Prevalência e fatores associados ao abuso de cuidadores contra idosos dependentes: a face oculta da violência familiar

Abstract

This cross-sectional study was carried out in Manguinhos, Rio de Janeiro, Brazil and aimed to identify the prevalence and factors associated with familial violence perpetrated by caregivers against elderly dependents. A sample of 135 pairs was evaluated using instruments to assess both caregivers (social support, alcoholism, burden, violence) and elders (depression, cognition, functional capacity). Statistical tests compared the percentages of reported violence according to the characteristics of caregiver and elders. A logistic regression model investigated the association between violence and caregiver/ elder characteristics. More than 30% of caregivers gave responses consistent with risk of elder abuse. Among them, high burden level and comorbid alcohol abuse increased the risk of violence by 11 and 3.8 times, respectively. Elderly men were 2.9 times more likely to be mistreated than elderly women, and depressed ones were 6.9 times more likely to report mistreatment than those without depression. Conclusion: We detected a high prevalence of caregiver violence against elderly dependents, with substantially greater risk among caregivers with high levels of burden, alcohol-related problems, and those caring for depressed elders. Family support strategies are needed to reduce domestic violence and protect elderly victims.

Profile of aggressors of older adults receiving care at a geriatrics and gerontology reference center in the Distrito Federal (Federal District), Brazil

“…Alcohol abuse is also a frequent cause of violence, increasing the risk of occurrence by up to three times 15 . In this present study, the frequent use of illicit drugs and/or alcohol by the aggressor was present in 5% of cases, highlighting the importance of strengthening the support network and efficient strategies to tackle addiction.…”

“…Another risk factor for violence is the existence of dementia in the older adults 16 , quadrupling the rate of incidence when compared to non-suffering older adults 15 . In this study, more than half of the sample (54%) had some type of dementia and 32% of the caregivers were unaware of the symptoms.…”

“…In general, abuse is committed discretely, may occur daily and be interpreted by those involved as a common pattern of the relationship. 15 .…”

Efeito de uma intervenção no apoio social de cuidadores familiares de idosos com alta dependência

“…A característica sexo masculino difere de outros estudos nacionais (NICOLATO et al, 2016;SAMPAIO et al, 2018;LIMA et al, 2017;BRITO et al, 2019;UCHOA et al, 2019), entretanto ser idoso do sexo masculino assemelha-se com estudos realizados com idosos hospitalizados (IKEGAMI et al, 2018;SIMÃO et al, 2019) e longevos atendidos em uma unidade de saúde do interior do Estado da Bahia (LIMA et al, 2017 (VEIGA et al, 2015;GOULART et al, 2017;SANTOS et al, 2018;BRITO et al, 2019;LIMA et al, 2019) equiparam-se aos achados desta pesquisa. Segundo a Pesquisa Nacional por (SILVA et al, 2018;KYOTA et al, 2018;NAVARRO-ABAL et al, 2019;ALMEIDA et al, 2019;MOURA et al, 2019).…”

“…Os cuidadores familiares deste estudo apresentaram tempo médio de estudo maior do que os achados nos estudos desenvolvidos no município do Rio de Janeiro com cuidadores familiares e no município de São Carlos, interior paulista, SP, com cuidadores familiares de idosos em vulnerabilidade social (LINO et al, 2019;JESUS et al, 2018). Entretanto assemelha-se com o estudo realizado com cuidadores familiares de idosos dependentes de uma região do Chile (ZEPEDA-ALVAREZ et al, 2018 XIAO et al, 2016).…”