Background: Elderly abuse and comorbid problematic substance use, disability, and physical and mental illness have been major problems in low-income countries. In most countries, the elderly are the most neglected segment of the population, and there is insufficient information about elderly abuse perpetration or victimization in low-income countries like Ethiopia. Therefore, this study was aimed to assess elderly abuse perpetration or victimization among the elderly in Mizan Aman town, southwest Ethiopia.
Methods: A community-based cross-sectional study design was conducted among 268 elderly people from May to June, 2021, by using a systematic sampling technique. The elderly abuse and the ASSIST tools were used to assess the elderly abuse and khat, alcohol, cannabis, and tobacco use disorders, respectively. Moreover, multimorbidity and physical disability were also assessed. Data were entered into EpiData version 3.1 and exported to the Statistical Package for Social Science Version 23. A logistic regression model was used to identify independent predictors of elderly abuse.
Results: The prevalence of elder abuse was 41.8%, and the prevalence of poly substance, alcohol, khat, and tobacco use disorder was 32.5%, 19.4%, 12%, and 4.5%, respectively. Besides, the comorbidity of physical disability and multiple chronic diseases was 8% and 24.6%, respectively. Moreover, physical disability (AOR = 5.652, CI = 1.459, 21.894), multimorbidity (AOR = 3.972, CI = 1.898, 8.314), substance use disorder (AOR = 3.877, CI = 1.814, 8.286), age above 80 years (AOR = 8.452, CI = 2.273, 31.425), and poor social support (AOR = 3.372, CI = 1.043, 10.903) were positively associated with elderly abuse.
Conclusion: The magnitude of elder abuse and comorbid multimorbidity, physical disability, and substance use disorder was high, and having multiple chronic diseases, physical disability, substance use disorder, advanced age, and poor social support were risk factors for elderly abuse.



中文翻译：

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2022 年埃塞俄比亚老年人虐待或受害老年人的社区探索性横断面研究

背景：虐待老年人和合并有问题的物质使用、残疾以及身心疾病一直是低收入国家的主要问题。在大多数国家，老年人是人口中最受忽视的部分，在埃塞俄比亚等低收入国家，老年人虐待或受害的信息不足。因此，本研究旨在评估埃塞俄比亚西南部米赞阿曼镇老年人的虐待行为或受害情况。
方法：2021 年 5 月至 6 月，采用系统抽样技术对 268 名老年人进行了基于社区的横断面研究设计。老年人虐待和 ASSIST 工具分别用于评估老年人虐待和阿拉伯茶、酒精、大麻和烟草使用障碍。此外，还评估了多种疾病和身体残疾。数据输入 EpiData 3.1 版并导出到社会科学统计包 23 版。逻辑回归模型用于识别老年人虐待的独立预测因素。
结果：虐待老年人的患病率为41.8%，多物质、酒精、阿拉伯茶和烟草使用障碍的患病率分别为32.5%、19.4%、12%和4.5%。此外，身体残疾和多种慢性病的合并症分别为8%和24.6%。此外，身体残疾 (AOR = 5.652, CI = 1.459, 21.894), 多发病 (AOR = 3.972, CI = 1.898, 8.314), 物质使用障碍 (AOR = 3.877, CI = 1.814, 8.286), 年龄超过 80 岁 (AOR = 8.452, CI = 2.273, 31.425）和社会支持差（AOR = 3.372, CI = 1.043, 10.903）与虐待老人呈正相关。
结论：老年人虐待和合并症、身体残疾和物质使用障碍的程度很高，患有多种慢性病、身体残疾、物质使用障碍、高龄和社会支持差是老年人虐待的危险因素。