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The time has come to eliminate the gaps in the under-recognized burden of elder mistreatment: A community-based, cross-sectional study from rural eastern Nepal

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Listed:
  • Uday Narayan Yadav
  • Man Kumar Tamang
  • Grish Paudel
  • Bharat Kafle
  • Suresh Mehta
  • Varalakshmi Chandra Sekaran
  • Jeroen R J H Gruiskens

Abstract

Background: Elder mistreatment is a well-recognized public health issue with complex underlying factors. The current study hypothesized that there is no effect of any of the following factors on any type of elder mistreatment: ethnicity, age group, education status, gender, living arrangement, concentration problems, medication for any disease, income level of caregiver, use of alcohol and tobacco products, and dependence on family or caregivers for daily activities. Materials and methods: We conducted a cross-sectional study of 339 elders adults aged 60 or above residing in a rural part of eastern Nepal between August and November 2016. Multi-stage cluster sampling was adopted to select the study subjects. Information was collected using semi-structured questionnaires administered to elderly people by a designated interviewer. Factors associated with elder mistreatment were analyzed using logistic regression. Results: Our findings revealed that 61.7% of 60+-year-olds experienced some form of mistreatment (physical 2.4%, psychological 22.4%, caregiver neglect 57.5%, financial 12.1% and stranger-inflicted 8.3%). Elder mistreatment was associated with the following characteristics of elders: dependent on family for daily living activities, illiterate, experiencing concentration problems, residing in a living arrangement with their son(s)/daughter(s)-in-law, taking regular medications, belonging to the Dalit community according to the Hindu traditional caste system, and residing with a caregiver having a monthly family income of less than NRs. 20,000 (193USD). Conclusions: Our data show that elder mistreatment is prevalent in a rural community of Nepal. Addressing the lower socio-economic or socio-cultural classes of caregivers and elders via community-focused development programs might have significant implications for improving the well-being of elders.

Suggested Citation

  • Uday Narayan Yadav & Man Kumar Tamang & Grish Paudel & Bharat Kafle & Suresh Mehta & Varalakshmi Chandra Sekaran & Jeroen R J H Gruiskens, 2018. "The time has come to eliminate the gaps in the under-recognized burden of elder mistreatment: A community-based, cross-sectional study from rural eastern Nepal," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-14, June.
    • Handle: RePEc:plo:pone00:0198410
    DOI: 10.1371/journal.pone.0198410
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    References listed on IDEAS

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    1. Acierno, R. & Hernandez, M.A. & Amstadter, A.B. & Resnick, H.S. & Steve, K. & Muzzy, W. & Kilpatrick, D.G., 2010. "Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States: The national elder mistreatment study," American Journal of Public Health, American Public Health Association, vol. 100(2), pages 292-297.
    2. Li Wu & Hui Chen & Yang Hu & Huiyun Xiang & Xiang Yu & Tao Zhang & Zhongqiang Cao & Youjie Wang, 2012. "Prevalence and Associated Factors of Elder Mistreatment in a Rural Community in People's Republic of China: A Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 7(3), pages 1-8, March.
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    1. Uday Narayan Yadav & Jane Lloyd & Hassan Hosseinzadeh & Kedar Prasad Baral & Narendra Bhatta & Mark Fort Harris, 2020. "Levels and determinants of health literacy and patient activation among multi-morbid COPD people in rural Nepal: Findings from a cross-sectional study," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-16, May.
    2. Fadzilah Hanum Mohd Mydin & Christopher Mikton & Wan Yuen Choo & Ranita Hisham Shunmugam & Aja Murray & Yongjie Yon & Raudah M. Yunus & Noran N. Hairi & Farizah M. Hairi & Marie Beaulieu & Amanda Phel, 2024. "Psychometric properties of instruments for measuring abuse of older people in community and institutional settings: A systematic review," Campbell Systematic Reviews, John Wiley & Sons, vol. 20(3), September.

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