Maltrato institucional hacia el adulto mayor: percepciones del prestador de servicios de salud y de los ancianos

Ruelas‐González, María Guadalupe; Pelcastre‐Villafuerte, Blanca Estela; Reyes-Morales, Hortensia

doi:10.21149/spm.v56i6.7390

Cited by 13 publications

(12 citation statements)

References 6 publications

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“…Older women described IPV, family violence and elder abuse of various types, perpetrated by a range of perpetrators [ Table 1 ]. Among the specific types of violence reported in the articles in this review, across IPV, elder abuse and family violence, physical violence was most frequently reported [ 27 , 32 – 54 , 57 , 60 – 63 , 66 , 69 – 80 ], followed by emotional/ psychological [ 28 , 32 , 36 – 39 , 41 – 51 , 53 , 54 , 56 , 60 – 62 , 66 – 80 ], economic/ financial [ 34 – 36 , 39 , 41 , 43 – 45 , 48 – 50 , 61 , 62 , 64 , 68 , 71 , 72 , 74 – 78 ], sexual [ 27 , 33 , 34 , 40 , 42 , 49 , 50 , 54 , 57 , 59 , 60 , 67 , …”

Section: Resultsmentioning

confidence: 99%

“…10 articles reported on experiences of elder abuse [ 28 , 32 , 35 , 43 , 44 , 55 , 57 – 59 , 78 ] with perpetrators including community members [ 43 , 44 ], caregivers [ 57 , 59 ], nursing home residents [ 58 ] and health care providers [ 28 ]. Types of elder abuse included verbal abuse, physical assault and inappropriate sexual advances [ 58 ] and sexual assault [ 59 ].…”

Section: Resultsmentioning

confidence: 99%

“…One non-English article (in Farsi) was not reviewed as the research team could not engage a Farsi speaker to review the article. The external reviewers consulted with SRM to decide on inclusion of full texts, and conducted data extraction and quality assessment on 3 articles identified for inclusion (2 Spanish, 1 Portuguese) [27][28][29].…”

Section: Plos Onementioning

confidence: 99%

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Violence against older women: A systematic review of qualitative literature

2020

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The majority of the existing evidence-base on violence against women focuses on women of reproductive age (15-49), and globally there is sparse evidence concerning patterns of and types of violence against women aged 50 and older. Improved understanding of differing patterns and dynamics of violence older women experienced is needed to ensure appropriate policy or programmatic responses. To address these gaps in the evidence, we conducted a systematic review of qualitative literature on violence against older women, including any form of violence against women, rather than adopting a specific theoretical framework on what types of violence or perpetrators should be included from the outset, and focusing specifically on qualitative studies, to explore the nature and dynamics of violence against older women from the perspective of women. Following pre-planned searches of 11 electronic databases, two authors screened all identified titles, abstracts and relevant full texts for inclusion in the review. We extracted data from 52 manuscripts identified for inclusion, and conducted quality assessment and thematic synthesis from the key findings of the included studies. Results indicated that the vast majority of included studies were conducted in high-income contexts, and did not contain adequate information on study setting and context. Thematic synthesis identified several central themes, including the intersection between ageing and perceptions of, experiences of and response to violence; the centrality of social and gender norms in shaping older women's experiences of violence; the cumulative physical and mental health impact of exposure to lifelong violence, and that specific barriers exist for older women accessing community supports and health services to address violence victimization. Our findings indicated that violence against older women is prevalent and has significant impacts on physical and mental well-being of older women. Implications for policy and programmatic response, as well as future research directions, are highlighted.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Violence against older women: A systematic review of qualitative literature

2020

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“…According to the World Health Organization (WHO), older adult mistreatment is “a single or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust which causes harm or distress to an older person” ( WHO 2002 ). Such mistreatment can occur within an institution, but it is also commonly performed by a victim’s family members ( Adams, 2012 ; Ruelas-González, Pelcastre-Villafuerte, & Reyes-Morales, 2014 ).…”

Section: Introductionmentioning

confidence: 99%

Development and validation of a Screening Questionnaire of Family Mistreatment against Older Adults for use in primary care settings in Mexico

Ruelas‐González

Pelcastre‐Villafuerte²,

Monterrubio‐Flores

et al. 2017

Health Soc Care Community

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The abuse of older adults is a serious public health issue that can be difficult to identify at the first level of care. Medical and nursing personnel are sometimes unable to identify older adults who suffer family mistreatment. This can occur when victims feel shame or as a result of cultural factors. In the light of this, healthcare personnel require a screening tool that can be used to identify signs of mistreatment. The aim of this study was to develop and validate a screening tool for detecting the familial mistreatment of older adults in primary care settings. A mixed method cross-sectional study was carried out in three phases between 2009 and 2012 in Mexico. The formative phase involved using a qualitative methodology to identify terms that older adults use to identify practices defined as forms of mistreatment. On this basis, the second phase involved the design of a screening tool through the formation of items in collaboration with a panel of experts. These items were tested on older adults to ensure their intelligibility. Finally, validity and reliability levels were evaluated through the application of the screening tool to a sample of older adults at a primary care facility and at a legal centre. These findings were discussed with gerontologists, and the data were analysed through an exploratory factor analysis with orthogonal rotation and Cronbach's alpha using STATA v13. From the results, we generated a screening tool that is culturally and socially tailored to older adults in Mexico. The tool has a Cronbach's alpha of 0.89, a sensitivity value of 86% (p < .05) and a specificity value of 90% (p < .05) for positive answers to the tool's 15 items. Applying this tool at the first level of care could limit damage to older adults' health and could lower the frequency of emergency room use in hospitals.

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“…Another major obstacle is the abuser, who denies abuse, prevents access to health and/or social services, and rejects interventions. In turn, the professionals responsible for care in these situations may lack training, protocols, time and awareness on the issue; or do not want to get involved in legal issues, are unaware of the available resources, are afraid of the anger of the person responsible for the elderly or display a reticent behavior 1 - 3 .…”

Section: Introductionmentioning

confidence: 99%

Elder abuse within the family environment in the Azores Islands

Carmona‐Torres

Carvalhal-Silva

Viera-Mendes

et al. 2017

Rev. Latino-Am. Enfermagem

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Objectives:to dimension abuse against vulnerable adults within the family and community environment in the Azores Islands, identify risk factors for abuse and describe the profile of an abused elder. Method:descriptive cross-sectional study. Random sampling. The instruments used were: clinical histories of the users, Mini-Mental State Examination, Index of Independence in Basic Activities of Daily Living, Family APGAR Scale, Elder Abuse Suspicion Index and Social Work Assessment Form. Descriptive statistical analysis was used for qualitative and quantitative variables and multiple logistic regression was used to identify factors associated with elder mistreatment. Results:abuse suspicion was identified in 24.5% of elderly participants. Psychological abuse was the most common type of abuse and sons were the main abusers. Conclusion:being a woman and belonging to a dysfunctional family is associated with an increased risk of becoming a victim of abuse; the high level of domestic violence against the elderly in the Azores Islands is in line with the rest of Portugal.

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Maltrato institucional hacia el adulto mayor: percepciones del prestador de servicios de salud y de los ancianos

Cited by 13 publications

References 6 publications

Violence against older women: A systematic review of qualitative literature

Violence against older women: A systematic review of qualitative literature

Development and validation of a Screening Questionnaire of Family Mistreatment against Older Adults for use in primary care settings in Mexico

Elder abuse within the family environment in the Azores Islands

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