报告在此期间遭受过严重身体暴力。不同形式暴力的患病率在最年轻的个体、受教育程度较高者、患有使老年人具有脆弱性的疾病（抑郁症和/或尿失禁/大便失禁和/或糖尿病和/或风湿病）之一的人以及与最多人数的人一起生活的人中更高。
