Abstract
Abuse in a relationship is the infliction of pain, harm or injury or neglect by the care-giver which may cause physical and mental stress. As we move towards greater advancement in disease prevention and screening strategies, there is an inevitable rise in the elderly population. There are and will be more dependants in the population than in the past as we move towards better health-care. Elderly people on Anti Retroviral Therapy (ART) are on the rise and the World Health Organization (WHO) estimates that about 2.8 million people on ART today are more than 50 years old. The presence of disease and associated ageing makes this population vulnerable to abuse by the younger population, especially their own family. There is increased dependence upon drugs, follow-up visits and other associated opportunistic infections in this population. Concurrent diseases and physical and cognitive frailty are all factors which may hamper their ability to respond or protect themselves from abuse. Numerous such cases remain unspoken and go unnoticed. Older people may also have the tendency to refrain from complaining, or resist any such treatment for fear of dependence. Various scores for elderly abuse have been devised and can be used during the routine visit to the ART centre to elicit any mistreatment and abuse which may be present. These scores generally contain questions which are important for predicting the status of the old patient in his/her family, his/her expectations of family members, and the extent to which such expectations have been fulfilled.
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References
Acierno, Ron, Melba A. Hernandez, Ananda B. Amstadter, Heidi S. Resnick, Kenneth Steve, Wendy Muzzy, and Dean G. Kilpatrick. 2010. Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States: The National Elder Mistreatment Study. American Journal of Public Health 100 (2): 292–297. doi:10.2105/AJPH.2009.163089.
AIDS Alert. 2005. Study examines impact of abuse on HIV patients. Emotional abuse is significant marker. AIDS Alert 20 (5): 55–57. http://www.ncbi.nlm.nih.gov/pubmed/15912616.
Aw, Danielle, Alberto B. Silva, and Donald B. Palmer. 2007. Immunosenescence: Emerging challenges for an ageing population. Immunology 120 (4): 435–446. doi:10.1111/j.1365-2567.2007.02555.x.
Burnes, David, Karl Pillemer, Paul L. Caccamise, Art Mason, Charles R. Henderson Jr., Jacquelin Berman, Ann Marie Cook, 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. doi:10.1111/jgs.13601.
Chilemba, Winnie, Neltjie van Wyk, and Ronell Leech. 2014. Experiences of emotional abuse among women living with HIV and AIDS in Malawi. Health Care for Women International 35 (7–9): 57–743. doi:10.1080/07399332.2014.926901.
Connolly, V., A.A. McConnell, and G. McGarrity. 1995. Battered granny or spontaneous fractures? A legal dilemma. Postgraduate Medical Journal 71 (840): 630–632.
Dong, XinQi, and Melissa A. Simon. 2014. Vulnerability risk index profile for elder abuse in community-dwelling population. Journal of the American Geriatrics Society 62 (1): 10–15. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4155408/.
Effros, Rita B., Courtney V. Fletcher, Kelly Gebo, Jeffrey B. Halter, William R. Hazzard, Frances McFarland Horne, Robin E. Huebner, et al. 2008. Aging and infectious diseases: Workshop on HIV infection and aging: What is known and future research directions. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America. doi:10.1086/590150.
Eldred, Susan, and Lynne West. 2005. HIV prevalence in older adults. The Canadian Nurse 101(9): 20–23. http://www.ncbi.nlm.nih.gov/pubmed/16350736.
Freeman, E., and P. Anglewicz. 2012. HIV prevalence and sexual behaviour at older ages in rural Malawi. International Journal of STD and AIDS 23 (7): 96–490. doi:10.1258/ijsa.2011.011340.
Galvan, Frank H., Rebecca Collins, David E. Kanouse, M. Audrey Burnam, Susan M. Paddock, Robin Beckman, and Steve R. Mitchell. 2004. Abuse in the close relationships of people with HIV. AIDS and Behavior 8 (4): 51–441. doi:10.1007/s10461-004-7328-z.
Gielen, A.C., P. O’Campo, R.R. Faden, and A. Eke. 1997. Women’s disclosure of HIV status: Experiences of mistreatment and violence in an urban setting. Women and Health 25 (3): 19–31. doi:10.1300/J013v25n03_02.
Glémaud, Myriam, Lourdes Illa, Marisa Echenique, Victoria Bustamente-Avellaneda, Shirley Gazabon, Olga Villar-Loubet, Alan Rodriguez, et al. 2014. Abuse and mental health concerns among HIV-infected Haitian women living in the United States. The Journal of the Association of Nurses in AIDS Care: JANAC 25 (1 Suppl): S62–S69. doi:10.1016/j.jana.2013.06.005.
Gore-Felton, Cheryl, and Cheryl Koopman. 2008. Behavioral mediation of the relationship between psychosocial factors and HIV disease progression. Psychosomatic Medicine 70 (5): 569–574. doi:10.1097/PSY.0b013e318177353e.
Greenspan, J. 1999. Stop the abuse of HIV+ women prisoners at Chowchilla. World (97): 4. http://www.ncbi.nlm.nih.gov/pubmed/11366855.
Justice, Amy C., Elizabeth Dombrowski, Joseph Conigliaro, Shawn L. Fultz, Deborah Gibson, Tamra Madenwald, Joseph Goulet, et al. 2006. Veterans Aging Cohort Study (VACS). Medical Care 44 (Suppl 2): S13–S24. doi:10.1097/01.mlr.0000223741.02074.66.
Knobel, H., A. Guelar, G. Valldecillo, A. Carmona, A. Gonzalez, J.L. Lopez-Colomes, P. Saballs, J.L. Gimeno, and A. Diez. 2001. Response to highly active antiretroviral therapy in HIV-infected patients aged 60 years or older after 24 months follow-up. London: AIDS.
Lachs, Mark S., and Karl A. Pillemer. 2015. Elder abuse. New England Journal of Medicine 373 (20): 1947–1956. doi:10.1056/NEJMra1404688.
Laumann, Edward O., Sara A. Leitsch, and Linda J. Waite. 2008. Elder mistreatment in the United States: Prevalence estimates from a Nationally Representative Study. The Journals of Gerontology 63 (4): S248–S254.
Lederman, M.M., R. McKinnis, D. Kelleher, A. Cutrell, J. Mellors, M. Neisler, E. Cooney, et al. 2000. Cellular restoration in HIV infected persons treated with Abacavir and a protease inhibitor: Age inversely predicts naive CD4 cell count increase. AIDS 14 (17): 2635–2642.
McDonald, Lynn, Christine Sheppard, Sander L. Hitzig, Tal Spalter, Avantika Mathur, and Jason Singh Mukhi. 2015. Resident-to-resident abuse: A scoping review. Canadian Journal on Aging = La Revue Canadienne Du Vieillissement 34 (2): 215–236. doi:10.1017/S0714980815000094.
Manfredi, R., and F. Chiodo. 2000. A case-control study of virological and immunological effects of highly active antiretroviral therapy in HIV-infected patients with advanced age. London: AIDS.
Mkandawire-Valhmu, Lucy, Patricia E. Stevens, Peninnah M. Kako, and Anne Dressel. 2013. Safety planning in focus groups of Malawian women living with HIV: Helping each other deal with violence and abuse. Violence Against Women 19 (11): 49–1331. doi:10.1177/1077801213514859.
Mouton, Charles P., Rebecca J. Rodabough, Susan L.D. Rovi, Robert G. Brzyski, and David A. Katerndahl. 2010. Psychosocial effects of physical and verbal abuse in postmenopausal women. Annals of Family Medicine 8 (3): 206–213. doi:10.1370/afm.1095.
Muñoz, Alvaro, Caroline A. Sabin, and Andrew N. Phillips. 1997. The incubation period of AIDS. AIDS 11 (12): S69–S76.
Okuno, Meiry Fernanda, Alexandre Cavallieri Pinto, Leticia Meazzini Gomes, Gerson Scherrer Junior, Domingos Belasco Junior, and Angelica Goncalves Silva Belasco. 2014. Quality of life in elderly patients living with HIV/AIDS. Cadernos de saude publica 30 (7): 1551–1559.
O’Neill, D. 1992. HIV and the older people. Journal of the Royal Society of Medicine.
Paredes, R., A. Mocroft, O. Kirk, A. Lazzarin, S.E. Barton, J. van Lunzen, T.L. Katzenstein, F. Antunes, J.D. Lundgren, and B. Clotet. 2000. Predictors of virological success and ensuing failure in HIV-positive patients starting highly active antiretroviral therapy in Europe: Results from the EuroSIDA study. Archives of Internal Medicine 160 (8): 1123–1132.
Saikia, Anku Moni, Neelakshi Mahanta, Ajaya Mahanta, Ashok Jyoti Deka, and Arupjyoti Kakati. 2015. Prevalence and risk factors of abuse among community dwelling elderly of Guwahati City, Assam. Indian Journal of Community Medicine: Official Publication of Indian Association of Preventive & Social Medicine 40 (4): 279–281. doi:10.4103/0970-0218.164406.
Simoni, Jane M., and Ming T. Ng. 2002. Abuse, health locus of control, and perceived health among HIV-positive women. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association 21 (1): 89–93. http://www.ncbi.nlm.nih.gov/pubmed/11846349.
Szabo, P., K. Zhao, I. Kirman, J. Le Maoult, R. Dyall, W. Cruikshank, and M.E. Weksler. 1998. Maturation of B cell precursors is impaired in thymic-deprived nude and old mice. Journal of Immunology 161 (5): 2248–2253.
Tareque, Md Ismail, Towfiqua Mahfuza Islam, Atsushi Koshio, and Kazuo Kawahara. 2015. Economic well-being and elder abuse in Rajshahi District of Bangladesh. Research on Aging 37 (2): 200–224. doi:10.1177/0164027514527833.
Two HIV-positive lawyers file suits alleging mistreatment. 1996. AIDS Policy & Law 11 (11): 4. http://www.ncbi.nlm.nih.gov/pubmed/11363562.
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Goel, A., Koolwal, A., Jain, N. (2018). Elder Abuse in HIV-Positive People. In: Shankardass, M., Irudaya Rajan, S. (eds) Abuse and Neglect of the Elderly in India. Springer, Singapore. https://doi.org/10.1007/978-981-10-6116-5_12
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