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Abuse and neglect of older persons in 7 cities in seven countries in Europe: a cross sectional community study
Protestant University of Applied Sciences Ludwigsburg, Ludwigsburg, Germany.
Department of Medicine, University of Granada, Granada, Spain.
Centro de Investigación Biomedica en Red de Salud Mental (CIBERSAM), University of Granada, Granada, Spain.
Department of Hygiene and Epidemiology, University of Porto, Medical School, Porto, Portugal.
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2013 (English)In: International Journal of Public Health, ISSN 1661-8556, E-ISSN 1661-8564, Vol. 58, no 1, p. 121-132Article in journal (Refereed) Published
Abstract [en]

Objectives

We aimed to investigate the prevalence rate of abuse (psychological, physical, sexual, financial, neglect) of older persons (AO) in seven cities from seven countries in Europe (Germany, Greece, Italy, Lithuania, Portugal, Spain, Sweden), and to assess factors potentially associated with AO.

Methods

A cross-sectional study was conducted in 2009 (n = 4,467, aged 60–84). Potentially associated factors were grouped into domains (domain 1: age, gender, migration history; domain 2: education, occupation; domain 3: marital status, living situation; domain 4: habitation, income, financial strain). We calculated odds ratios (OR) with their respective 95 % confidence intervals (CI).

Results

Psychological AO was the most common form of AO, ranging from 10.4 % (95 % CI 8.1–13.0) in Italy to 29.7 % (95 % CI 26.2–33.5) in Sweden. Second most common form was financial AO, ranging from 1.8 % (95 % CI 0.9–3.2) in Sweden to 7.8 % (95 % CI 5.8–10.1) in Portugal. Less common was physical AO, ranging from 1.0 % (95 % CI 0.4–2.1) in Italy to 4.0 % (95 % CI 2.6–5.8 %) in Sweden. Sexual AO was least common, ranging from 0.3 (95 % CI 0.0–1.1) in Italy and Spain to 1.5 % (95 % CI 0.7–2.8) in Greece. Being from Germany (AOR 3.25, 95 % CI 2.34–4.51), Sweden (OR 3.16, 95 % CI 2.28–4.39) or Lithuania (AOR 2.45, 95 % CI 1.75–3.43) was associated with increased prevalence rates of AO.

Conclusion

Country of residence of older people is independent from the four assessed domains associated with AO. Life course perspectives on AO are highly needed to get better insight, and to develop and implement prevention strategies targeted at decreasing prevalence rates of AO.

Place, publisher, year, edition, pages
2013. Vol. 58, no 1, p. 121-132
Keywords [en]
Abuse; Context; Life course; Older individuals
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:miun:diva-16488DOI: 10.1007/s00038-012-0388-3ISI: 000314183600013Scopus ID: 2-s2.0-84873105482OAI: oai:DiVA.org:miun-16488DiVA, id: diva2:534976
Available from: 2012-06-18 Created: 2012-06-18 Last updated: 2017-12-07Bibliographically approved

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Macassa, GloriaSoares, Joaquim J. F.

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