0115/2017 - Prevalência e Fatores Associados ao Abuso de Cuidadores contra Idosos Dependentes: a Face Oculta da Violência Familiar Prevalence and Factors Associated with Abuse of Caregivers against Dependent Elderly: The Hidden Face of Family Violence
• Valéria Teresa Saraiva Lino - Lino, Valéria Teresa Saraiva - Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública - <valeriaslino@gmail.com>
Coautor(es):
• Nádia Cristina Pinheiro Rodrigues - Rodrigues, Nádia Cristina Pinheiro - Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública - <nadiacristinapr@gmail.com>
• Idenalva Silvade Lima - de Lima, Idenalva Silva - Escola Nacional de Saude Publica, Centro de Saúde Escola Germano Sinval Faria - <idenalva@ensp.fiocruz.br>
• Soraya Athie - Athie, Soraya - Escola Nacional de Saúde Publica Sergio Arouca, Centro de Saude Escola Germano Sinval Faria - <sorayaathie@gmail.com>
estudo transversal em área violenta, com objetivo de identificar a prevalência de violência de cuidadores contra idosos dependentes e fatores associados à mesma. Uma amostra de conveniência de 135 duplas foi avaliada com instrumentos para o cuidador (apoio social, alcoolismo, sobrecarga e violência) e para o idoso (depressão, cognição e capacidade funcional). Testes estatísticos compararam os percentuais de violência, segundo as características do cuidador e do idoso; um modelo de regressão logística investigou a associação entre violência e as características de ambos. Mais de 30% dos cuidadores apresentaram indícios de abuso. Em relação aos cuidadores, elevados níveis de sobrecarga e problemas com álcool aumentaram em 11 e 3,8 vezes as chances de ocorrência de violência, respectivamente, quando comparados aos grupos de referência. Quanto aos idosos, homens e indivíduos com depressão tiveram chances 2,9 e 6,9 vezes maiores de sofrerem maus tratos, em relação às mulheres e aos que não tinham depressão, respectivamente. Conclusão: a elevada prevalência de maus tratos por parte de cuidadores que apresentam altos níveis de sobrecarga, problemas relacionados ao álcool e que cuidam de idosos deprimidos requer a adoção de medidas de apoio familiar para a redução de violência doméstica.
Palavras-chave:
Abuso de idosoViolência contra idosoIdoso dependenteCuidador
Abstract:
Cross - sectional study performed in a violent area, aiming at identifying the prevalence of familiar violence perpetrated by caregivers against dependent elderly people and associated factors. A convenience sample of 135 pairs was evaluated with instruments applied at the caregiver (social support, alcoholism, burden and violence) and at the elders (depression, cognition and functional capacity). Statistical tests were used to compare the percentages of violence according to characteristics of the caregiver and the elders; a logistic regression model investigated the association between violence and the characteristics of both. Over 30% of the caregivers showed signs of elder abuse. The presence of high levels of burden and alcohol problems increased by 11 and 3.8 times the risk of violence against theelders, respectively, when compared to the reference groups. Elderly men and individuals with depression had 2.9 and 6.9 times greater chance of being mistreated, in relation to women and the ones without depression, respectively. Conclusion: The high prevalence of violence by caregivers, especially those with high levels of burden, alcohol-related problems and caring for depressed elders, demands family support strategies to reduce domestic violence.
Keywords:
Elder abuseViolence against the elderlyImpaired elderlyCaregiver
Prevalence and Factors Associated with Abuse of Caregivers against Dependent Elderly: The Hidden Face of Family Violence
Resumo (abstract):
Cross - sectional study performed in a violent area, aiming at identifying the prevalence of familiar violence perpetrated by caregivers against dependent elderly people and associated factors. A convenience sample of 135 pairs was evaluated with instruments applied at the caregiver (social support, alcoholism, burden and violence) and at the elders (depression, cognition and functional capacity). Statistical tests were used to compare the percentages of violence according to characteristics of the caregiver and the elders; a logistic regression model investigated the association between violence and the characteristics of both. Over 30% of the caregivers showed signs of elder abuse. The presence of high levels of burden and alcohol problems increased by 11 and 3.8 times the risk of violence against theelders, respectively, when compared to the reference groups. Elderly men and individuals with depression had 2.9 and 6.9 times greater chance of being mistreated, in relation to women and the ones without depression, respectively. Conclusion: The high prevalence of violence by caregivers, especially those with high levels of burden, alcohol-related problems and caring for depressed elders, demands family support strategies to reduce domestic violence.
Palavras-chave (keywords):
Elder abuseViolence against the elderlyImpaired elderlyCaregiver
Lino, Valéria Teresa Saraiva, Rodrigues, Nádia Cristina Pinheiro, de Lima, Idenalva Silva, Athie, Soraya, Souza, E.R. de. Prevalência e Fatores Associados ao Abuso de Cuidadores contra Idosos Dependentes: a Face Oculta da Violência Familiar. Cien Saude Colet [periódico na internet] (2017/mar). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/prevalencia-e-fatores-associados-ao-abuso-de-cuidadores-contra-idosos-dependentes-a-face-oculta-da-violencia-familiar/16161?id=16161&id=16161
