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积极老龄化指数(AAI)能否洞察减少虐待老年人问题?孟加拉国拉杰沙希地区的一个案例研究。

Can an active aging index (AAI) provide insight into reducing elder abuse? A case study in Rajshahi District, Bangladesh.

机构信息

Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi 6205, Bangladesh.

Sapporo Community Health Service and Department of Dental Public Health, Sapporo Dental College & Hospital, Dhaka, Bangladesh.

出版信息

Arch Gerontol Geriatr. 2014 May-Jun;58(3):399-407. doi: 10.1016/j.archger.2013.11.003. Epub 2013 Nov 27.

Abstract

We use data from respondents aged 60 years and above, collected during April 2009 in the Rajshahi district of Bangladesh, to examine whether high activeness, as captured by an AAI or in sub-domains, can help reduce the risk of elder abuse. The findings suggest that more than half of rural elderly and 14 percent of urban elderly were at some point abused. High activeness in health and security dimensions lowers the risk of being abused while those who are low active in community participation have the lowest risk of being abused in both rural and urban areas. Being literate (elderly with primary/secondary education) is revealed to be a significant factor that lowers the risk of abuse in both rural and urban areas. These results imply a need for educational programs that bolster positive and proper community interaction, in turn promoting a secure later life for elders, and reducing burden for families and society. High activeness in health and security dimensions should also be promoted to keep the elderly healthy and protect from abusive behavior.

摘要

我们使用了 2009 年 4 月在孟加拉国拉杰沙希区收集的 60 岁及以上受访者的数据,以检验 AAI 或其子领域中的高度活跃程度是否有助于降低虐待老年人的风险。研究结果表明,超过一半的农村老年人和 14%的城市老年人曾在某个时候遭受过虐待。在健康和安全维度上的高度活跃可以降低被虐待的风险,而在社区参与方面活跃度较低的人在农村和城市地区都有最低的被虐待风险。有文化(接受过小学/中学教育的老年人)被证明是一个重要因素,可以降低农村和城市地区的虐待风险。这些结果表明,需要开展教育项目,加强积极和适当的社区互动,从而为老年人提供安全的晚年生活,并减轻家庭和社会的负担。还应提倡在健康和安全维度上保持高度活跃,以保持老年人的健康并防止受到虐待行为的伤害。

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