Elder Abuse and Its Association with Mental Well-Being and The Associated Sociodemographic Factors - A Community Based Cross-Sectional Study in Bengaluru, India
DOI:
https://doi.org/10.55489/njcm.141020233161Keywords:
Elder Abuse, Mental Well-being, Sociodemographic factorsAbstract
Background: Elderly abuse in form of neglect and disrespect has been an important risk factor affecting the mental well-being of elderly. This study estimated prevalence of elderly abuse, its association with their mental well-being and associated sociodemographic factors.
Aims/Objectives: To determine the prevalence of the Elderly abuse in the Study area and to find the association of elderly abuse with mental well-being and sociodemographic factors
Methodology: A cross-sectional study was conducted among 355 elderly persons in the field practice area of Vydehi Institute of Medical Sciences and Research Centre, Bengaluru from January 2020 to June 2021. The data was summarized as frequencies, proportions and association using regression.
Results: The prevalence of elderly abuse was 18.3%. Abuse in elderly participants was associated with poor mental well-being, Odds Ratio (OR) 4.56 (95%CI,2.05-10.16) and among elderly with Risk of depression with AOR 5.72(95%CI,3.09-10.59). Abuse in all forms was significantly associated with poor mental well-being (p <0.001), presence of skeletal deformity and lack of physical activity (less than 30 minutes).
Conclusions: The prevalence of elderly abuse is 18.3% in the study area and it is associated with poor mental well-being, higher risk of depression, and lack of physical activity.
References
National Statistical Office. Elderly in India 2021. 2021;137. Available from: http://mospi.nic.in/sites/default/files/publication_reports/Elderly in India 2021.pdf
Evandrou M, Falkingham JC, Qin M, Vlachantoni A. Elder abuse as a risk factor for psychological distress among older adults in India: A cross-sectional study. BMJ Open. 2017;7 Doi: https://doi.org/10.1136/bmjopen-2017-017152 PMid:29061615 PMCid:PMC5665217
Soneja S. ELDER ABUSE IN INDIA: Country Report for World Health Organization. Help India C-14, Qutab Institutional Area New Delhi - 110016 [Internet]. 2011; Available from: https://www.who.int/ageing/projects/elder_abuse/alc_ea_ind.pdf
Tonks A, Bennett G. Elder abuse [Internet]. Vol. 318, WHO. 1999 [cited 2022 Jan 23]. p. 278. Doi: https://doi.org/10.1136/bmj.318.7179.278 PMid:9924038 PMCid:PMC1114765
Prakash S, Kumar S, Sharma V. Youth's attitude towards elderly people in Indian society-a crosssectional comparative study. Int J Sci Res Rev. 2019;8(1):1693-701.
Sathya T, Premkumar R. Association of functional limitations and disability with elder abuse in India: A cross-sectional study. BMC Geriatr. 2020;20(1):1-11. Doi: https://doi.org/10.1186/s12877-020-01619-3 PMid:32576146 PMCid:PMC7310468
Yon Y, Mikton CR, Gassoumis ZD, Wilber KH. Elder abuse prevalence in community settings: a systematic review and meta-analysis. Lancet Glob Heal [Internet]. 2017;5(2):e147-56. Doi: https://doi.org/10.1016/S2214-109X(17)30006-2 PMid:28104184
Chokkanathan S, Lee AEY. Elder mistreatment in urban India: A community-based study. J Elder Abus Negl. 2005;17(2):45-61. Doi: https://doi.org/10.1300/J084v17n02_03 PMid:16611611
Evandrou M, Falkingham JC, Qin M, Vlachantoni A. Elder abuse as a risk factor for psychological distress among older adults in India: A cross-sectional study. BMJ Open. 2017;7 Doi: https://doi.org/10.1136/bmjopen-2017-017152 PMid:29061615 PMCid:PMC5665217
NPHCE. Longitudinal Ageing Study in India (LASI) [Internet]. Fact Sheet. 2020. Available from: http://iipsindia.org/research_lasi.htm
Acierno R, Watkins J, Hernandez-Tejada MA, Muzzy W, Frook G, Steedley M, et al. Mental Health Correlates of Financial Mistreat-ment in the National Elder Mistreatment Study Wave II. J Aging Health. 2019;31(7):1196-211. Doi: https://doi.org/10.1177/0898264318767037 PMid:29665715
Skirbekk V, James KS. Abuse against elderly in India - The role of education. BMC Public Health. 2014;14(1). Doi: https://doi.org/10.1186/1471-2458-14-336 PMid:24717052 PMCid:PMC3984634
Pillemer K, Burnes D, Riffin C, Lachs MS. Elder Abuse: Global Situation, Risk Factors, and Prevention Strategies. Gerontologist. 2016;56:S194-205. Doi: https://doi.org/10.1093/geront/gnw004 PMid:26994260 PMCid:PMC5291158
ISEC. Bkpai Questionnaire Individual Survey [Internet]. UNFPA. 2011 [cited 2019 Nov 11]. p. 1-10. Available from: http://www.isec.ac.in/BKPAI questionnaire - Individual Final July, 2013.pdf
Wani1 RT. Socioeconomic status scales modified Kuppuswamy and Udai Pareekh's scale updated for 2019. J Fam Med Prim Care. 8(6):1846-1849. Doi: https://doi.org/10.4103/jfmpc.jfmpc_288_19 PMid:31334143 PMCid:PMC6618222
Capezuti E, Fulmer T. The Geriatric Depression Scale (GDS ) Geriatric Depression Scale : Short Form. 2019;(4).
Topp CW, Østergaard SD, Søndergaard S, Bech P. The WHO-5 well-being index: A systematic review of the literature. Psychother Psychosom. 2015;84(3):167-176. Doi: https://doi.org/10.1159/000376585 PMid:25831962
Kua EH, Ko SM. A questionnaire to screen for cognitive impairment among elderly people in developing countries. Acta Psychiatr Scand. 1992;85(2):119-122. Doi: https://doi.org/10.1111/j.1600-0447.1992.tb01454.x PMid:1543035
Shelkey M, Wallace M. Katz Index of Independence in Activities of Daily Living. J Gerontol Nurs. 1999;25(3):8-9. Doi: https://doi.org/10.3928/0098-9134-19990301-05 PMid:10362969
Fish J. Lawton-Brody Instrumental Activities of Daily Living Scale. Encycl Clin Neuropsychol. 2018;0:1966-1967. Doi: https://doi.org/10.1007/978-3-319-57111-9_1842
Centers for Disease Control and Prevention. Timed Up & Go ( TUG ). Stopping Elder Accid 2017 Deaths Inj. Published online 2017:1.
Kaur J, Kaur J, Sujata N. Comparative study on perceived abuse and social neglect among rural and urban geriatric population. Indian J Psychiatry. 2015 Oct-Dec;57(4):375-8. Doi: https://doi.org/10.4103/0019-5545.171852 PMid:26816425 PMCid:PMC4711237
Chaurasia H, Srivastava S. Abuse, Neglect, and Disrespect against Older Adults in India. J Popul Ageing. 2020;13(4):497-511. Doi: https://doi.org/10.1007/s12062-020-09270-x
Kumari Gupta S, Sekher T V. Are Elderly Widows More Vulnerable to Abuse and Violence? Findings from Jharkhand, India BT - Abuse and Neglect of the Elderly in India. In: Shankardass MK, Irudaya Rajan S, editors. Singapore: Springer Singapore; 2018. p. 139-56. Doi: https://doi.org/10.1007/978-981-10-6116-5_9
Varma P. Abuse against Widowhood in India. 2016;4.
Singh A. ELDER ABUSE ; A STUDY OF ELDERLY WIDOWS THEIR VULNERABILITY AND. 2022;10(11):625-32.
Koga, C., Tsuji, T., Hanazato, M., Suzuki, N., & Kondo, K. (2022). Elder Abuse and Depressive Symptoms: Which is Cause and Effect? Bidirectional Longitudinal Studies From the JAGES. Journal of interpersonal violence, 37(11-12), NP9403-NP9419. Doi: https://doi.org/10.1177/0886260520967135 PMid:33280484 PMCid:PMC9136480
Sharma, A., Madaan, V., & Petty, F. D. (2006). Exercise for mental health. Primary care companion to the Journal of clinical psychia-try, 8(2), 106. Doi: https://doi.org/10.4088/PCC.v08n0208a PMid:16862239 PMCid:PMC1470658
Sinha D, Mishra PS, Srivastava S, Kumar P. Socio-economic inequality in the prevalence of violence against older adults - findings from India. BMC Geriatr. 2021;21(1):1-12. Doi: https://doi.org/10.1186/s12877-021-02234-6 PMid:34016039 PMCid:PMC8135164
Chandanshive P, Subba SH, Parida SP, Mishra S. Prevalence patterns and associated factors of elder abuse in an urban slum of eastern India. BMC Geriatr [Internet]. 2022;22(1):1-11. Doi: https://doi.org/10.1186/s12877-022-02986-9 PMid:35410152 PMCid:PMC8996550
Fulmer T, Rodgers RF, Pelger A. Verbal Mistreatment of the Elderly. J Elder Abus Negl. 2014;26(4):351-64. Doi: https://doi.org/10.1080/08946566.2013.801817 PMid:24910894 PMCid:PMC4051298
Goergen, T., & Beaulieu, M. (2013). Critical concepts in elder abuse research. International psychogeriatrics, 25(8), 1217-1228. Doi: https://doi.org/10.1017/S1041610213000501 PMid:23575191
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Copyright (c) 2023 Archana Mandal, Mangala Subramanian, Srivatsa Srirama Reddy, Nagaraj Goud
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