Departamento de Saúde Pública, Universidade Federal de Santa Catarina. Campus Universitário. 88040-970 Florianópolis SC Brasil.
Cien Saude Colet. 2024 Sep;29(9):e16462023. doi: 10.1590/1413-81232024299.16462023. Epub 2024 Apr 19.
The objective of this article was to verify the association between domestic violence and obesity and malnutrition in elderly people in Florianópolis, Santa Catarina, Brazil. Cross-sectional study evaluated in the EpiFloripa Elderly cohort in 2013/2014. The outcomes were body mass index (BMI) and abdominal obesity (increased WC). Violence against elderly people was measured using the HawlekSengstock Elder Abuse Screening Test (H-S/EAST) instrument, and IPV using the Conflict Tatics Scales Form R (CTS-1) instrument. Logistic regression and multinomial logistic regression models were used. It was observed that men had a greater chance of abdominal obesity when in situations of violence and in the potential abuse dimension. Women were more likely to have abdominal obesity in the dimension of violation of personal rights or abuse, when they suffered IPV and when they were perpetrators of IPV. In relation to BMI, elderly women in situations of violence were associated with a greater chance of being overweight and those who suffered IPV. On the other hand, men in vulnerable situations were more likely to be underweight. It is concluded that violence against elderly people and IPV generate an asymmetric impact on nutritional status in relation to sex.
本文旨在验证巴西圣卡塔琳娜州弗洛里亚诺波利斯市老年人中家庭暴力与肥胖和营养不良之间的关联。本横断面研究于 2013/2014 年在 EpiFloripa 老年队列中进行。结局指标为体重指数(BMI)和腹部肥胖(WC 增加)。老年人暴力采用 HawlekSengstock 老年虐待筛查测试(H-S/EAST)工具进行测量,IPV 采用冲突策略量表形式 R(CTS-1)工具进行测量。采用逻辑回归和多项逻辑回归模型。结果显示,男性在面临暴力和潜在虐待维度时,发生腹部肥胖的可能性更大。女性在遭受 IPV 和成为 IPV 实施者时,在侵犯个人权利或虐待维度上更有可能发生腹部肥胖。关于 BMI,面临暴力的老年女性与超重的可能性更大相关,而遭受 IPV 的老年女性则更有可能体重不足。综上所述,针对老年人的暴力行为和 IPV 会对不同性别群体的营养状况产生不对称影响。