4.2 Article

Patterns of abuse of elderly people in Brazil: analysis of notifications

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CADERNOS DE SAUDE PUBLICA
卷 39, 期 1, 页码 -

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CADERNOS SAUDE PUBLICA
DOI: 10.1590/0102-311XEN075722

关键词

Elder Abuse; Domestic Violence; Aging; Information Systems; Epidemiology

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This study described the characteristics of elderly people abuse notifications and assessed the patterns according to gender. Data from the Brazilian Information System for Notifiable Diseases (SINAN) in 2017 were analyzed. Descriptive analysis and statistical tests were conducted to examine the victim characteristics, violence types, and perpetrators. The results showed evidence of gender-based violence among older adults, with physical violence being more prevalent among younger and older individuals, and neglect/abandonment more commonly committed by daughters of the oldest individuals. Policies are needed to reduce gender inequalities and provide a care network for elderly victims of violence.
This study aimed to describe the characteristics of elderly people abuse notifi-cations by gender and to assess notification patterns according to gender. We analyzed data from the Brazilian Information System for Notificable Diseases (SINAN) in 2017. We carried out a descriptive analysis of victim character-istics, violence, and the probable perpetrator according to gender. Pearson's chi 2 test was used to assess the significance between groups. Then, we verified the main relationships between the studied characteristics and the victim's gen-der by simple correspondence analysis (SCA). Thus, 17,311 cases/suspicions of elderly people abuse were notified, corresponding to 7.2% of the total num-ber of violence notifications. Of these victims, 50.4% were white, 42.3% were married, and 17.2% had a disability/disorder; 76.9% occurred at home, 62.8% included physical violence, and 49.5% were cases of repeated violence. Most perpetrators were men (62%), and violence by two or more perpetrators was observed in 62.8% of the cases. SCA evidenced inequalities in older adults' gender, which proved to be higher among women. Physical violence was the most common among younger and old individuals, whereas neglect/abandon-ment tended to occur more frequently among the oldest individuals, and was most often committed by daughters. In sum, this study demonstrated evidence of gender-based violence, especially among older adults. Disability proved to be an essential characteristic for neglect/abandonment in older adults. In this context, policies are needed to reduce gender inequalities and implement a care network for older adults who are victims of violence.

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