Guedes Dimitri Taurino, Alvarado Beatriz Eugenia, Phillips Susan P, Curcio Carmen Lucia, Zunzunegui María Victoria, Guerra Ricardo Oliveira
Faculdade de ciências da Saúde do Trairi, Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Bolsita CNpQ Brasil, Rua Vila Trairi, S/N, Centro, Santa Cruz, Rio Grande do Norte 59200-000, Brazil.
Department of Public Health Sciences, Queen's University, Carruthers Hall Office 205, 62 Fifth Field Company Lane, Kingston, ON K7L 3N6, Canada.
Arch Gerontol Geriatr. 2015 May-Jun;60(3):492-500. doi: 10.1016/j.archger.2015.01.010. Epub 2015 Jan 24.
To determine whether gender, socioeconomic conditions, and/or social relations are related to recent experiences of DV in older adult populations.
Data on socioeconomic status and social relations were collected in 2012 from 1995 community-dwelling older adults in Canada, Colombia, Brazil, and Albania. Violence experienced in the last 6 months was measured using the Hurt, Insulted, Threatened with harm, or Screamed at (HITS) scale and classified according to type (physical or psychological) and perpetrator (partner or family member). Binary logistic regression analyses were used to assess associations between experiences of violence and gender, socioeconomic conditions, and social relations.
Physical violence (by partner or family member) was reported by 0.63-0.85% of participants; the prevalence of psychological violence (by partner or family member) ranged from 3.2% to 23.5% in men and 9% to 26% in women. After adjustment for socioeconomic status, social relations, age and site, women experienced more psychological violence perpetrated by family members than did men (odds ratio (OR): 1.8; 95% CI: 1.2-2.6). Social relations, such as multifamily living arrangements and low levels of support from partners, children, and family, were associated with psychological DV. Current working status was associated with greater odds of victimization by partners among men (OR: 2.35 95% CI: 1.34-1.41), but not among women.
Gender and social relations are important determinants of experiencing violence in older adults. The findings of this study demonstrate the importance of a gender-based approach to the study of DV in older adults.
确定性别、社会经济状况和/或社会关系是否与老年人群近期的亲密伴侣暴力经历相关。
2012年,从加拿大、哥伦比亚、巴西和阿尔巴尼亚的1995名社区居住老年人中收集了社会经济状况和社会关系数据。使用伤害、侮辱、受到伤害威胁或被尖叫(HITS)量表来衡量过去6个月内经历的暴力,并根据类型(身体暴力或心理暴力)和施暴者(伴侣或家庭成员)进行分类。采用二元逻辑回归分析来评估暴力经历与性别、社会经济状况和社会关系之间的关联。
0.63%-0.85%的参与者报告遭受过身体暴力(来自伴侣或家庭成员);心理暴力(来自伴侣或家庭成员)的患病率在男性中为3.2%至23.5%,在女性中为9%至26%。在对社会经济状况、社会关系、年龄和地点进行调整后,女性遭受家庭成员实施的心理暴力比男性更多(优势比(OR):1.8;95%置信区间:1.2-2.6)。社会关系,如多家庭居住安排以及来自伴侣、子女和家庭的低水平支持,与心理亲密伴侣暴力相关。当前的工作状态与男性遭受伴侣暴力侵害的较高几率相关(OR:2.35,95%置信区间:1.34-1.41),但与女性无关。
性别和社会关系是老年人遭受暴力的重要决定因素。本研究结果表明,基于性别的方法对于研究老年人亲密伴侣暴力具有重要意义。