Deputy Ministry of Nursing Affairs, Ministry of Health and Medical Education, Tehran, Iran.
Community Based Psychiatric Care, Research Center, , Shiraz University of Medical Sciences (SUMS), Shiraz, Iran.
BMC Geriatr. 2020 Aug 17;20(1):291. doi: 10.1186/s12877-020-01667-9.
Elder abuse is an important public health problem. The present study was aimed to determine the rate of domestic abuse and its relationship with demographic characteristics among elderly people referred to Primary Health Care (PHC) centers in Shiraz, Iran, 2018.
This descriptive and cross-sectional study was conducted on 400 older people aged 60 years old and above who referred to 22 PHC centers of Shiraz. The data were collected using demographic characteristics questionnaire, Katz index, the domestic elder abuse questionnaire, and elder neglect checklist through face-to-face interview and observation methods. Backward linear regression model was used for analyzing the data.
The results indicated that 52.5% of the participants were female and 51.8% aged 60-69 years old. A total of 159 cases (39.8%) reflected at least one form of elder abuse or neglect. The results indicated that 21% of the participants (n = 84) were abused by their own children. Care neglect was the most reported form (42.8%), followed by psychological abuse (41.3%), emotional neglect (38.8%), and financial abuse (34.3%). The most common types of neglect were motion limitations (25%) followed by the dental problems (23.8%). The results also showed a significant relationship between domestic elder abuse and level of income (p = 0.017), having a house (p = 0.028), type of perpetrator (< 0.001), and insurance status (p = 0.027).
The results revealed a considerable rate of domestic abuse against elderly people, causing a serious risk for their health and security.
虐待老年人是一个重要的公共卫生问题。本研究旨在确定伊朗设拉子初级保健中心（PHC）老年人中家庭虐待的发生率及其与人口统计学特征的关系，时间为 2018 年。
这是一项描述性和横断面研究，共纳入了 400 名年龄在 60 岁及以上并前往设拉子 22 个 PHC 中心的老年人。通过面对面访谈和观察方法，使用人口统计学特征问卷、Katz 指数、家庭老年虐待问卷和老年忽视检查表收集数据。采用向后线性回归模型对数据进行分析。
结果显示，52.5%的参与者为女性，51.8%的参与者年龄在 60-69 岁之间。共有 159 例（39.8%）老年人至少存在一种形式的老年虐待或忽视。结果表明，21%的参与者（n=84）受到其子女的虐待。关怀忽视是最常见的形式（42.8%），其次是心理虐待（41.3%）、情感忽视（38.8%）和经济虐待（34.3%）。最常见的忽视类型是运动受限（25%），其次是牙齿问题（23.8%）。研究结果还显示，家庭老年虐待与收入水平（p=0.017）、拥有住房（p=0.028）、施虐者类型（<0.001）和保险状况（p=0.027）显著相关。
研究结果表明，老年人遭受家庭虐待的比例相当高，这对他们的健康和安全构成了严重威胁。
