Cross-sectional study on the association between frailty and violence against community-dwelling elderly people in Brazil
Keywords:
Elderly, Frail elderly, Violence, Geographic information systems, Spatial analysisAbstract
BACKGROUND: The physical, emotional and cognitive limitations that may be present in the aging process, coupled with family unpreparedness, may lead to greater dependence among the elderly. This favors development of frailty syndrome and greater levels of violence against the elderly. The objective here was to analyze the association between violence against the elderly and frailty; and the geographic distribution of violence against the elderly according to the presence of frailty syndrome. DESIGN AND SETTING: Cross-sectional study on 705 community-dwelling elderly people in Uberaba (MG), Brazil. METHODS: The Fried frailty phenotype and conflict tactics scale were used. Data were analyzed using descriptive statistics, the chi-square test and a logistic regression model. The intensity of the events and the relationship between clusters of violence and frailty status were assessed by means of kernel estimation. RESULTS: The adjusted analysis indicated that pre-frailty and frailty were associated with physical and verbal aggression (odds ratio, OR = 1.51; 95% confidence interval, CI: 1.04-2.19; OR = 2.12; 95% CI: 1.29-3.47), frailty was associated with physical aggression (OR = 2.48; 95% CI: 1.25-4.94) and pre-frailty and frailty were associated with verbal aggression (OR = 1.48; 95% CI: 1.03-2.15; OR = 2.15; 95% CI: 1.31-3.52), respectively. Regardless of frailty status and its relationship with violence, clusters of occurrences were larger in similar regions in the southeastern part of the municipality; but superimposition of overlays relating to aggression showed that for frail individuals the clusters were smaller than for non-frail and pre-frail individuals. CONCLUSIONS: The condition of frailty was associated with greater chances of violence against the elderly.
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References
Sales DS, Parente F, Silva MJ, et al. A violência contra o idoso na visão do agente comunitário de saúde [The violence against the elderly from the community health worker's view]. Estud Interdiscip Envelhec. 2014;19(1):63-77.
Machado JC, Rodrigues VP, Vilela ABA, et al. Violência intrafamiliar e as estratégias de atuação da equipe de Saúde da Família [Intrafamily violence and actions strategies of the Family Health team]. Saúde Soc. 2014;23(3):828-40.
Oliveira MLC, Gomes ACG, Amaral CPM, Santos LB. Características dos idosos vítimas de violência doméstica no Distrito Federal [Characteristics of elderly people victim of domestic violence in the Federal District, Brazil]. Rev Bras Geriatr Gerontol. 2012;15(3):555-66.
World Health Organization. The Toronto Declaration on the Global Prevention of Elder Abuse. International Network for the Prevention of Elder Abuse. Geneva World Health Organization; 2002. Available from: http://www.who.int/ageing/projects/elder_abuse/alc_toronto_declaration_en.pdf Accessed in 2017 (Sep 14).
Guedes DT, Curcio CL, LIano BA, Zunzunegui MV, Guerra R. La brecha de género en violencia doméstica en adultos mayores en América Latina: el Estudio IMIAS [The gender gap in domestic violence in older adults in Latin America: the IMIAS Study]. Rev Panam Salud Pública. 2015;37(4/5):293-300.
Santana IO, Vasconcelos DC, Coutinho MPL. Prevalência da violência contra o idoso no Brasil: revisão analítica [Prevalence of violence against elderly in the Brazil: analytic review]. Arq Bras Psicol (Rio J 2003). 2016;68(1):126-39.
Stackfleth R, Diniz MA, Fhon JRS, et al. Sobrecarga de trabalho em cuidadores de idosos fragilizados que vivem no domicílio [Burden of work in caregivers of frail elders living at home]. Acta Paul Enferm. 2012;25(5):768-74.
Lana LD, Schneider RH. Síndrome de fragilidade no idoso: uma revisão narrativa [The frailty syndrome in elderly: a narrative review]. Rev Bras Geriatr Gerontol. 2014;17(3):673-80.
Ribeiro MA, Albuquerque IMN, Paiva GM, et al. Georreferenciamento: ferramenta de análise do sistema de saúde de Sobral - Ceará [Georeferencing: analysis tool for the health system in Sobral, Ceará]. Sanare. 2014;13(2):63-9. Available from: https://sanare.emnuvens.com.br/sanare/article/view/583/316 Accessed in 2017 (Sep 14).
Espíndola CR, Blay SL. Prevalência de maus-tratos na terceira idade: revisão sistemática [Prevalence of elder abuse: a systematic review]. Rev Saúde Pública. 2007;41(2):301-6.
Bertolucci PHF, Brucki SMD, Campacci SR, Juliano Y. O mini-exame do estado mental em uma população geral: impacto da escolaridade [The mini-mental state examination in a general population: impact of educational status]. Arq Neuropsiquiatr. 1994;52(1):1-7.
Lino VT, Pereira SR, Camacho LA, Ribeiro Filho ST, Buksman S. Adaptação transcultural da Escala de Independência em Atividades de Vida Diária (Escala de Katz) [Cross-cultural adaptation of the Independence in Activities of Daily Living Index (Katz Index)]. Cad Saúde Pública. 2008;24(1):103-12.
Santos RL, Virtuoso Júnior JS. Confiabilidade da versão brasileira da escala de atividades instrumentais da vida diária [Reliability of the Brazilian version of the Scale of Instrumental Activities of Daily Living]. Revista Brasileira em Promoção da Saúde. 2008;21(4):290-6. Available from: http://hp.unifor.br/pdfs_notitia/2974.pdf Accessed in 2017 (Sep 14).
Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146-56.
Batistoni SS, Neri AL, Cupertino AP. Validade da escala de depressão do Center for Epidemiological Studies entre idosos brasileiros [Validity of the Center for Epidemiological Studies Depression Scale among Brazilian elderly]. Rev Saúde Pública. 2007;41(4):598-605.
Benedetti TB, Mazo GZ, Barros MVG. Aplicação do Questionário Internacional de Atividades Físicas para avaliação do nível de atividades físicas de mulheres idosas: validade concorrente e reprodutibilidade teste-reteste [Application of the International Physical Activity Questionnaire (IPAQ) for evaluation of elderly women: concurrent validity and test-retest reproducibility]. Rev Bras Ciênc Mov. 2004;12(1):25-34.
Hasselmann MH, Reichenheim ME. Adaptação transcultural de versão em português da Conflict Tactics Scales Form R (CTS-1), usada para aferir violência no casal: equivalências semânticas e de mensuração [Cross-cultural adaptation of the Portuguese version of the Conflict Tactics Scales Form R (CTS-1) used to assess marital violence: semantic and measurement equivalence]. Cad Saúde Pública. 2003;19(4):1083-93.
Guedes DT, Alvarado BE, Philips SP, et al. Socioeconomic status, social relations and domestic violence (DV) against elderly people in Canada, Albania, Colombia and Brazil. Arch Gerontol Geriatr. 2015;60(3):492-500.
Mascarenhas MD, Andrade SS, das Neves AC, et al. Violência contra a pessoa idosa: análise das notificações realizadas no setor saúde - Brasil, 2010 [Violence against the elderly: analysis of the reports made in the health sector - Brazil, 2010]. Ciên Saúde Colet. 2012;17(9):2331-41.
Crome P, Moulias R, Sánchez-Castellano C, et al. Elder abuse in Finland, France, Spain and United Kingdom. European Geriatric Medicine. 2014;5(4):277-84. Available from: http://www.sciencedirect.com/science/article/pii/S187876491400103X Accessed in 2017 (Sep 14).
Neri AL, Yassuda MS, Araújo LF, et al. Metodologia e perfil sociodemográfico, cognitivo e de fragilidade de idosos comunitários de sete cidades brasileiras: Estudo FIBRA [Methodology and social, demographic, cognitive, and frailty profiles of community-dwelling elderly from seven Brazilian cities: the FIBRA Study]. Cad Saúde Pública. 2013;29(4):778-92.
Da Mata FA, Pereira PP, Andrade KR, et al. Prevalence of Frailty in Latin America and the Caribbean: A Systematic Review and Meta-Analysis. PLoS One. 2016;11(8):e0160019.
Aguiar MPC, Leite HA, Dias IM, Mattos MCT, Lima WR. Violência contra idosos: descrição de casos no Município de Aracaju, Sergipe, Brasil [Violence against the elderly: case description in the city of Aracaju, Sergipe, Brazil]. Esc Anna Nery Rev Enferm. 2015;19(2):343-9.
Abath MB, Leal MCC, Melo Filho DA. Fatores associados à violência doméstica contra a pessoa idosa [Factors associated with physical domestic violence in elderly victims]. Rev Bras Geriatr Gerontol. 2012;15(2):305-14.
Garbin CAS, Joaquim RC, Rovida TAS, Garbin AJI. Idosos vítimas de maus-tratos: cinco anos de análise documental [Elderly victims of abuse: a five year document analysis]. Rev Bras Geriatr Gerontol. 2016;19(1):87-94.
Johannesen M, LoGiudice D. Elder abuse: a systematic review of risk factors in community-dwelling elders. Age Ageing. 2013;42(3):292-8.
Cohen M. Research assessment of elder neglect and its risk factors in a hospital setting. Intern Med J. 2008;38(9):704-7.
Schofield MJ, Powers JR, Loxton D. Mortality and disability outcomes of self-reported elder abuse: a 12-year prospective investigation. J Am Geriatr Soc. 2013;61(5):679-85.
Brasil. Ministério da Saúde. Gabinete do Ministro. Portaria no 2.528 de 19 de outubro de 2006. Aprova a Política Nacional de Saúde da Pessoa Idosa. Diário Oficial da União, 142-5. Available from: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2006/prt2528_19_10_2006.html Accessed in 2017 (Sep 14).
Ferreira RV, Bueno ACC. Atlas do município de Uberaba. Uberaba: Universidade Federal do Triângulo Mineiro/Laboratório de Cartografia e Geoprocessamento; 2014.
Gil AP, Santos AJ, Kislaya I, et al. Estudo sobre pessoas idosas vítimas de violência em Portugal: sociografia da ocorrência [A sociography of elderly victims of family violence in Portugal]. Cad Saúde Pública. 2015;31(6):1234-46.
Skirbekk V, James KS. Abuse against elderly in India--the role of education. BMC Public Health. 2014;14:336.
Sousa AKA, Nogueira DA, Gradim CVC. Perfil da violência doméstica e familiar contra a mulher em um município de Minas Gerais, Brasil [Profile of domestic violence against women and family in a city of Minas Gerais, Brazil]. Cad Saúde Colet (Rio J). 2013;21(4):425-31.
Hoefel MFL, Amate EM, Loiola AA, Carneiro FF. Determinantes sociais da violência na saúde de populações da América Latina [Social determinants of violence in the health of populations of Latin America]. Revista Eletrônica Gestão & Saúde. 2015;6(2):1786-804. Available from: http://periodicos.unb.br/index.php/rgs/article/view/22501/16098 Accessed in 2017 (Sep 14).
Wanderbroocke AC, Moré CL. Abordagem profissional da violência familiar contra o idoso em uma unidade básica de saúde [A professional approach to family violence against the elderly in a primary health clinic]. Cad Saúde Pública. 2013;29(12):2513-22.
Lucena KD, Silva AT, Moraes RM, Silva CC, Bezerra IM. Análise espacial da violência doméstica contra a mulher entre os anos de 2002 e 2005 em João Pessoa, Paraíba, Brasil [Spatial analysis of domestic violence against women from 2002 to 2005 in João Pessoa, Paraíba State, Brazil]. Cad Saúde Pública. 2012;28(6):1111-21.
Augusto AO, Lima VLA, Sena LX, et al. Mapeamento dos casos de violência contra a mulher na região metropolitana de Belém narrados pela mídia impressa do estado do Pará [Mapping cases of violence against in the metropolitan area of Belém narrated by printed media in state of Pará.]. Rev Para Med. 2015;29(2):23-32.
