Psychological abuse and its influencing factors among home-dwelling older people in Northern China: a cross-sectional survey

BackgroundAs the population ages, the subject of elder abuse has become more prominent, with psychological abuse of older people being particularly prevalent. This leads to a higher incidence of anxiety, depression, and other psychological problems among older people, reducing their quality of life,...

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Main Authors: Xiaomeng Wu, Li Pei, Yu Wang, Lanrui Zhang, Dongqing Zhao, Haoying Dou
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1492826/full
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author Xiaomeng Wu
Li Pei
Yu Wang
Lanrui Zhang
Dongqing Zhao
Haoying Dou
author_facet Xiaomeng Wu
Li Pei
Yu Wang
Lanrui Zhang
Dongqing Zhao
Haoying Dou
author_sort Xiaomeng Wu
collection DOAJ
description BackgroundAs the population ages, the subject of elder abuse has become more prominent, with psychological abuse of older people being particularly prevalent. This leads to a higher incidence of anxiety, depression, and other psychological problems among older people, reducing their quality of life, and even jeopardizing their safety.MethodsA cross-sectional questionnaire survey was conducted to investigate psychological abuse among home-dwelling older people in Northern China and its influencing factors. Participants were surveyed using a demographic questionnaire, activities of daily living (ADL), family adaptability and cohesion evaluation scale (FACES), and elder psychological abuse scale. The factors impacting psychological abuse were examined using binary logistic regression.ResultsA total of 465 home-dwelling older people participated in the study, with an effective response rate of 97.89%. The median item score of psychological abuse was 20 (IQR: 18–22), activities of daily living was 15 (IQR: 14–17), and family adaptability and cohesion was 96 (IQR: 86–105). Binary logistic regression analysis indicated that the factors affecting psychological abuse among home-dwelling older people were residence in rural areas (OR = 3.487, 95% CI = 2.121–5.732), monthly income ≥ 3,501 (OR = 0.342, 95% CI = 0.119–0.987), had chronic diseases (OR = 2.202, 95% CI = 1.356–3.576), and FACES (OR = 0.955, 95% CI = 0.936–0.974) were the factors that influenced the prevalence of psychological abuse.ConclusionIn Northern China, the level of psychological abuse among older people is low. It is associated with residence, monthly income, chronic diseases, and family adaptability and cohesion. Further studies are required to understand the underlying causes and develop effective interventions to reduce psychological abuse and ensure a comfortable old life for older Chinese people.
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spelling doaj-art-6a789af64777402cbd939a92f463d9042025-01-15T06:10:47ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-01-011110.3389/fmed.2024.14928261492826Psychological abuse and its influencing factors among home-dwelling older people in Northern China: a cross-sectional surveyXiaomeng Wu0Li Pei1Yu Wang2Lanrui Zhang3Dongqing Zhao4Haoying Dou5Tianjin University of Traditional Chinese Medicine, Tianjin, ChinaTianjin University of Traditional Chinese Medicine, Tianjin, ChinaSchool of Nursing, Rongjun Hospital, Lvliang, Shanxi, ChinaTianjin University of Traditional Chinese Medicine, Tianjin, ChinaTianjin University of Traditional Chinese Medicine, Tianjin, ChinaTianjin University of Traditional Chinese Medicine, Tianjin, ChinaBackgroundAs the population ages, the subject of elder abuse has become more prominent, with psychological abuse of older people being particularly prevalent. This leads to a higher incidence of anxiety, depression, and other psychological problems among older people, reducing their quality of life, and even jeopardizing their safety.MethodsA cross-sectional questionnaire survey was conducted to investigate psychological abuse among home-dwelling older people in Northern China and its influencing factors. Participants were surveyed using a demographic questionnaire, activities of daily living (ADL), family adaptability and cohesion evaluation scale (FACES), and elder psychological abuse scale. The factors impacting psychological abuse were examined using binary logistic regression.ResultsA total of 465 home-dwelling older people participated in the study, with an effective response rate of 97.89%. The median item score of psychological abuse was 20 (IQR: 18–22), activities of daily living was 15 (IQR: 14–17), and family adaptability and cohesion was 96 (IQR: 86–105). Binary logistic regression analysis indicated that the factors affecting psychological abuse among home-dwelling older people were residence in rural areas (OR = 3.487, 95% CI = 2.121–5.732), monthly income ≥ 3,501 (OR = 0.342, 95% CI = 0.119–0.987), had chronic diseases (OR = 2.202, 95% CI = 1.356–3.576), and FACES (OR = 0.955, 95% CI = 0.936–0.974) were the factors that influenced the prevalence of psychological abuse.ConclusionIn Northern China, the level of psychological abuse among older people is low. It is associated with residence, monthly income, chronic diseases, and family adaptability and cohesion. Further studies are required to understand the underlying causes and develop effective interventions to reduce psychological abuse and ensure a comfortable old life for older Chinese people.https://www.frontiersin.org/articles/10.3389/fmed.2024.1492826/fullabusepsychological abuseolder peopleactivity of daily livingfamily functioning
spellingShingle Xiaomeng Wu
Li Pei
Yu Wang
Lanrui Zhang
Dongqing Zhao
Haoying Dou
Psychological abuse and its influencing factors among home-dwelling older people in Northern China: a cross-sectional survey
Frontiers in Medicine
abuse
psychological abuse
older people
activity of daily living
family functioning
title Psychological abuse and its influencing factors among home-dwelling older people in Northern China: a cross-sectional survey
title_full Psychological abuse and its influencing factors among home-dwelling older people in Northern China: a cross-sectional survey
title_fullStr Psychological abuse and its influencing factors among home-dwelling older people in Northern China: a cross-sectional survey
title_full_unstemmed Psychological abuse and its influencing factors among home-dwelling older people in Northern China: a cross-sectional survey
title_short Psychological abuse and its influencing factors among home-dwelling older people in Northern China: a cross-sectional survey
title_sort psychological abuse and its influencing factors among home dwelling older people in northern china a cross sectional survey
topic abuse
psychological abuse
older people
activity of daily living
family functioning
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1492826/full
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