Elder Abuse, a Silent Problem
DOI:
https://doi.org/10.17533/udea.rfnsp.e331289Keywords:
elder, elder abuse, domestic violence, aging, ColombiaAbstract
Abuse towards older people is influenced by cultural patterns, the historical context, the socio-cultural environment and the value judgments that society builds around old age. The mistreatment of this population has not had the same resonance in society as the abuse of children and women; however, in recent years it has started to be seen as a problem of public interest. This review aims to present the main concepts and characteristics of elder abuse and describe the magnitude of this social phenomenon worldwide and in Colombia from 1975 until 2018.
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(1). Organización Mundial de la Salud. Envejecimiento [internet]. s. f. [citado 2018 mar. 27]. Disponible en: http://www.who.int/topics/ageing/es/.
(2). Ministerio de la Protección Social. Política Nacional de Envejecimiento y Vejez (2007-2019) [internet]. 2007 [citado 2018 oct. 12]. Disponible en: https://www.minsalud.gov.co/Documentos%20y%20Publicaciones/POL%C3%8DTICA%20NACIONAL%20DE%20ENVEJECIMIENTO%20Y%20VEJEZ.pdf.
(3). Lemus S de, Expósito F. Nuevos retos para la psicología social: edadismo y perspectiva de género. Pensam Psicológico. 2005;1(4):33-51.
(4). Organización Mundial de la Salud (OMS). Aumenta el maltrato a las personas de edad: según la OMS, afecta a uno de cada seis ancianos [internet]. 2017. [citado 2018 mar. 27]. Disponible en https://www.who.int/es/news-room/detail/14-06-2017-abuse-of-older-people-on-the-rise-1-in-6-affected.
(5). Centers for Disease Control and Prevention. Elder Abuse Prevention [internet]. 2016 [citado 2018 oct. 9]. Disponible en: https://www.cdc.gov/features/elderabuse/.
(6). Bover A, Moreno M, Mota S, et al. El maltrato a los ancianos en el domicilio. Situación actual y posibles estrategias de intervención. Aten Primaria. 2003;32(9):541-51.
(7). Departamento Administrativo Nacional de Estadística. Proyecciones nacionales y departamentales de población 2005-2020. Estudios Postcensales No. 7. Bogotá: Departamento Administrativo Nacional de Estadística.
(8). Dulcey E, Arrubla D, Sanabria P. Envejecimiento y vejez en Colombia. Estudio a profundidad [informe de investigación] [Internet]. 2013 [citado 2020 ene. 29]. Disponible en: https://fiapam.org/wp-content/uploads/2014/03/3-ENVEJECIMIENTO-Y-VEJEZ-EN-COLOMBIA.pdf
(9). Colombia, Ministerio de Salud y Protección Social, Oficina de Promoción Social. Envejecimiento demográfico. Colombia 1951-2020. Dinámica demográfica y estructuras poblacionales [internet]. 2013 [citado 2017 ago. 8] Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/PS/Envejecimiento-demografico-Colombia-1951-2020.pdf.
(10). Cardona D, Segura A, Garzón M. Situación de salud y condiciones de vida del adulto mayor. Departamento de Antioquia, 2012. Medellín: Universidad CES, Gobernación de Antioquia; 2013.
(11). Cano S, Garzón M, Segura A, et al. Maltrato psicológico en los adultos mayores del departamento de Antioquia, 2012. Rev Fac Nac Salud Pública. 2014;21(Supl. 1):S99-S106.
(12). Colombia, Ministerio de Salud y Protección Social. Ministerio de Salud y Protección Social. SABE Colombia. Encuesta Nacional de Salud, Bienestar y Envejecimiento; 2015.
(13). Burston G. Letter: Granny-battering. Br Med J. 1975;3:592. DOI: http://dx.doi.org/10.1136/bmj.3.5983.592-a.
(14). Johnson, T.F. Critical issues in the definition of Elder mistreatment. En: K. Pillemer, R. Wolf, editores. Elder abuse: Conflict in the Family. Dover, MA: Auburn House Publishing Company; 1986. pp. 167-96.
(15). Hudson M. Elder mistreatment: A taxonomy with definitions by Delphi. J Elder Abuse Negl. 1991;3(2):1-20. DOI: https://doi.org/10.1300/J084v03n02_01.
(16). Kessel H, Marín N, Maturana N. Primera Conferencia Nacional de Consenso sobre el Anciano Maltratado. Rev Esp Geriatr Gerontol. 1996;31:367-72.
(17). Álvarez C. Crisis intergeneracional y anomia cultural, la marginación y maltrato al anciano. En: Memorias del Foro Nacional sobre Tercera edad “Hacia una política de participación de los viejos”. Procuraduría delegada para la defensa del menor y la familia. Bogotá; 1997.
(18). Organización Panamericana de la Salud. Informe mundial sobre la violencia y la salud. Resumen [internet]. 2002 [citado 2016 feb. 24]. Disponible en: http://www.who.int/violence_injury_prevention/violence/world_report/es/summary_es.pdf.
(19). Organización Mundial de la Salud. Declaración de Toronto para la prevención global del maltrato de las personas mayores [internet]. 2003 [citado 2016 feb. 24]. Disponible en: http://www.who.int/ageing/projects/elder_abuse/alc_toronto_declaration_es.pdf?ua=1.
(20). Muñoz J. Personas mayores y malos tratos. Madrid: Pirámide; 2004.
(21). De Paúl J, Larrión JL. El maltrato a los mayores. Algunas cuestiones generales. En: Cuesta J, editor. El maltrato de personas mayores. Detección y prevención desde un prisma criminológico interdisciplinar. Donostia, Gipuzkoa: Hurkoa Fundazioa, Instituto Vasco de Criminología; 2006. pp. 11-15.
(22). Iborra I. Maltrato de personas mayores en la familia en España. Valencia: Fundación de la Comunitat Valenciana para el Estudio de la Violencia; 2008.
(23). Gobierno de Chile. Servicio Nacional del Adulto Mayor. Guía Prevención del maltrato a las personas mayores [internet]. 2012 [citado 2017 ago. 20]. Disponible en http://www.senama.gob.cl/storage/docs/Guia-Prevencion-del-maltrato-a-las-personas-mayores.pdf.
(24). México, Gobierno Federal. Guía de práctica clínica. Detección y manejo del maltrato en el adulto mayor. México: Instituto Mexicano del Seguro Social; 2013.
(25). Giraldo‐Rodríguez L, Rosas‐Carrasco O, Mino‐León D. Abuse in Mexican older adults with long‐term disability: National prevalence and associated factors. J Am Geriatr Soc. 2015;63:1594-600. DOI: https://doi.org/10.1111/jgs.13552.
(26). Compton SA, Flanagan P, Gregg W. Elder abuse in people with dementia in Northern Ireland: Prevalence and predictors in cases referred to a psychiatry of old age service. Int J Geriatr Psychiatry. 1997;12(6):632-5.
(27). Servicio Nacional del Adulto Mayor. Definición y tipificación del maltrato al adulto mayor, en Chile [Internet]. s. f [citado 2020 ene. 29]. Disponible en: http://www.senama.gob.cl/storage/docs/Defi-tipif-maltrato-adulto-mayor-Chile-2005.pdf
(28). Morena B. Maltrato psicológico. En: Cuesta J, editor. El maltrato de personas mayores. Detección y prevención desde un prisma criminológico interdisciplinar. Donostia, Gipuzkoa: Hurkoa Fundazioa, Instituto Vasco de Criminología; 2006. pp. 23-38.
(29). Yon Y, Mikton CR, Gassoumis ZD, et al. Elder abuse prevalence in community settings: A systematic review and meta-analysis. Lancet Glob Health. 2017;5(2):e147-56. DOI: https://doi.org/10.1016/S2214-109X(17)30006-2.
(30). Organización Mundial de la Salud. Maltrato de las personas mayores [Internet]. 2018. [citado 2019 jun. 13]. Disponible en https://www.who.int/es/news-room/fact-sheets/detail/elder-abuse
(31). Iborra I. Factores de riesgo del maltrato de personas mayores en la familia en población española. Zerbitzuan. 2009;(45):49-57.
(32). Acierno R, Hernandez MA, Amstadter AB, et al. Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States: The national elder mistreatment study. Am J Public Health. 2010;100(2):292-7. DOI: https://doi.org/10.2105/AJPH.2009.163089.
(33). Melchiorre MG, Rosa MD, Lamura G, et al. Abuse of older men in seven European countries: A multilevel approach in the framework of an ecological model. PLOS ONE. 2016;11(1):e0146425. DOI: https://doi.org/10.1371/journal.pone.0146425.
(34). Pérez-Rojo G, Penhale B. Maltrato de las personas mayores: situación actual en el Reino Unido. Rev. Esp. Geri. y Geront. 2006;41(5):289-96. DOI: 10.1016/S0211-139X(06)72975-4.
(35). Chokkanathan S, Lee AE. Elder mistreatment in urban India: A community based study. J Elder Abuse Negl. 2005;17(2):45-61. DOI: https://doi.org/10.1300/J084v17n02_03.
(36). Penhale B. Older women, domestic violence, and elder abuse: A review of commonalities, differences, and shared approaches. J Elder Abuse Negl. 2003;15(3-4):163-83. DOI: https://doi.org/10.1300/J084v15n03_10.
(37). Bazo M. Incidencia y prevalencia del maltrato hacia los mayores. En: Cuesta J, editor. El maltrato de personas mayores. Detección y prevención desde un prisma criminológico interdisciplinar. Donostia, Gipuzkoa: Hurkoa Fundazioa, Instituto Vasco de Criminología; 2006. pp. 39-60.
(38). Homer A, Gilleard C. Abuse of elderly people by their carers. BMJ. 1990;301(6765):1359-62. DOI: https://doi.org/10.1136/bmj.301.6765.1359.
(39). Organización Mundial de la Salud. Maltrato de ancianos y alcohol. Nota descriptiva [internet]. 2006 [citado 2017 ago. 13]. Disponible en: http://www.who.int/violence_injury_prevention/violence/world_report/factsheets/fs_elder_es.pdf.
(40). Coyne A, Reichman W, Berbig L. The relationship between dementia and elder abuse. Am J Psychiatry. 1993;150(4): 643-6. DOI: https://doi.org/10.1176/ajp.150.4.643.
(41). Cooper C, Selwood A, Livingston G. The prevalence of elder abuse and neglect: A systematic review. Age Ageing. 2008;37(2):151-60. DOI: https://doi.org/10.1093/ageing/afm194.
(42). Echeburúa E. Manual de violencia familiar. Madrid: Siglo XXI; 1998.
(43). Abello R, Madariaga C. Las redes sociales ¿Para Qué? Psicolía desde El Caribe. 1999;(2-3):116-35.
(44). Sierra O, Madariaga C, Abello R. Relación entre la pertenencia a redes sociales y dinámica familiar de mujeres trabajadoras en condiciones de pobreza. Psicología desde El Caribe. 1998;(1):94-113.
(45). Instituto Nacional de Medicina Legal y Ciencias Forenses, Subdirección de Servicios Forenses, Grupo Centro de Referencia Nacional sobre Violencia. Violencia al adulto mayor en el contexto intrafamiliar. Boletín; 2012.
(46). Organización Mundial de la Salud. Maltrato de las personas mayores. Centro de prensa. [internet]. 2018 [citado 2020 enero 29]. Disponible en: http://www.who.int/mediacentre/factsheets/fs357/es/.
(47). Comisión Económica Para América Latina y el Caribe. Estrategia regional de implementación para América Latina y el Caribe del Plan de Acción Internacional de Madrid sobre el Envejecimiento. Santiago, Chile [internet]. 2004 [citado 2017 ago. 20]. Disponible en: https://www.cepal.org/es/publicaciones/2786-estrategia-regional-implementacion-america-latina-caribe-plan-accion.
(48). De Donder L, Lang G, Penhale B, et al. Item non-response when measuring elder abuse: Influence of methodological choices. Eur J Public Health. 2013;23(6):1021-6. DOI: https://doi.org/10.1093/eurpub/cks172.
(49). Fernández-Alonso MC, Herrero-Velázquez S. Maltrato en el anciano. Posibilidades de intervención desde la atención primaria (I). Aten Primaria. 2006;37(1):56-59. DOI: https://doi.org/10.1157/13083927.
(50). Dong X, Simon MA. Vulnerability risk index profile for elder abuse in community-dwelling population. J Am Geriatr Soc. 2014;62(1):10-15.
(51). Lachs MS, Williams CS, O’Brien S, et al. The mortality of elder mistreatment. JAMA 1998;280(5):428-32. DOI: https://doi.org/10.1001/jama.280.5.428.
(52). Rovi S, Chen P-H, Vega M, et al. Mapping the elder mistreatment iceberg: U.S. hospitalizations with elder abuse and neglect diagnoses. J Elder Abuse Negl. 2009;21(4):346-59. DOI: https://doi.org/10.1080/08946560903005109.
(53). House of Commons Health Select Committee. Elder abuse. Second Report of Session 2003-04. Vol. 1 [internet]. 2004 [citado 2017 ago. 14]. Disponible en: https://publications.parliament.uk/pa/cm200304/cmselect/cmhealth/111/111.pdf.
(54). Evans CS, Hunold KM, Rosen T, et al. Diagnosis of elder abuse in U.S. emergency departments. J Am Geriatr Soc. 2017;65(1):91-7. DOI: https://doi.org/10.1111/jgs.14480.
(55). Burnes D, Rizzo VM, Gorroochurn P, et al. Understanding Service utilization in cases of elder abuse to inform best practices. J Appl Gerontol. 2016;35(10):1036-57. DOI: https://doi.org/10.1177/0733464814563609.
(56). Irigaray TQ, Esteves CS, Pacheco JTB, et al. Maus-tratos contra idosos em Porto Alegre, Rio Grande do Sul: um estudo documental. Estud. Psicol. (Campinas). 2016;33(3):543-51. DOI: http://dx.doi.org/10.1590/1982-02752016000300017.
(57). Roepke-Buehler SK, Dong X. Perceived stress and elder abuse: A population-based study of adult protective services cases in Chicago. J Am Geriatr Soc. 2015;63(9):1820-8. DOI: http://dx.doi.org/10.1111/jgs.13613.
(58). Hwalek MA, Neale AV, Goodrich CS, et al. The association of elder abuse and substance abuse in the Illinois Elder Abuse System. Gerontologist. 1996;36(5):694-700. DOI: https://doi.org/10.1093/geront/36.5.694.
(59). Sánchez Salgado CD. Características del abuso y maltrato de personas ancianas en Puerto Rico. P R Health Sci J. 2007;26(1):35-41.
(60). Neale AV, Hwalek MA, Goodrich CS, et al. The Illinois elder abuse system: Program description and administrative findings. Gerontologist. 1996;36(4):502-11.
(61). Ziminski CE, Wiglesworth A, Austin R, et al. Injury patterns and causal mechanisms of bruising in physical elder abuse. J Forensic Nurs. 2013;9(2):84-91. DOI: https://doi.org/10.1097/JFN.0b013e31827d51d0.
(62). Wiglesworth A, Austin R, Corona M, et al. Bruising as a marker of physical elder abuse. J Am Geriatr Soc. 2009;57(7):1191-6. DOI: https://doi.org/10.1111/j.1532-5415.2009.02330.x.
(63). Reyes-Ortiz CA, Ocampo-Chaparro JM, Campo-Arias A, et al. Association between history of abuse and falling in older adults. Journal of the American Geriatrics Society. 2018;66(8):1603-7. DOI: https://doi.org/10.1111/jgs.15432.
(64). Williams JH, Davis M, Acierno R. Global prevalence of elder abuse in the community. En: Dong X, editor. Elder Abuse: Research, Practice and Policy. Cham, Switzerland: Springer International Company AG.; 2017. pp. 45-65.
(65). Gallione C, Dal A, Cristina FV, et al. Screening tools for identification of elder abuse: A systematic review. J Clin Nurs. 2017;26(15-16):2154-76. DOI: https://doi.org/10.1111/jocn.13721.
(66). Dong XQ. Culture diversity and elder abuse: Implications for research, education and policy. Generations. 2012;36(3):40-42.
(67). Burnes D, Pillemer K, Caccamise PL, et al. Prevalence of and risk factors for elder abuse and neglect in the community: A population-based study. J Am Geriatr Soc. 2015;63(9):1906-12. DOI: https://doi.org/10.1111/jgs.13601.
(68). Fulmer T, Rodgers RF, Pelger A. Verbal mistreatment of the elderly. J Elder Abuse Negl. 2014;26(4):351-64. DOI: https://doi.org/10.1080/08946566.2013.801817.
(69). Pillemer K, Finkelhor D. The prevalence of elder abuse: A random sample survey. Gerontologist. 1988;28(1):51-7. DOI: https://doi.org/10.1093/geront/28.1.51.
(70). Reay AM, Browne KD. Risk factor characteristics in carers who physically abuse or neglect their elderly dependants. Aging Ment Health. 2001;5(1):56-62.
(71). Schofield MJ, Mishra GD. Validity of self-report screening scale for elder abuse: Women’s health Australia study. The Gerontologist. 2003;43(1):110-20. DOI: https://doi.org/10.1093/geront/43.1.110.
(72). Schofield MJ, Reynolds R, Mishra GD, et al. Screening for vulnerability to abuse among older women: Women’s health Australia study. J Appl Gerontol 2002;21(1):24-39. DOI: https://doi.org/10.1177/0733464802021001002.
(73). Edirisinghe PAS, Paranitharn P, Perera WNS, et al. Elder abuse among outpatient department attendees in a tertiary care hospital in Sri Lanka. Ceylon Med J. 2014;59(3):84-9. DOI: http://doi.org/10.4038/cmj.v59i3.6527.
(74). Saikia AM, Mahanta N, Mahanta A, Deka AJ, Kakati A. Prevalence and risk factors of abuse among community dwelling elderly of Guwahati City, Assam. Indian J Community Med. 2015;40(4):279-81. DOI: https://doi.org/10.4103/0970-0218.164406.
(75). Reis M, Nahmiash D. Validation of the caregiver abuse screen (CASE). Can J Aging 1995;14(Supl. 2):45-60. DOI: https://doi.org/10.1017/S0714980800005584.
(76). Sengstock M, Hwalek M. A critical analysis of measures for the identification of physical abuse and neglect in the elderly. Home Health Care Quarterly. 1986;6(4):27-39. DOI: https://doi.org/10.1300/J027v06n04_04.
(77). National Initiative for the Care of the Elderly NICE. BASE Brief Abuse Screen for the Elderly.[Internet] 2011 [citado 2020 ene. 28]. Disponible en: http://www.nicenet.ca/files/U_of_T_Nice_180318_BASE_Tool_Sep11.pdf.
(78). Cohen M, Halevi S, Gagin R, et al. Development of a screening tool for identifying elderly people at risk of abuse by their caregivers. J Aging Health. 2006;18(5):660-85. DOI: https://doi.org/10.1177%2F0898264306293257.
(79). Reis, M., y Nahmiash, D. (). Validation of the indicators of abuse (IOA) screen. The Gerontologist. 1998;38(4):471-80. DOI: https://doi.org/10.1093/geront/38.4.471
(80). Giraldo LG, Rosas O. Development and psychometric properties of the Geriatric Mistreatment Scale. Geriatr Gerontol Int. 2013;13(2):466-74. DOI: https://doi.org/10.1111/j.1447-0594.2012.00894.x.
(81). Ruelas-González MG, Pelcastre-Villafuerte BE, Monterrubio-Flores E, et al. Development and validation of a Screening Questionnaire of Family Mistreatment against Older Adults for use in primary care settings in Mexico. Health Soc Care Community. 2018;26(1):102-12. DOI: https://doi.org/10.1111/hsc.12466.
(82). Organización Mundial de la Salud. Informe mundial sobre el envejecimiento y la salud [internet]. 2015 [citado 2016 mar. 2]. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/186466/9789240694873_spa.pdf;jsessionid=155E9FD3570DE8FE0F676DFA7BE98370?sequence=1.
(83). Organización Mundial de la Salud. Datos interesantes acerca del envejecimiento. Envejecimiento y ciclo de vida [internet]; s. f. [citado 2018 mar. 3]. Disponible en: http://www.who.int/ageing/about/facts/es/.
(84). Hydle I. Violence against the elderly in western Europe. Treatment and preventive measures in the health and social service fields. J Elder Abuse Negl. 1989;1(3):75-87. DOI: https://doi.org/10.1300/J084v01n03_07.
(85). Garre-Olmo J, Planas-Pujol X, López-Pousa S, et al. Prevalence and risk factors of suspected elder abuse subtypes in people aged 75 and older. J Am Geriatr Soc. 2009;57(5):815-22. DOI: https://doi.org/10.1111/j.1532-5415.2009.02221.x.
(86). Biggs S, Manthorpe J, Tinker A, Doyle M, Erens B. Mistreatment of older people in the United Kingdom: Findings from the first national prevalence study. J Elder Abuse Negl. 2009;21(1):1-14. DOI: https://doi.org/10.1080/08946560802571870.
(87). Lowenstein A, Eisikovits Z, Band-Winterstein T. Enosh G. Is Elder abuse and neglect a social phenomenon? Data from the First National Prevalence Survey in Israel. J Elder Abuse Negl. 2009; 21(3): 253-77. DOI: https://doi.org/10.1080/08946560902997629.
(88). McDonald L, Thomas C. Elder abuse through a life course lens. Int Psychogeriatr. 2013;25(8):1235-43. DOI: https://doi.org/10.1017/S104161021300015X.
(89). Gómez Ricárdez LA, Rodríguez Abrego G, Krug Llamas E. Prevalencia y factores asociados a violencia familiar en adultos mayores de Ocozocoautla (Chiapas, México). Rev Esp Geriatr Gerontol. 2007;42(1):27-34. DOI: https://doi.org/10.1016/S0211-139X(07)73518-7.
(90). Comisión Económica para América Latina y El Caribe. Segunda Conferencia Regional Intergubernamental sobre Envejecimiento en América Latina y el Caribe: hacia una sociedad para todas las edades y de protección social basada en derechos. Brasilia, Brasil; 2007.
(91). Agudelo-Cifuentes M.C, Cardona D, Segura A, et al. Características sociales y familiares asociadas al maltrato al adulto mayor de Pasto, Colombia 2016. Rev CES Psico. 2019;12(1):32-42. DOI: http://dx.doi.org/10.21615/cesp.12.1.3.
(92). Monroy CM. Estilo de vida. Adultos mayores de Santa Marta. Memorias. 2010;8(13):20-29.
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