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Exploring victimization patterns with latent class analysis: new Approaches to elder abuse

dc.contributor.authorSantos, Ana João
dc.contributor.authorNunes, Baltazar
dc.contributor.authorKislaya, Irina
dc.contributor.authorGil, Ana Paula
dc.contributor.authorRibeiro, Oscar
dc.date.accessioned2019-02-20T13:11:01Z
dc.date.available2019-02-20T13:11:01Z
dc.date.issued2018-09
dc.description.abstractObjectives: Recognized as an important public health issue, elder abuse has been associated with adverse health and social outcomes. However, findings are often complex and contradictory, which can be attributed to elder abuse being a multidimensional construct that encompasses a set of different abusive behaviours, victims, perpetrators and settings. The array of possible elder abuse configurations is difficult to capture. This study sought to identify victimization patterns that represent distinct elder abuse configurations based on specific abusive behaviours and on the relationship with the perpetrator; it also sought to determine the association between these latent classes with victims’ characteristics. Methods: Data comes from two elder abuse surveys: a representative sample of community-dwelling adults and a convenience sample of older adults reporting elder abuse to four state and NGOs institutions. Latent Class Analysis (LCA) was used to categorize victimization in the population-based (N=245) and in the victims’ sample (N=510) using 7 items measuring physical, psychological and financial abuse, and appointed perpetrators. Chi-square tests were used to compare victims’ characteristics between the different obtained classes. Results: The LCA procedure identified six different latent classes of victimization experiences in each of the samples, which were statistically and plausibly distinct. In the population-based survey: verbal abuse by others (29%); psychological abuse from children/grandchildren (18%); overlooked by others (18%); stolen by others (15%); verbal IPV (14%) and physical and psychological IPV (6%). In the victims’ survey: physical abuse by children/grandchildren (29%); physical IPV (26%); psychological abuse by children/grandchildren (18%); polyvictimization by others (16%); physical abuse by others (6%) and physical and psychological IPV (4%). In the victims survey the six groups significantly differ in age, gender, civil status, cohabitation, perceived social support and functional status. Conclusion: The results support the possibility of the multidimensionality of elder abuse not being accounted by the “classical” abuse typologies. Elder abuse victims seeking help may represent a distinct group from that included in population-based prevalence studies. The appointed perpetrators may be the most meaningful and relevant aspect in distinguishing victimization experiences. Further research is needed to develop tailored interventions to specific elder abuse cases and enhance successful outcomes.pt_PT
dc.description.versionN/Apt_PT
dc.identifier.urihttp://hdl.handle.net/10400.18/5926
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectElder Abusept_PT
dc.subjectPerpetratorspt_PT
dc.subjectOlder Adultspt_PT
dc.subjectMental Healthpt_PT
dc.subjectDeterminantes da Saúde e da Doençapt_PT
dc.subjectSaúde Públicapt_PT
dc.titleExploring victimization patterns with latent class analysis: new Approaches to elder abusept_PT
dc.typeconference object
dspace.entity.typePublication
oaire.citation.conferencePlaceLisboa, Portugalpt_PT
oaire.citation.titleXIII Congresso da Associação Portuguesa de Epidemiologia | XXXVI Reunião Científica Anual da Sociedade Espanhola de Epidemiologia - "Epidemiologia em um Contexto Global”, 11-14 setembro 2018pt_PT
person.familyNameCarvalho da Silva Santos
person.familyNameNunes
person.familyNameKislaya
person.familyNameGil
person.familyNameRibeiro
person.givenNameAna João
person.givenNameBaltazar
person.givenNameIrina
person.givenNameAna Paula
person.givenNameOscar
person.identifier487106
person.identifier.ciencia-id7E12-E842-1216
person.identifier.ciencia-idAB11-AD48-A8DF
person.identifier.ciencia-idA815-4295-F91D
person.identifier.ciencia-id4517-7E93-948D
person.identifier.ciencia-id6E15-66D7-5637
person.identifier.orcid0000-0003-0556-5513
person.identifier.orcid0000-0001-6230-7209
person.identifier.orcid0000-0001-5772-2416
person.identifier.orcid0000-0002-6728-7689
person.identifier.orcid0000-0003-4740-7951
person.identifier.ridK-4487-2013
person.identifier.scopus-author-id9133723200
person.identifier.scopus-author-id56442728800
person.identifier.scopus-author-id55755813700
person.identifier.scopus-author-id22981630200
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT
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