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哥伦比亚老年人受虐情况及其与社会经济状况和功能的关联。

Abuse in Colombian elderly and its association with socioeconomic conditions and functionality.

作者信息

Curcio Carmen-Lucia, Payán-Villamizar Claudia, Jiménez Abelardo, Gómez Fernando

机构信息

Universidad de Caldas, Grupo de Investigaciones en Gerontología y Geriatría, Manizales, Colombia.

Universidad del Valle, Grupo Gerontología y Geriatría, Cali, Colombia.

出版信息

Colomb Med (Cali). 2019 Jun 30;50(2):77-88. doi: 10.25100/cm.v50i2.4013.

Abstract

OBJECTIVE

To describe the presence of abuse in elderly people in Colombia and its association with socio-demographic and functional conditions.

METHODS

Cross-sectional and descriptive research. Data were taken from the SABE Colombia Survey, a population study, with a national representative sample of 23,694 adults aged over 60 years. Presence and type of abuse by partners or family members, members were investigated. Generalized linear models with Poisson link function were used to estimate the causes of the prevalence of abuse by area of residence, region, age, sex, dependence on activities of daily living and living arrangements.

RESULTS

15.1% of the elderly in Colombia reported some type of abuse, and over 50% reported more than one form of abuse. Abuse proportion is greater in people who are aged 60-69, in women, people with lower levels of education, people who belong to lower socioeconomic status, people who live alone, people who live with children, and people in urban areas. The most frequent abuse form is psychological, followed by neglect and physical abuse. Dependence on basic and instrumental daily living activities increases the probabilities of suffering abuse.

CONCLUSIONS

Home is a risky place for the elderly people, especially for those with functional dependence, those who belong to low socioeconomic strata and women. Results should encourage debate among researchers, professionals and decision makers on public policy about necessary actions and means to change violent family dynamics in homes with elderly people.

摘要

目的

描述哥伦比亚老年人遭受虐待的情况及其与社会人口学和功能状况的关联。

方法

采用横断面描述性研究。数据取自哥伦比亚SABE调查,这是一项针对60岁以上成年人的全国代表性人口研究,样本量为23,694人。调查伴侣或家庭成员实施虐待的情况及类型。使用泊松连接函数的广义线性模型来估计按居住地区、区域、年龄、性别、日常生活依赖程度和居住安排划分的虐待流行率的成因。

结果

哥伦比亚15.1%的老年人报告遭受过某种形式的虐待,超过50%的人报告遭受过不止一种形式的虐待。60至69岁的人群、女性、受教育程度较低的人群、社会经济地位较低的人群、独居者、与子女同住者以及城市地区的人群遭受虐待的比例更高。最常见的虐待形式是心理虐待,其次是忽视和身体虐待。对基本和工具性日常生活活动的依赖会增加遭受虐待的可能性。

结论

家庭对老年人来说是一个危险的地方,尤其是对那些有功能依赖的人、社会经济地位较低的人以及女性。研究结果应促使研究人员、专业人员和决策者就公共政策展开辩论,讨论改变有老年人家庭中暴力家庭动态的必要行动和手段。

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