Determinantes sociais da violência contra idosos hospitalizados

• Autor(a) principal: Monteiro, Gleicy Karine Nascimento de Araújo
• Data de Publicação: 2020
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/123456789/18741
• topic: Violência; Idoso; Determinantes sociais da saúde; Enfermagem gerontológica; Saúde do idoso; Violence; Elderly; Social determinants of health; Gerontological nursing; Elderly health; Anciano; Los determinantes sociales de la salud; Enfermería gerontológica; Salud de los ancianos; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

Introduction: Violence against the Elderly is configured as a socially determined problem, which affects this population with high prevalence in all countries, with emphasis on those in development. Thus, it is essential to analyze the relationship between violence and Social Determinants, such as sex, marital status, education level, housing arrangement, work activity, income and health self-assessment, aiming to direct health actions that enable the reduction of social inequities. The determinants will be studied by the Dahlgren and Whitehead model and the ecological model. The models converge because they have a classification in three major axes: macrodeterminants, intermediate determinants and microdeterminants for Dahlgren and Whitehead; macro, meso and microsystem for the ecological. Objective: to analyze the association of social determinants with violence against the elderly. Method: systematic review with metaanalysis, performed on the following databases PubMed, CINAHL, Scopus, PsycINFO, Web of Science and LILACS, using the following descriptors: Associated Factors, Elderly, Aged, Elder Abuse, Violence. The sample comprised 46 articles. Then, a quantitative, multicenter and cross-sectional study was carried out in two university hospitals in Paraíba, with 323 elderly people, from July 2019 to February 2020. The instruments used for data collection were: Brazil Old Age Schedule, Hwalek-Sengstock Elder Abuse Screening Test and Conflict Tactics Scale-1 to collect data that were analyzed using descriptive and inferential statistics. Results: the systematic review pointed out that all the factors evaluated are configured as determinants of violence, with the exception of marital status, which pointed out that having a relationship is a protective factor for violence (OR = 0.86). Still, self-rated health was the determinant with the strongest association (OR = 1.35). In the quantitative study, it was observed that there was a significant association between risk of violence and the female sex (p = 0.004), living with grandchildren (p = 0.025) and having four or more diseases (p <0.001), in addition to income and physical violence (p = 0.048). Belonging to the female sex, being literate and having more diseases increases the risk of violence. Conclusion: the intermediate determinants were more prominent in the systematic review, so that classifying health as poor or regular increases the elderly's exposure to situations of violence. Furthermore, for the research article, the determinants that most strongly influenced situations of violence were, for the most part, those that make up the macrosystem, considering the income and number of diseases that the elderly person has.