家庭中的虐待老人现象:在马哈拉施特拉邦索拉普尔农村地区开展的一项基于社区的横断面研究

Sagar Gaikwad, Gajanan Jatti, Sanjay Mulaje
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摘要

背景:印度老龄化人口预计将大幅增长,这强调了解决虐待老人问题的必要性,虐待老人会造成严重后果,并导致死亡率和发病率上升。研究目的本研究旨在估算索拉普尔农村地区虐待老人的发生率,分析虐待老人的模式和相关因素。研究方法对居住在索拉普尔初级保健中心总部村的老年人进行了社区观察研究。通过简单随机抽样,在索拉普尔地区随机抽取的初级保健中心总部村选出了 279 名老年人。通过结构化问卷对虐待老人的情况进行了评估,但不包括性虐待。结果显示发现过去一年中虐待老人的发生率为 24.73%,其中心理虐待是最常见的虐待类型,占 20.43%。忽视、经济虐待和身体虐待分别占 16.12%、7.52% 和 4.30%。与虐待老人明显相关的因素包括性别、婚姻状况、职业、个人收入和拥有财产。女性、丧偶者、正在工作的长者、收入较低者和没有财产或资产的长者受虐待的比例较高。结论在索拉普尔的农村地区,家庭环境中虐待老人的现象时有发生,每四位老人中就有一位受到虐待。本研究强调了在农村老年人群中解决虐待老人问题,尤其是心理虐待问题的重要性。
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ELDER ABUSE IN FAMILY: A CROSS SECTIONAL COMMUNITY BASED STUDY IN RURAL SOLAPUR, MAHARASHTRA
Background: Indias aging population is projected to grow significantly, emphasizing the need to address elder abuse, which has severe consequences and is associated with increased mortality and morbidity. Objectives: This study aimed to estimate the prevalence of elder abuse, analyze patterns and associated factors among elder in rural Solapur. Methodology: A community-based observational study was conducted on elder individuals residing in a Primary Health Centres headquarters village in Solapur. By simple random sampling 279 elder residing in Headquarter village of a randomly selected Primary Health Centre in Solapur district were selected. Elder abuse was assessed through structured questionnaires, excluding sexual abuse. Results: The prevalence of elder abuse in the past year was found to be 24.73%, with psychological abuse being the most common type of abuse found in 20.43% elder. Neglect, financial abuse and physical abuse were 16.12%, 7.52% and 4.30% respectively. Factors significantly associated with elder abuse included gender, marital status, occupation, personal income and possession of property. Higher prevalence of abuse was observed among females, widowed individuals, currently working elders, those with lower incomes, and those without property or assets. Conclusions: Elder abuse in family environment was found to be occurring in rural area of Solapur, with every fourth elder being abused. Present study highlights the importance of addressing elder abuse, especially psychological abuse, among rural elder populations.
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