School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Internal Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Epidemiol Health. 2018;40:e2018055. doi: 10.4178/epih.e2018055. Epub 2018 Nov 10.
Elderly people are often abused in many ways, with serious and lasting consequences. Elder abuse remains one of the most hidden forms of family conflict, and its frequency is anticipated to be rising in many countries that are rapidly experiencing population aging. The purpose of this study was to investigate the status of domestic elder abuse in elderly women in Tehran, Iran and to identify associated factors.
This cross-sectional study was conducted in 2017 among 260 women aged 60 and over, selected through multistage random sampling. Information on abuse and its risk factors was collected through interviews with the elderly in their homes. In order to measure domestic elder abuse, the validated Domestic Elderly Abuse Questionnaire was used. The ordinal logistic test was used in Stata version 12 to identify factors related to elder abuse.
Overall, 90.4% of the subjects had experienced at least 1 type of abuse, among which authority deprivation (68.5%) was the most common and rejection (11.2%) the least common. The ordinal logistic analysis showed that the likelihood of experiencing more severe severe abuse was significantly higher in elderly people over 72 than in those aged 60-62 years (odds ratio, 2.07; 95% confidence interval, 1.03 to 4.17).
Domestic elder abuse was found to be common in older women. Old age was an important risk factor for domestic elder abuse in elderly women in Tehran. Managing and preventing elder abuse is an important issue that needs to be addressed.
老年人常常受到多方面的虐待，后果严重且持久。虐待老人是家庭冲突最隐匿的形式之一，在许多国家，这种冲突的频率预计会随着人口老龄化的迅速加剧而上升。本研究旨在调查伊朗德黑兰老年女性的家庭虐待现状，并确定相关因素。
这是一项 2017 年进行的横断面研究，对象为 260 名 60 岁及以上的女性，采用多阶段随机抽样方法选取。通过对老年人在家中的访谈收集虐待及其危险因素的信息。为了衡量家庭老年虐待，使用经过验证的家庭老年虐待问卷。使用 Stata 12 版中的有序逻辑检验来确定与老年虐待相关的因素。
总体而言，90.4%的受试者至少经历过 1 种虐待，其中权力剥夺（68.5%）最常见，拒绝（11.2%）最不常见。有序逻辑分析显示，与 60-62 岁的老年人相比，72 岁以上的老年人遭受更严重虐待的可能性显著更高（比值比，2.07；95%置信区间，1.03 至 4.17）。
研究发现，老年女性中存在普遍的家庭老年虐待现象。年龄较大是德黑兰老年女性家庭老年虐待的一个重要危险因素。管理和预防老年虐待是一个需要解决的重要问题。
