Detalhes bibliográficos
| Ano de defesa: |
2014 |
| Autor(a) principal: |
Florêncio, Márcia Virgínia Di Lorenzo
 |
| Orientador(a): |
Grossi, Patricia Krieger
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| Banca de defesa: |
Não Informado pela instituição |
| Tipo de documento: |
Tese
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| Tipo de acesso: |
Acesso aberto |
| Idioma: |
por |
| Instituição de defesa: |
Pontifícia Universidade Católica do Rio Grande do Sul
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| Programa de Pós-Graduação: |
Programa de Pós-Graduação em Gerontologia Biomédica
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| Departamento: |
Instituto de Geriatria e Gerontologia
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| País: |
BR
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| Palavras-chave em Português: |
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| Área do conhecimento CNPq: |
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| Link de acesso: |
http://tede2.pucrs.br/tede2/handle/tede/2749
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Resumo: |
Abuse of the elderly is an important problem that tends to increase with the aging world population, however, information about the extent of violence in elderly populations is still scarce and its prevention and management require epidemiological knowledge. The tracking of violence against the elderly, in the scenario of Primary Health Care, allows to draw an epidemiological map, to identify local and regional risk factors, to direct preventive actions, to guide the construction of care support networks, and to provide data to be used in the formulation of public policies of health and violence prevention. The present research is a prospective cross-sectional study, carried out between July and September 2012 , which aimed at: to track in the population registered by the Family Health Strategy ( Primary Health Care) in João Pessoa-PB the elders at violence risk, through the use of the Hawlek- Sengstock Elder Abuse Screening Test (H-S/EAST) and to establish its association with violence actually happened, by crossing data with the Assessment Instrument for Violence and Maltreatment Against the Elder; to determine the prevalence values for each instrument; to specify the association between the risk of violence and depressive symptoms and cognitive impairment; to identify social, demographic, economic and family factors associated. 311 people were interviewed, mostly women ,between 60-69 years old, with low level of education, with a steady partner, living in their own house, being the great majority of retirees; with incomes of up to 01 minimum wage, being the largest or the sole responsible for the family income. The majority reported having someone to seek support (71%, p < 0,001), this being a family member (95%), with whom they kept a good /great relationship (89.6%, p = 0.047). Disunity in the family (29.5%, p < 0,001), history of prior violence in the family (24.5%, p < 0,001) and depressive symptoms (67.9%, p < 0,001), were significant. Cognitive impairment was identified in 53.1% of the sample. Prevalence of violence risk was 54.7% and of violence actually happened was 35.4%. Logistic regression showed that an elderly person identified as having risk for violence has its chance to be classified as a candidate for victimization of violence multiplied by 0,255. Depressive symptoms when identified, multiply the chance of risk for victimization by 0,180 and family disunity by 0,260, these variables are considered as risk factors (OR>1) in the sample; whereas, higher literacy and having someone to seek support are protective factors. The tracking of risk and violence against the elderly is a possible action to be performed in the environment of practice of Primary Health Care and can provide parameters for early identification of risk, anticipating interventions and preventing injuries resulting from it. |
