Ribera Casado Jose Manuel, Bustillos Antonio, Guerra Vaquero Ana Ilenia, Huici Casal Carmen, Fernández-Ballesteros Rocío
Departamento de Medicina, Facultad de Medicina, Hospital Clínico San Carlos, Universidad Complutense, Madrid, España.
Departamento de Psicología Social, UNED, Madrid, España.
Rev Esp Geriatr Gerontol. 2016 Sep-Oct;51(5):270-5. doi: 10.1016/j.regg.2016.03.005. Epub 2016 Jun 2.
It is generally believed that legislation is an essential resource in the prevention of discriminatory behaviour against older people. This study first examines the Spanish legislation for potential age discrimination and then uses the C-EVE-D questionnaire to ask professionals in social work and health care settings the extent to what certain ageist behaviours described in the questionnaire are observed in practice.
The field study was carried out with professionals in geriatrics and gerontology, who are members of Spanish Society for Geriatrics and Gerontology (SEGG). The EVE discrimination questionnaire consists of 28 items which investigate the existence of age discrimination in medical and social care contexts.
A total of 174 people (63% women; mean age: 45.6 years) took part in the study, with a mean professional experience of 17.2 years. Doctors made up 59% of the sample, psychologists 19%, with the rest coming from other professions. The first 20 discrimination items of the EVE-D questionnaire were significantly positively reported by more than 60% of the sample.
Although Spanish legislation, from the constitution down to the rules that govern social and health care settings, clearly prohibits any kind of discrimination with regard to age, our results show that Spanish professionals most closely involved in the care of older people perceive both direct and indirect age discrimination. Furthermore, evidence was found of prejudice in the treatment of older people as a phenomenon in day-to-day health and social services care, both when analysing medical cases and, to a greater extent, cases of a more general nature and/or relating to co-existence.
人们普遍认为,立法是预防针对老年人的歧视行为的一项重要资源。本研究首先审视西班牙立法中潜在的年龄歧视问题,然后使用C-EVE-D问卷,询问社会工作和医疗保健领域的专业人员在实际中观察到问卷中所描述的某些年龄歧视行为的程度。
实地研究是针对老年医学和老年学领域的专业人员开展的,他们是西班牙老年医学和老年学协会(SEGG)的成员。EVE歧视问卷由28个项目组成,用于调查医疗和社会护理环境中年龄歧视的存在情况。
共有174人(63%为女性;平均年龄:45.6岁)参与了该研究,平均专业经验为17.2年。样本中医生占59%,心理学家占19%,其余来自其他职业。超过60%的样本对EVE-D问卷的前20项歧视项目给予了显著肯定的回答。
尽管从宪法到管理社会和医疗保健环境的规则,西班牙立法明确禁止任何形式的年龄歧视,但我们的研究结果表明,最直接参与老年人护理的西班牙专业人员察觉到了直接和间接的年龄歧视。此外,在分析医疗案例以及在更大程度上分析更普遍性质和/或与共处相关的案例时,发现在日常健康和社会服务护理中存在针对老年人的偏见现象。