College of Nursing at Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Department of Nursing, Federal University of Piauí, Teresina, Piauí, Brazil.
PLoS One. 2019 Feb 8;14(2):e0211806. doi: 10.1371/journal.pone.0211806. eCollection 2019.
This study analyses the multiple abuse against older adults reported to the elder abuse police units of three Brazilian cities from 2009 to 2013. This is a longitudinal and retrospective study carried out through the analysis of police reports (PRs) in the elder abuse police units of three Brazilian cities: Ribeirão Preto (SP), Teresina (PI), and João Pessoa (PB). Descriptive statistical analysis consisted of absolute and percentage frequencies. The chi-square test, Fisher's Exact test, and Relative Risk (RR) were used to analyze the data, with a 95% Confidence Interval (CI) and a significance of 5%. A total of 2,313 reports of older adult abuse were analyzed, of which 245 (10.6%) were related to reports of multiple abuse, 49.4% in Ribeirão Preto, São Paulo, 22.9% in João Pessoa, Paraíba, and 27.8% in Teresina, Piauí. Most of the victims of recurrent older adult abuse are female and younger elderly. Psychological abuse was the most recurrent, followed by financial abuse, occurring in the victim's own home. In João Pessoa, older women and elderly living with their abusers were at a higher risk of report of multiple abuse acts. In Ribeirão Preto, living with the aggressor was a risk factor for multiple violent acts. In the total population of the study, living without companion and not living with the aggressor were identified as protective factors against recurrent violence. The need to implement social and legal actions to improve safety for the more vulnerable groups is emphasized.
这项研究分析了 2009 年至 2013 年间向巴西三个城市的虐待老年人警察部门报告的多种虐待老年人的情况。这是一项纵向和回顾性研究，通过对巴西三个城市（里贝朗普雷图（SP）、特雷西纳（PI）和若昂佩索阿（PB））的虐待老年人警察部门的警方报告（PR）进行分析。描述性统计分析包括绝对频率和百分比。使用卡方检验、Fisher 精确检验和相对风险（RR）分析数据，置信区间为 95%，显著性水平为 5%。共分析了 2313 份老年人虐待报告，其中 245 份（10.6%）与多重虐待报告有关，49.4%来自圣保罗的里贝朗普雷图，22.9%来自巴西北部的若昂佩索阿，27.8%来自皮奥伊州的特雷西纳。反复发生的老年人虐待的大多数受害者是女性和年轻的老年人。心理虐待最为常见，其次是经济虐待，发生在受害者自己的家中。在若昂佩索阿，反复发生虐待行为的老年妇女和与虐待者同住的老年人风险更高。在里贝朗普雷图，与侵略者同住是发生多重暴力行为的危险因素。在研究的总人群中，没有伴侣和不与侵略者同住被确定为防止暴力再次发生的保护因素。强调需要实施社会和法律行动，以提高弱势群体的安全性。
