Lino Valéria Teresa Saraiva, Rodrigues Nádia Cristina Pinheiro, Lima Idenalva Silva de, Athie Soraya, Souza Edinilsa Ramos de
Escola Nacional de Saúde Pública Sérgio Arouca, Fiocruz. R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.
Departamento de Estudos sobre Violência e Saúde Jorge Careli, Fiocruz. Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2019 Jan;24(1):87-96. doi: 10.1590/1413-81232018241.34872016.
This cross-sectional study was carried out in Manguinhos, Rio de Janeiro, Brazil and aimed to identify the prevalence and factors associated with familial violence perpetrated by caregivers against elderly dependents. A sample of 135 pairs was evaluated using instruments to assess both caregivers (social support, alcoholism, burden, violence) and elders (depression, cognition, functional capacity). Statistical tests compared the percentages of reported violence according to the characteristics of caregiver and elders. A logistic regression model investigated the association between violence and caregiver/ elder characteristics. More than 30% of caregivers gave responses consistent with risk of elder abuse. Among them, high burden level and comorbid alcohol abuse increased the risk of violence by 11 and 3.8 times, respectively. Elderly men were 2.9 times more likely to be mistreated than elderly women, and depressed ones were 6.9 times more likely to report mistreatment than those without depression. Conclusion: We detected a high prevalence of caregiver violence against elderly dependents, with substantially greater risk among caregivers with high levels of burden, alcohol-related problems, and those caring for depressed elders. Family support strategies are needed to reduce domestic violence and protect elderly victims.
这项横断面研究在巴西里约热内卢的曼吉尼奥斯进行，旨在确定照顾者对老年受抚养者实施家庭暴力的患病率及相关因素。使用评估照顾者（社会支持、酗酒、负担、暴力）和老年人（抑郁、认知、功能能力）的工具对135对样本进行了评估。统计检验根据照顾者和老年人的特征比较了报告的暴力行为百分比。逻辑回归模型研究了暴力行为与照顾者/老年人特征之间的关联。超过30%的照顾者给出了与虐待老年人风险相符的回答。其中，高负担水平和合并酗酒分别使暴力风险增加了11倍和3.8倍。老年男性受虐待的可能性是老年女性的2.9倍，而抑郁的老年人报告受虐待的可能性是未抑郁老年人的6.9倍。结论：我们发现照顾者对老年受抚养者实施暴力的患病率很高，在负担水平高、有酒精相关问题的照顾者以及照顾抑郁老年人的照顾者中，风险显著更高。需要家庭支持策略来减少家庭暴力并保护老年受害者。
