Alan J. Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Community and Primary Care Research Group, University of Plymouth, Plymouth, UK.
J Elder Abuse Negl. 2022 Nov-Dec;34(5):369-392. doi: 10.1080/08946566.2023.2176393. Epub 2023 Feb 3.
Elder abuse is globally considered a hidden problem with great variations in its conceptualization across cultures, non-uniformity in understanding, and manifestations of abuse and neglect. Currently, there are no validated or culturally adapted screening measures for elder abuse in South Africa. The aim of this study was to test the cultural appropriateness of the Elder Abuse Screening Tool (EAST) and the Caregiver Abuse Screen (CASE) in two regions and four languages in South Africa. Using a cognitive interviewing methodology, 23 carers and 19 older adults were interviewed. Findings show that questions in the EAST and CASE are generally well understood, but that adaptations of both tools are necessary for use within South Africa. Fear, knowledge, and experience of crime also showed that strangers, like family, deliberately use deception to build trust and abuse. Further validation is needed to determine suitable scoring and use by health and social care practitioners.
虐待老人在全球范围内被认为是一个隐藏的问题，其概念在不同文化中存在很大差异，对虐待和忽视的理解也不一致，表现形式也各不相同。目前，南非还没有经过验证或适用于文化的虐待老人筛查措施。本研究旨在测试在南非两个地区和四种语言中使用的虐待老人筛查工具（EAST）和照顾者虐待筛查工具（CASE）的文化适宜性。采用认知访谈方法，对 23 名照顾者和 19 名老年人进行了访谈。研究结果表明，EAST 和 CASE 中的问题通常都能被很好地理解，但这两种工具都需要进行改编，才能在南非使用。对恐惧、犯罪知识和经验的研究还表明，像家人一样的陌生人会故意使用欺骗来建立信任并进行虐待。需要进一步验证，以确定卫生和社会保健工作者的合适评分和使用方法。
