The aim of the authors of this community-based study was to determine the prevalence of abuse perpetrated against the elderly living in a neighborhood in northwestern Turkey and related factors. This cross-sectional study was carried out in Balıkesir between November 2018 and May 2019. The Sample size was calculated as 520 in the Epiinfo program (95% confidence level, 50% prevalence, 4% deviation and 1.5% design effect). The chi-square, student t tests and logistic regression mode were used analysis. Having income equal to or less than expenses increased the risk of being abused 5.4 times (p = 0.011), living in residential areas outside the district for a long time increased it 2.5 times (p = 0.018), having a secondary or lower education increased it 2.1 times (p = 0.022), having sleep problems increased it 1.9 times (p = 0.023). The results of the study show that one out of every five elderly was subjected to abuse. Economic problems are the most important factor increasing the risk of exposure to abuse. There is a need for comprehensive public health approaches and social policies in planning services for the elderly.
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Arab-Zozani, M., Mostafazadeh, N., Arab-Zozani, Z., Ghoddoosi-Nejad, D., Hassanipour, S., & Soares, J. J. (2018). The prevalence of elder abuse and neglect in Iran: A systematic review and meta-analysis. Journal of Elder Abuse & Neglect, 30(5), 408–423. https://doi.org/10.1080/08946566.2018.1523765.
Aslan, H., & Erci, B. (2019). The incidence and influencing factors of elder abuse and neglect. Journal of Public Health, 28, 1–9. https://doi.org/10.1007/s10389-019-01071-7.
Burnes, D., Acierno, R., & Hernandez-Tejada, M. (2019). Help-seeking among victims of elder abuse: Findings from the National Elder Mistreatment Study. The Journals of Gerontology: Series B, 74(5), 891–896. https://doi.org/10.1093/geronb/gby122.
Burnes, D., Pillemer, K., Caccamise, P. L., Mason, A., Henderson Jr., C. R., Berman, J., et al. (2015). Prevalence of and risk factors for elder abuse and neglect in the community: A population-based study. Journal of the American Geriatrics Society, 63(9), 1906–1912. https://doi.org/10.1111/jgs.13601.
Carmona-Torres, J. M., López-Soto, P. J., Coimbra-Roca, A. I., Gálvez-Rioja, R. M., Goergen, T., & Rodríguez-Borrego, M. A. (2018). Elder abuse in a developing area in Bolivia. Journal of Interpersonal Violence, 33(2), 339–356. https://doi.org/10.1177/0886260515608803.
Demir, A. (1989). UCLA yalnızlık ölçeğinin geçerlik ve güvenirliği. Psikoloji dergisi, 7(23), 14–18.
Diniz, A., Pillon, S., Monteiro, S., Pereira, A., Gonçalves, J., & dos Santos, M. A. (2017). Elderly substance abuse: An integrative review. Revista Psicologia-Teoria e Prática, 19(2). https://doi.org/10.5935/1980-6906/psicologia.v19n2p42-59.
El-Khawaga, G., Eladawi, N., & Abdel-Wahab, F. (2018). Abuse of rural elders in Mansoura districts, Dakahlia, Egypt: Prevalence, types, risk factors, and lifestyle. Journal of Interpersonal Violence, 0886260518767900. https://doi.org/10.1177/0886260518767900.
Ergin, F., Evci-Kiraz, E., Saruhan, G., Benli, C., Okyay, P., & Beser, E. (2012). Prevalence and risk factors of elder abuse and neglect in a western city of Turkey: a community based study. Bulletin of the Transilvania University of Brasov. Medical Sciences. Series VI, 5(2), 33. doi:http://rs.unitbv.ro/BU2012/Series%20VI/BULETIN%20VI/05_ERGIN_abuse.pdf. Accessed 06.07.2020.
Friedman, L. S., Avila, S., Liu, E., Dixon, K., Patch, O., Partida, R., et al. (2017). Using clinical signs of neglect to identify elder neglect cases. Journal of Elder Abuse & Neglect, 29(4), 270–287. https://doi.org/10.1080/08946566.2017.1352551.
Ho, C. S., Wong, S.-Y., Chiu, M. M., & Ho, R. (2017). Global prevalence of elder abuse: A metaanalysis and meta-regression. East Asian Archives of Psychiatry, 27(2), 43. https://search.informit.com.au/documentSummary;dn=903958411380250;res=IELHEA. Accessed 06.07.2020
James, A. A. (2019). Analysis of forms and determinants of abuse of elder in six selected communities in Kaduna state, Nigeria. KIU Journal of Social Sciences, 5(1), 239–250 http://www.ijhumas.com/ojs/index.php/kiujoss/article/view/497.
Joseph, J., & Gonzalez, A. (2018). Elder abuse in communities of color in the United States: A literature review. Perspectives on Elderly Crime and Victimization, 125-139. https://doi.org/10.1007/978-3-319-72682-3_7.
Katz, S., Downs, T. D., Cash, H. R., & Grotz, R. C. (1970). Progress in development of the index of ADL. The Gerontologist, 10(1), 20–30. https://doi.org/10.1093/geront/10.1_part_1.20.
Keller, E., Santos, C., Cusack, D., Väli, M., Ferrara, D., Ludes, B., Mangin, P., Payne-James, J. J., & Vieira, D. (2019). European council of legal medicine (ECLM) guidelines for the examination of suspected elder abuse. International Journal of Legal Medicine, 133(1), 317–322. https://doi.org/10.1007/s00414-018-1880-y.
Kulakçı Altıntas, H., & Korkmaz Aslan, G. (2019). Prevalence of elder abuse among community-dwelling older adults in Turkey and its associated factors. Psychogeriatrics., 20, 3–10. https://doi.org/10.1111/psyg.12446.
Kurkurina, E., Lange, B. C., Lama, S. D., Burk-Leaver, E., Yaffe, M. J., Monin, J. K., & Humphries, D. (2018). Detection of elder abuse: Exploring the potential use of the elder abuse suspicion index© by law enforcement in the field. Journal of Elder Abuse & Neglect, 30(2), 103–126. https://doi.org/10.1080/08946566.2017.1382413.
Lök, N. (2015). Türkiye’de yaşlı istismarı ve ihmali: sistematik derleme. Psikiyatride Güncel Yaklaşımlar, 7(2), 149–156. https://doi.org/10.5455/cap.20140714124315.
Neale, A. V., Hwalek, M. A., Scott, R. O., Sengstock, M. C., & Stahl, C. (1991). Validation of the Hwalek-Sengstock elder abuse screening test. Journal of Applied Gerontology, 10(4), 406–418. https://doi.org/10.1037/t04659-000.
Olofsson, N., Lindqvist, K., & Danielsson, I. (2012). Fear of crime and psychological and physical abuse associated with ill health in a Swedish population aged 65–84 years. Public Health, 126(4), 358–364. https://doi.org/10.1016/j.puhe.2012.01.015.
Özçakar, N., Ergönen, A. T., Kartal, M., & Baydur, H. (2017). Adaptation, reliability, and validity study of the Hwalek-Sengstock elder abuse screening test (HS/EAST): A Turkish version. Turkish Journal of Medical Sciences, 47(6), 1894–1902. https://doi.org/10.3906/sag-1606-166.
Pak, M. (2020). The prevalence and associated risk factors of elder abuse among older people applied to the family health center in the rural district of Turkey. Social Work in Health Care, 1-21. https://doi.org/10.1080/00981389.2020.1740377.
Pehlivanoğlu, E. F. Ö., Özkan, M. U., Balcıoğlu, H., Bilge, U., & Ünlüoğlu, İ. (2018). Adjustment and reliability of KATZ daily life activity measures for elderly in Turkish. Ankara Medical Journal, 18(2), 219–223. https://doi.org/10.17098/amj.435264.
Pillemer, K., Burnes, D., Riffin, C., & Lachs, M. S. (2016). Elder abuse: Global situation, risk factors, and prevention strategies. The Gerontologist, 56(Suppl_2), S194–S205. https://doi.org/10.1093/geront/gnw004.
Russell, D., Peplau, L. A., & Cutrona, C. E. (1980). The revised UCLA loneliness scale: Concurrent and discriminant validity evidence. Journal of Personality and Social Psychology, 39(3), 472–480. https://doi.org/10.1037/0022-3522.214.171.1242.
Şen, F., & Meriç, M. (2020). Determination of abuse and depression in the elderly. Journal of Elder Abuse & Neglect, 32(1), 60–71. https://doi.org/10.1080/08946566.2019.1691697.
Simone, L., Wettstein, A., Senn, O., Rosemann, T., & Hasler, S. (2016). Types of abuse and risk factors associated with elder abuse. Swiss Medical Weekly, 146(0304), 60–71. https://doi.org/10.1080/08946566.2019.1691697.
Teaster, P. (2018). Considerations of elder abuse in rural America. Innovation in Aging, 2(Suppl 1), 608. https://doi.org/10.1093/geroni/igy023.2261.
Turkish Statistical Institute. (2020). 2019 Address based population registration system. From https://biruni.tuik.gov.tr/medas/?kn=95&locale=tr. Accessed 01.02.2020
Warren, A., & Blundell, B. (2019). Addressing elder abuse in rural and remote communities: Social policy, prevention and responses. Journal of Elder Abuse & Neglect, 31(4–5), 424–436. https://doi.org/10.1080/08946566.2019.1663333.
World Health Organization. (2017). Elder abuse. http://www.who.int/mediacentre/factsheets/fs357/en/. Accessed 01.02.2020
World Health Organization. (2020). Elderly abuse. https://www.who.int/ageing/projects/elder_abuse/en/. Accessed 25.04.2020
Yon, Y., Mikton, C. R., Gassoumis, Z. D., & Wilber, K. H. (2017). Elder abuse prevalence in community settings: A systematic review and meta-analysis. The Lancet Global Health, 5(2), e147–e156. https://doi.org/10.1016/s2214-109x(17)30006-2.
Yunus, R. M., Wazid, S. W., Hairi, N. N., Choo, W. Y., Hairi, F. M., Sooryanarayana, R., et al. (2017). Association between elder abuse and poor sleep: A cross-sectional study among rural older Malaysians. PLoS One, 12(7), e0180222. https://doi.org/10.1371/journal.pone.0180222.
The authors are grateful to participating older adults living in Balikesir for their support and corporation.
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Cevik, C., Ozdemir, R., Koran, N. et al. Prevalence and risk factors for elder abuse: A community-based cross-sectional study from North West Turkey. Curr Psychol (2021). https://doi.org/10.1007/s12144-021-01423-1
- Elder abuse
- Cross sectional study