Elder abuse as a risk factor for psychological distress among older adults in India: a cross-sectional study.
Elder abuse as a risk factor for psychological distress among older adults in India: a cross-sectional study.
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DOI：
10.1136/bmjopen-2017-017152
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发表时间：
2017-10-22
期刊：
影响因子：
2.9
通讯作者：
Vlachantoni A
中科院分区：
文献类型：
--
作者：
Evandrou M;Falkingham JC;Qin M;Vlachantoni A
这项研究调查了印度老年人中虐待老年人和心理痛苦之间的联系，并探索这种联系是否会因心理社会和物质资源水平的不同而不同。本研究采用横断面调查设计。这些数据来自2011年印度七个邦--喜马恰尔邦、旁遮普邦、西孟加拉邦、奥迪沙邦、马哈拉施特拉邦、喀拉拉邦和泰米尔纳德邦--9589名60岁及以上成年人的代表性样本。使用二变量和多变量Logistic回归模型进行二次分析，使用联合国人口基金项目建立印度老龄问题知识库调查。在调查前一个月，家庭成员对老年人的虐待(身体和/或情感)。多变量模型是在全部分析样本上运行的，分别针对男性和女性。居住在印度七个邦的60岁及以上老年人的总体心理困扰患病率为40.6%。在上个月经历过某种形式的身体或精神虐待或暴力的老年人中，心理困扰的患病率远远高于一般老年人，为61.6%(p<；0.001)。结果表明，虐待经历与老年人的心理健康呈负相关，即使在控制了人口统计学和社会经济因素后，这种关系仍然存在(OR=1.60，95%CI为1.22~2.09)。研究结果还表明，家庭财富与心理健康呈负相关，在富裕家庭的老年人中，经历过虐待老人和报告精神健康状况不佳之间的关联最强。虐待老年人在印度目前是一个被忽视的现象，更多地认识到虐待和心理健康之间的联系，对于改善弱势老年人的福祉至关重要，他们中的一些人可能隐藏在富裕家庭中。
This study examines the association between elder abuse and psychological distress among older adults in India and explores whether this association varies by the level of psychosocial and material resources. The study uses a cross-sectional survey design. The data are drawn from a representative sample of 9589 adults aged 60 and above in seven Indian states—Himachal Pradesh, Punjab, West Bengal, Odisha, Maharashtra, Kerala and Tamil Nadu—in 2011. Secondary analysis, using bivariate and multivariate logistic regression models, is conducted using the United Nations Population Fund project Building Knowledge Base on Ageing in India survey. Elder abuse (physical and/or emotional) emanating from family members in the previous month before the survey is examined. Multivariate models are run on the total analytical sample and for men and women separately. The overall prevalence of psychological distress among persons aged 60 and over living in the seven Indian States is 40.6%. Among those older persons who experienced some form of physical or emotional abuse or violence in the last month, the prevalence of psychological distress is much higher than that in the general older population, at 61.6% (p<0.001). The results show that the experience of abuse is negatively associated with the mental health of older adults, and this relationship persists even after controlling for demographic and socioeconomic factors (OR=1.60, 95% CI 1.22 to 2.09). The findings also suggest that household wealth has an inverse relationship with mental health, with the association between experiencing elder abuse and reporting poor mental health being strongest among older people in wealthy households. Elder abuse in India is currently a neglected phenomenon, and greater recognition of the link between abuse and mental health is critical to improve the well-being of vulnerable older adults, some of whom may be ‘hidden’ within well-off households.
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影响因子：
6.3
作者：
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通讯作者：
Dong, Xin Qi
影响因子：
4.1
作者：
Iwaya, Tsutomu;Doi, Tokuhide;Akai, Masami
通讯作者：
Akai, Masami
影响因子：
3.5
作者：
Dong, X. Q.;Simon, M. A.;Evans, D. A.
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影响因子：
5.7
作者：
Fisher, BS;Regan, SL
通讯作者：
Regan, SL
DOI：
10.1093/geronb/gbq096
发表时间：
2011-03-01
影响因子：
6.2
作者：
Luo, Ye;Waite, Linda J.
通讯作者：
Waite, Linda J.