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Firdaus MAM, Mohd Yunus R, Hairi NN, Choo WY, Hairi F, Suddin LS, Sooryanarayana R, Ismail N, Peramalah D, Ali ZM, Ahmad SN, Razak IA, Othman S, Bulgiba A. Elder abuse and hospitalization in rural Malaysia. PLoS One 2022; 17:e0270163. [PMID: 35749384 PMCID: PMC9231721 DOI: 10.1371/journal.pone.0270163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Accepted: 06/03/2022] [Indexed: 11/19/2022] Open
Abstract
Our study aims to describe and determine factors associated with hospitalization among victims of elder abuse and neglect (EAN) in rural Malaysia. A cross sectional study based on the baseline data of the Malaysian Elder Mistreatment Project (MAESTRO) collected from November 2013 until July 2014 involving 1927 older adults in Kuala Pilah, Negeri Sembilan was conducted. EAN was determined using the modified Conflict Tactics Scale (CTS) and hospitalization rates were determined based on self-report. The prevalence of overall EAN was 8.1% (95%CI 6.9–9.3). Among male respondents, 9.5% revealed history of abuse and among female respondents, 7.2% reported experiencing EAN. The annual hospitalization rates per 100 persons within the past one year among EAN victims and non-victims were 18 per 100 persons (SD = 46.1) and 15 per 100 persons (SD = 64.1) respectively. Among respondents with history of EAN, 16.0% (n = 21) had been hospitalized in the past 12 months while among respondents with no EAN experience, 10.2% (n = 153) were hospitalized. Multivariable analyses using Poisson regression did not show any significant association between EAN and hospitalization. This could be due to the complex interactions between medical and social circumstances that play a role in hospital admissions, factors affecting the health care system, and access to health care among EAN victims.
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Affiliation(s)
| | - Raudah Mohd Yunus
- Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Malaysia
- Department of Social and Preventive Medicine, Centre for Epidemiology and Evidence-Based Practice, University of Malaya, Kuala Lumpur, Malaysia
| | - Noran Naqiah Hairi
- Department of Social and Preventive Medicine, Centre for Epidemiology and Evidence-Based Practice, University of Malaya, Kuala Lumpur, Malaysia
- Health and Well-being Research Cluster, Institute of Research Management and Monitoring, Research Management and Innovation Complex, University of Malaya, Kuala Lumpur, Malaysia
- Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
- * E-mail:
| | - Wan Yuen Choo
- Department of Social and Preventive Medicine, Centre for Epidemiology and Evidence-Based Practice, University of Malaya, Kuala Lumpur, Malaysia
- Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Farizah Hairi
- Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Leny Suzana Suddin
- Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Malaysia
| | - Rajini Sooryanarayana
- Family Health Development Division, Ministry of Health Malaysia, Putrajaya, Malaysia
| | - Norliana Ismail
- Disease Control Division, Tobacco Control Unit, Ministry of Health Malaysia, Putrajaya, Malaysia
| | - Devi Peramalah
- Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Zainudin M. Ali
- Negeri Sembilan Health State Department, Seremban, Negeri Sembilan, Malaysia
| | - Sharifah N. Ahmad
- Negeri Sembilan Health State Department, Seremban, Negeri Sembilan, Malaysia
| | - Inayah A. Razak
- Negeri Sembilan Health State Department, Seremban, Negeri Sembilan, Malaysia
| | | | - Awang Bulgiba
- Department of Social and Preventive Medicine, Centre for Epidemiology and Evidence-Based Practice, University of Malaya, Kuala Lumpur, Malaysia
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Koga C, Tsuji T, Hanazato M, Suzuki N, Kondo K. Elder Abuse and Depressive Symptoms: Which is Cause and Effect? Bidirectional Longitudinal Studies From the JAGES. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP9403-NP9419. [PMID: 33280484 PMCID: PMC9136480 DOI: 10.1177/0886260520967135] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Elder abuse is a serious public health concern that increases the risks of negative health outcomes globally. It is well known that abuse in older adults is associated with depression; however, longitudinal studies investigating the causal relationship between these events are scarce. Because the cause precedes the result over time, the temporal relationships between abuse and depression should be verified from each direction. This longitudinal study, therefore, investigated and clarified whether depression causes or results from elder abuse among older Japanese adults. Two longitudinal analyses were conducted using data derived from the Japan Gerontological Evaluation Study. The data were collected in 2010 and 2013 through a mail survey of 1,737 people (983 females, 754 males) across Japan. Of those who did not experience abuse in 2010, 38 (5.0%) males and 53 (5.4%) females newly experienced abuse in 2013. Among respondents who did not have depressive symptoms in 2010, 60 (8.0%) males and 61 (6.2%) females newly reported depressive symptoms in 2013. After adjusting for demographic factors in Analysis 1, people who experienced abuse were 2.28-fold (95% confidence interval [CI] = 1.68-3.09) more likely to have depressive symptoms three years later than those who were not abused. In Analysis 2, respondents who had mild or severe depression in 2010 were 2.23-fold (95% CI = 1.61-3.10) more likely to have experienced abuse after three years than those who did not have depression. After adjusting for several demographic factors, the results showed that abuse can lead to depression and that depression can be a cause of abuse. Therefore, preventing abuse should be considered from both directions.
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Affiliation(s)
| | | | | | | | - Katsunori Kondo
- Chiba University, Chiba, Japan
- National Center for Geriatrics and Gerontology, Obu, Japan
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Yiengprugsawan VS, Piggott J, Witoelar F, Blyth FM, Cumming RG. Pain and Its Impact on Functional Health: 7-Year Longitudinal Findings among Middle-Aged and Older Adults in Indonesia. Geriatrics (Basel) 2020; 5:geriatrics5020039. [PMID: 32580285 PMCID: PMC7345182 DOI: 10.3390/geriatrics5020039] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Revised: 06/10/2020] [Accepted: 06/18/2020] [Indexed: 11/16/2022] Open
Abstract
Pain is a growing public health issue worldwide, but there is limited population-based evidence in low- and middle-income country settings. Using nationwide Indonesian Family Life Survey (IFLS) data in 2007 and 2014, this research sets out to investigate the associations between changes in pain status between two time points and its impact on functional health outcomes among middle-aged and older adults in Indonesia. Analyses focused on 7936 adults aged 50 years and older in 2014 who responded to both waves. Functional health was assessed using a composite score of functional limitations (range 20–100), representing difficulty in performing activities of daily living, and grip strength (kilograms). Multivariate linear regression models were used to analyse associations between pain measured in 2007 and 2014 and functional health in 2014. Severe pain in the latest wave of IFLS was associated with older age, female, lower education, having chronic conditions or depressive symptoms. Notably, those who reported ‘low–medium’ pain in 2007 and ‘severe’ pain in 2014 belonged to the most vulnerable group with worst functional health outcomes (4.96 points higher limitation scores and 1.17 kg weaker average grip strength). Findings have implications for public health policy in monitoring and management of pain including related co-morbidities as an increasingly critical component of population ageing.
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Affiliation(s)
- Vasoontara Sbirakos Yiengprugsawan
- Australian Research Council Centre of Excellence in Population Ageing Research (CEPAR), Business School, University of New South Wales, Kensington 2033, Australia;
- Correspondence: or ; Tel.: +61-2-9385-5298
| | - John Piggott
- Australian Research Council Centre of Excellence in Population Ageing Research (CEPAR), Business School, University of New South Wales, Kensington 2033, Australia;
| | - Firman Witoelar
- Crawford School of Public Policy, The Australian National University, Canberra 2601, Australia;
| | - Fiona M Blyth
- School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2006, Australia; (F.M.B.); (R.G.C.)
- Centre for Education and Research on Ageing (CERA), Concord Repatriation General Hospital, Sydney 2139, Australia
| | - Robert G Cumming
- School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2006, Australia; (F.M.B.); (R.G.C.)
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Mohd Mydin FH, Othman S, Choo WY, Hairi NNM, Hairi FM, Syed Karim SN, Tan MP, Ali Z, Abdul Aziz S, Mohd R, Ramli R, Mohamad R, Awaludin LR, Adnan Z. Clinical recognition of elder maltreatment and intention to report among primary care doctors. J Elder Abuse Negl 2020; 32:72-83. [DOI: 10.1080/08946566.2020.1731640] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Fadzilah Hanum Mohd Mydin
- Department of Primary Care Medicine, University Malaya Primary Care Research Group, University of Malaya, Kuala Lumpur, Malaysia
| | - Sajaratulnisah Othman
- Department of Primary Care Medicine, University Malaya Primary Care Research Group, University of Malaya, Kuala Lumpur, Malaysia
| | - Wan Yuen Choo
- Centre for Evidence-Based Practice, Department of Social Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Noran Naqiah Mohd Hairi
- Centre for Evidence-Based Practice, Department of Social Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Farizah Mohd Hairi
- Centre for Evidence-Based Practice, Department of Social Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Sharifah Norsuhaida Syed Karim
- Centre for Evidence-Based Practice, Department of Social Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Maw Pin Tan
- Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Zainudin Ali
- Negeri Sembilan Department of Health, Ministry of Health Malaysia, Negeri Sembilan, Malaysia
| | - Suriyati Abdul Aziz
- Negeri Sembilan Department of Health, Ministry of Health Malaysia, Negeri Sembilan, Malaysia
| | - Rokiah Mohd
- Penang Department of Health, Ministry of Health Malaysia, Penang, Malaysia
| | - Rohaya Ramli
- Federal Territory and Putrajaya State Health Department, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
| | - Rosmala Mohamad
- Negeri Sembilan Department of Health, Ministry of Health Malaysia, Negeri Sembilan, Malaysia
| | | | - Zailan Adnan
- Selangor Department of Health, Ministry of Health Malaysia, Selangor, Malaysia
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Miaskowski C, Blyth F, Nicosia F, Haan M, Keefe F, Smith A, Ritchie C. A Biopsychosocial Model of Chronic Pain for Older Adults. PAIN MEDICINE 2019; 21:1793-1805. [DOI: 10.1093/pm/pnz329] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
Abstract
Population
Comprehensive evaluation of chronic pain in older adults is multifaceted.
Objective and Methods
Research on chronic pain in older adults needs to be guided by sound conceptual models. The purpose of this paper is to describe an adaptation of the Biopsychosocial Model (BPS) of Chronic Pain for older adults. The extant literature was reviewed, and selected research findings that provide the empiric foundation for this adaptation of the BPS model of chronic pain are summarized. The paper concludes with a discussion of specific recommendations for how this adapted model can be used to guide future research.
Conclusions
This adaptation of the BPS model of chronic pain for older adults provides a comprehensive framework to guide future research in this vulnerable population.
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Affiliation(s)
| | - Fiona Blyth
- School of Medicine, The University of Sydney, Sydney, Australia
| | - Francesca Nicosia
- School of Medicine, University of California, San Francisco, California
| | - Mary Haan
- School of Medicine, University of California, San Francisco, California
| | - Frances Keefe
- School of Medicine, Duke University, Durham, North Carolina, USA
| | - Alexander Smith
- School of Medicine, University of California, San Francisco, California
| | - Christine Ritchie
- School of Medicine, University of California, San Francisco, California
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Rodrigues RAP, dos Santos AMR, Pontes MDLDF, Monteiro EA, Fhon JRS, Bolina AF, Almeida VC, Silva LM. Report of multiple abuse against older adults in three Brazilian cities. PLoS One 2019; 14:e0211806. [PMID: 30735535 PMCID: PMC6368292 DOI: 10.1371/journal.pone.0211806] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Accepted: 01/21/2019] [Indexed: 11/19/2022] Open
Abstract
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.
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Affiliation(s)
| | | | | | | | - Jack Roberto Silva Fhon
- College of Nursing at Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | | | - Vanessa Costa Almeida
- College of Nursing at Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Luipa Michele Silva
- College of Nursing at Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
- Department of Nursing, Federal University of Goiás, Catalão, Goiás, Brazil
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Abdi A, Tarjoman A, Borji M. Prevalence of elder abuse in Iran: a Systematic review and meta-analysis. Asian J Psychiatr 2019; 39:120-127. [PMID: 30616159 DOI: 10.1016/j.ajp.2018.12.005] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2018] [Revised: 11/09/2018] [Accepted: 12/19/2018] [Indexed: 11/27/2022]
Abstract
BACKGROUND In the past century, elder abuse has become an important health issue and a stressful event that negatively affects the physical and mental health of the elders. AIMS Therefore, the present study aimed to determine the prevalence of elder abuse in Iran through systematic review and meta-analysis. METHODS All articles about elderly abuse in Iran since 2005-2017 were searched using the Google Scholar search engine, four Iranian databases (Magiran, IranMedex, SID) and six international English language databases(Web of Science, Cochrane, Scopus, Pubmed, Science Direct-Embase) with keywords of Elder Abuse, Elder Mistreatment, Elder Neglect, Abuse and a combination of these keywords. After examining the entry and exit criteria and qualitative evaluation of the articles, Data was analyzed by comprehensive meta-analysis (CMA) software. FINDINGS In a systematic review, 15 articles on elders in Iran were included in the study. The overall prevalence of elder abuse was 48.3% (with 95% confidence interval: 28.6-68.6) and the highest prevalence of elder abuse was related to the care neglect dimensionat the prevalence rate of 38.4% (with 95% confidence interval: 21.7-51.6) and the lowest prevalence rate of elder abuse was related to the rejection atthe prevalence rate of 11% (with 95% confidence interval: 6.9-17.1). CONCLUSION The prevalence of elder abuse among elders was high in Iran. Considering the growing elderly population in Iran, preventive measures should be considered in this regard. For this reason, community health nurses are required to provide the elderly, family and community with necessary preventive interventions in this regard.
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Affiliation(s)
- Alireza Abdi
- Critical Care and Emergency Department, Nursing and Midwifery School, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Asma Tarjoman
- Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Milad Borji
- Department of Nursing, Faculty of Nursing and Midwifery, Kermanshah University of Medical Science, Kermanshah, Iran.
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