Prevalence and Predictors of Domestic Violence among Geriatric Population in a Hilly District of Nepal: A Cross-Sectional Study

S. Gautam, Sumitra Nakarmi, D. Yadav
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Abstract

INTRODUCTION: Domestic violence has been a challenging issue throughout the globe that leads to the serious health problems and geriatric populations being more vulnerable as they are dependent on family or caregiver. The study aims to identify prevalence of domestic violence and its predictors among geriatric population of Baglung district, Nepal. MATERIALS AND METHODS: A community based cross sectional study was conducted at 2 urban municipalities and 2 rural municipalities of Baglung district, Province number 4, Nepal. A sample of 535 geriatric populations was selected using multi stage cluster sampling. Multivariable logistic regression model was adapted to explore predictors of domestic violence among geriatric population RESULTS: Among 535 geriatric people, the prevalence of domestic violence was 3.5%. Geriatric people belong to dalit ethnicity (aOR=12.7; 95% CI: 2.8-56.3) living with others than spouses (aOR=10.2; 95% CI: 1.2-86.9) and the geriatric who need helper for daily activity (aOR=2.8; 95% CI: 1.0-8.7) were more likely to have experience of DV than their counterparts. CONCLUSIONS: The prevalence of Domestic Violence among geriatric population was very low. However, ethnicity, living other than spouses and assistance needed for daily activities were important predictors of DV among geriatric population. Therefore, Community awareness program regarding consequences of violence targeting elders as well as caregivers could be a public health priority to improve the status of elderly by reducing the elder violence.
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尼泊尔山区老年人口家庭暴力患病率和预测因素:一项横断面研究
导言:家庭暴力在全球一直是一个具有挑战性的问题,它导致严重的健康问题,老年人由于依赖家庭或照顾者而更容易受到伤害。该研究旨在确定尼泊尔Baglung地区老年人口中家庭暴力的流行程度及其预测因素。材料和方法:在尼泊尔第4省巴格隆区的2个城市和2个农村城市进行了基于社区的横断面研究。采用多阶段整群抽样方法,抽取535例老年人群。结果:535名老年人中,家庭暴力发生率为3.5%;老年人属于达利特族(aOR=12.7;95% CI: 2.8-56.3)与配偶以外的人同居(aOR=10.2;95% CI: 1.2-86.9)和需要帮手进行日常活动的老年人(aOR=2.8;95% CI: 1.0-8.7)比他们的同行更有可能有家庭暴力的经历。结论:老年人家庭暴力发生率很低。然而,种族、配偶以外的生活和日常活动所需的帮助是老年人群中家庭暴力的重要预测因素。因此,关于针对老年人和照顾者的暴力后果的社区认识方案可以成为公共卫生的优先事项,通过减少对老年人的暴力来改善老年人的地位。
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