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ORIGINAL RESEARCH article

Front. Med.
Sec. Geriatric Medicine
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1492826

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

Provisionally accepted
Xiaomeng Wu Xiaomeng Wu 1Li Pei Li Pei 1Yu Wang Yu Wang 2Lanrui Zhang Lanrui Zhang 1Dongqing Zhao Dongqing Zhao 1Haoying Dou Haoying Dou 1*
  • 1 Tianjin University of Traditional Chinese Medicine, Tianjin, China
  • 2 Rongjun Hospital, Lyuliang City, Shanxi Province, China, China

The final, formatted version of the article will be published soon.

    As 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. Methods: A 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.Results: A 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 ≥3501 (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.In 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.

    Keywords: abuse, psychological abuse, older people, Activity of daily living, family functioning

    Received: 08 Sep 2024; Accepted: 31 Dec 2024.

    Copyright: © 2024 Wu, Pei, Wang, Zhang, Zhao and Dou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Haoying Dou, Tianjin University of Traditional Chinese Medicine, Tianjin, China

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