Profile of care for violence against the elderly in urgency and emergency services: VIVA analysis Survey 2017

Andrade, Fabiana Martins Dias de; Ribeiro, Adalgisa Peixoto; Bernal, Regina Tomie Ivata; Machado, Ísis Eloah; Malta, Deborah Carvalho

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Brasil

Revista Brasileira de Epidemiologia

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Sumário

ORIGINAL ARTICLES • Rev. bras. epidemiol. 23 (Suppl 01) • 2020 • https://doi.org/10.1590/1980-549720200008.supl.1 copy

Profile of care for violence against the elderly in urgency and emergency services: VIVA analysis Survey 2017

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT:

Objectives:

To characterize the profile of violent events among the elderly and to investigate the association between demographic factors and characteristics of violence.

Methods:

Cross-sectional study using data from the Violence and Accidents Survey (VIVA Survey) conducted at the emergency services in 2017. Descriptive analys es of the characteristics of violence were performed, according to demographic factors, followed by the correspondence analysis, using the main characteristics listed in this group, and considering p < 0.05.

Results:

Among the studied victims, most were male; the most common type of violence was physical, the most frequently body part affected was the head, the main places of occurrence were home and the public area, and, most often, the perpetrator was unknown. The fact of the aggressor being the victim’s partner was associated with violence among the female elderly , as well as the use of threats. At the same time, violence among the male elderly was associated to being assaulted in the street, by strangers, including thorax injuries and the use of sharp objects. Y ounger elders have suffered physical aggression mostly through strength/beating, inflicted by friends and reaching the upper limbs. Among the older elders, the negligence was more related to the household as the location where the violence occurred, aggression perpetrated by relatives, and violence affecting the lower limbs and multiple organs were related to negligence.

Conclusion:

The study led to insights about the violence suffered by the elderly patients attending urgency and emergency services in Brazil. Knowing the victims’ profile is important for directing policies and actions that aim at preventing and addressing the problem of violence against the elderly.

Keywords:
Violence; Aged; Aging; Elder Abuse; Health Surveys; Epidemiology

Variable	Category	Sex		p- value*	Age group		p- value*
Variable	Category	Male	Female	p- value*	60 to 65	66 and older	p- value*
Type of violence	Physical	88.3%	79.3%	0.11	92.0%	78.3%	0.19
Type of violence	Negligence	9.1%	9.0%	0.11	4.5%	13.8%	0.19
Form of violence	Physical force	45.4%	71.8%	0.00	54.0%	54.0%	0.35
	Sharp object	35.3%	0.0%		29.8%	17.6%
	Threat	2.6%	10.4%		3.4%	6.9%
Place of occurrence	Household	37.2%	70.2%	0.08	33.1%	63.5%	0.01
Place of occurrence	Street	44.2%	20.0%	0.08	43.0%	29.2%	0.01
Relationship between victim/aggressor	Partner	5.6%	20.6%	0.00	11.7%	9.3%	0.06
	Another relative	13.2%	30.2%		6.9%	31.1%
	Friend	13.8%	23.5%		18.1%	15.7%
	Stranger	53.0%	17.0%		49.6%	32.5%
Body part affected	Head	27.3%	36.4%	0.08	28.0%	32.6%	0.69
	Thorax	11.2%	0.0%		11.5%	3.5%
	Hip	3.4%	4.5%		4.2%	3.3%
	Upper Limb	24.2%	22.4%		27.5%	19.6%
	Lower Limb	10.2%	8.2%		7.9%	11.4%
	Multiple organs	12.3%	10.9%		8.2%	15.6%

Dimension	Singular Amount	Inertia	χ²	Sig.	Explained Variance
Dimension	Singular Amount	Inertia	χ²	Sig.	% abs.	% accum.
1	0.266	0.071			85.3	85.3
2	0.110	0.012			14.7	100
Total		0.083	295.885	.000	100	100

Variables		Mass	Score in Dimension		Inertia	Absolute Contribution		Relative Contribution		Total
Variables		Mass	Dim. 1	Dim. 2	Inertia	Dim. 1	Dim. 2	Dim. 1	Dim. 2	Total
Demographic variables
Sex	Male	0.337	-0.425	-0.177	0.017	0.230	0.096	Dim. 1	0.933	0.067	1,000
Sex	Female	0.163	0.882	0.366	0.036	0.476	0.198	0.933	0.067	1,000
Age group	60 to 65	0.254	-0.389	0.388	0.014	0.145	0.347	0.708	0.292	1,000
Age group	66 or more	0.246	0.402	-0.401	0.015	0.150	0.359	0.708	0.292	1,000
Characteristics of violence
Body part Affected	Thorax	0.017	-1.199	0.155	0.007	0.094	0.004	0.993	0.007	1,000
	Hip	0.009	0.065	0.381	0.000	0.000	0.011	0.066	0.934	1,000
	Upper Limb	0.054	-0.168	0.270	0.001	0.006	0.036	0.484	0.516	1,000
	Multiple organs	0.027	0.171	-0.611	0.001	0.003	0.092	0.159	0.841	1,000
	Lower Limb	0.022	0.022	-0.428	0.000	0.000	0.037	0.006	0.994	1,000
	Head	0.069	0.219	0.039	0.001	0.012	0.001	0.987	0.013	1,000
Aggressor	Relative	0.043	0.972	-0.653	0.013	0.153	0.166	0.842	0.158	1,000
	Stranger	0.095	-0.628	-0.091	0.010	0.141	0.007	0.991	0.009	1,000
	Partner	0.024	0.681	0.995	0.006	0.042	0.217	0.531	0.469	1,000
	Friend	0.039	0.254	0.450	0.002	0.009	0.072	0.434	0.566	1,000
Form of violence	Sharp object	0.055	-0.995	-0.335	0.015	0.204	0.056	0.955	0.045	1,000
	Force	0.124	0.264	0.276	0.003	0.033	0.086	0.688	0.312	1,000
	Threat	0.012	1.066	0.224	0.004	0.051	0.005	0.982	0.018	1,000
Type of violence	Negligence	0.021	0.370	-0.919	0.003	0.011	0.160	0.281	0.719	1,000
Type of violence	Physical	0.196	-0.118	0.098	0.001	0.010	0.017	0.777	0.223	1,000
Place of occurrence	Public area	0.083	-0.503	-0.010	0.006	0.079	0.000	1.000	0.000	1,000
Place of occurrence	Household	0.110	0.606	-0.182	0.011	0.152	0.033	0.964	0.036	1,000
Total - active		1.000			0.083	1.000	1.000

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[1] Corresponding author: Fabiana Martins Dias de Andrade. Avenida Professor Alfredo Balena, 190, CEP: 30130-100, Belo Horizonte, MG, Brasil. E-mail: fabbianamartins@hotmail.com