Elder abuse and socioeconomic inequalities: a multilevel study in 7 European countries.

Abstract:

OBJECTIVES:To compare the prevalence of elder abuse using a multilevel approach that takes into account the characteristics of participants as well as socioeconomic indicators at city and country level. METHODS:In 2009, the project on abuse of elderly in Europe (ABUEL) was conducted in seven cities (Stuttgart, Germany; Ancona, Italy; Kaunas, Lithuania, Stockholm, Sweden; Porto, Portugal; Granada, Spain; Athens, Greece) comprising 4467 individuals aged 60-84 years. We used a 3-level hierarchical structure of data: 1) characteristics of participants; 2) mean of tertiary education of each city; and 3) country inequality indicator (Gini coefficient). Multilevel logistic regression was used and proportional changes in Intraclass Correlation Coefficient (ICC) were inspected to assert explained variance between models. RESULTS:The prevalence of elder abuse showed large variations across sites. Adding tertiary education to the regression model reduced the country level variance for psychological abuse (ICC=3.4%), with no significant decrease in the explained variance for the other types of abuse. When the Gini coefficient was considered, the highest drop in ICC was observed for financial abuse (from 9.5% to 4.3%). CONCLUSION:There is a societal and community level dimension that adds information to individual variability in explaining country differences in elder abuse, highlighting underlying socioeconomic inequalities leading to such behavior.

journal_name

Prev Med

journal_title

Preventive medicine

authors

Fraga S,Lindert J,Barros H,Torres-González F,Ioannidi-Kapolou E,Melchiorre MG,Stankunas M,Soares JF

doi

10.1016/j.ypmed.2014.01.008

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

42-7

eissn

0091-7435

issn

1096-0260

pii

S0091-7435(14)00025-5

journal_volume

61

pub_type

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