The time has come to eliminate the gaps in the under-recognized burden of elder mistreatment

A community-based, cross-sectional study from rural eastern Nepal

Uday Narayan Yadav, Man Kumar Tamang, Grish Paudel, Bharat Kafle, Suresh Mehta, Varalakshmi Chandra Sekaran, Jeroen R.J.H. Gruiskens

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background Elder mistreatment is a well-recognized public health issue with complex underlying factors. The current study hypothesized that there is no effect of any of the following factors on any type of elder mistreatment: ethnicity, age group, education status, gender, living arrangement, concentration problems, medication for any disease, income level of caregiver, use of alcohol and tobacco products, and dependence on family or caregivers for daily activities. Materials and methods We conducted a cross-sectional study of 339 elders adults aged 60 or above residing in a rural part of eastern Nepal between August and November 2016. Multi-stage cluster sampling was adopted to select the study subjects. Information was collected using semi-structured questionnaires administered to elderly people by a designated interviewer. Factors associated with elder mistreatment were analyzed using logistic regression. Results Our findings revealed that 61.7% of 60+-year-olds experienced some form of mistreatment (physical 2.4%, psychological 22.4%, caregiver neglect 57.5%, financial 12.1% and stranger-inflicted 8.3%). Elder mistreatment was associated with the following characteristics of elders: dependent on family for daily living activities, illiterate, experiencing concentration problems, residing in a living arrangement with their son(s)/daughter(s)-in-law, taking regular medications, belonging to the Dalit community according to the Hindu traditional caste system, and residing with a caregiver having a monthly family income of less than NRs. 20,000 (193USD). Conclusions Our data show that elder mistreatment is prevalent in a rural community of Nepal. Addressing the lower socio-economic or socio-cultural classes of caregivers and elders via community-focused development programs might have significant implications for improving the well-being of elders.

Original languageEnglish
Article numbere0198410
JournalPLoS One
Volume13
Issue number6
DOIs
Publication statusPublished - 01-06-2018

Fingerprint

Nepal
health care workers
cross-sectional studies
Caregivers
Cross-Sectional Studies
Public health
Tobacco Products
Logistics
Nuclear Family
Education
Alcohols
drug therapy
Sampling
Economics
Social Planning
Tobacco Use Disorder
community development
household income
rural communities
Rural Population

All Science Journal Classification (ASJC) codes

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

Yadav, Uday Narayan ; Tamang, Man Kumar ; Paudel, Grish ; Kafle, Bharat ; Mehta, Suresh ; Sekaran, Varalakshmi Chandra ; Gruiskens, Jeroen R.J.H. / The time has come to eliminate the gaps in the under-recognized burden of elder mistreatment : A community-based, cross-sectional study from rural eastern Nepal. In: PLoS One. 2018 ; Vol. 13, No. 6.
@article{44130ce382554814b1bd3e26bfb357bd,
title = "The time has come to eliminate the gaps in the under-recognized burden of elder mistreatment: A community-based, cross-sectional study from rural eastern Nepal",
abstract = "Background Elder mistreatment is a well-recognized public health issue with complex underlying factors. The current study hypothesized that there is no effect of any of the following factors on any type of elder mistreatment: ethnicity, age group, education status, gender, living arrangement, concentration problems, medication for any disease, income level of caregiver, use of alcohol and tobacco products, and dependence on family or caregivers for daily activities. Materials and methods We conducted a cross-sectional study of 339 elders adults aged 60 or above residing in a rural part of eastern Nepal between August and November 2016. Multi-stage cluster sampling was adopted to select the study subjects. Information was collected using semi-structured questionnaires administered to elderly people by a designated interviewer. Factors associated with elder mistreatment were analyzed using logistic regression. Results Our findings revealed that 61.7{\%} of 60+-year-olds experienced some form of mistreatment (physical 2.4{\%}, psychological 22.4{\%}, caregiver neglect 57.5{\%}, financial 12.1{\%} and stranger-inflicted 8.3{\%}). Elder mistreatment was associated with the following characteristics of elders: dependent on family for daily living activities, illiterate, experiencing concentration problems, residing in a living arrangement with their son(s)/daughter(s)-in-law, taking regular medications, belonging to the Dalit community according to the Hindu traditional caste system, and residing with a caregiver having a monthly family income of less than NRs. 20,000 (193USD). Conclusions Our data show that elder mistreatment is prevalent in a rural community of Nepal. Addressing the lower socio-economic or socio-cultural classes of caregivers and elders via community-focused development programs might have significant implications for improving the well-being of elders.",
author = "Yadav, {Uday Narayan} and Tamang, {Man Kumar} and Grish Paudel and Bharat Kafle and Suresh Mehta and Sekaran, {Varalakshmi Chandra} and Gruiskens, {Jeroen R.J.H.}",
year = "2018",
month = "6",
day = "1",
doi = "10.1371/journal.pone.0198410",
language = "English",
volume = "13",
journal = "PLoS One",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "6",

}

The time has come to eliminate the gaps in the under-recognized burden of elder mistreatment : A community-based, cross-sectional study from rural eastern Nepal. / Yadav, Uday Narayan; Tamang, Man Kumar; Paudel, Grish; Kafle, Bharat; Mehta, Suresh; Sekaran, Varalakshmi Chandra; Gruiskens, Jeroen R.J.H.

In: PLoS One, Vol. 13, No. 6, e0198410, 01.06.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The time has come to eliminate the gaps in the under-recognized burden of elder mistreatment

T2 - A community-based, cross-sectional study from rural eastern Nepal

AU - Yadav, Uday Narayan

AU - Tamang, Man Kumar

AU - Paudel, Grish

AU - Kafle, Bharat

AU - Mehta, Suresh

AU - Sekaran, Varalakshmi Chandra

AU - Gruiskens, Jeroen R.J.H.

PY - 2018/6/1

Y1 - 2018/6/1

N2 - Background Elder mistreatment is a well-recognized public health issue with complex underlying factors. The current study hypothesized that there is no effect of any of the following factors on any type of elder mistreatment: ethnicity, age group, education status, gender, living arrangement, concentration problems, medication for any disease, income level of caregiver, use of alcohol and tobacco products, and dependence on family or caregivers for daily activities. Materials and methods We conducted a cross-sectional study of 339 elders adults aged 60 or above residing in a rural part of eastern Nepal between August and November 2016. Multi-stage cluster sampling was adopted to select the study subjects. Information was collected using semi-structured questionnaires administered to elderly people by a designated interviewer. Factors associated with elder mistreatment were analyzed using logistic regression. Results Our findings revealed that 61.7% of 60+-year-olds experienced some form of mistreatment (physical 2.4%, psychological 22.4%, caregiver neglect 57.5%, financial 12.1% and stranger-inflicted 8.3%). Elder mistreatment was associated with the following characteristics of elders: dependent on family for daily living activities, illiterate, experiencing concentration problems, residing in a living arrangement with their son(s)/daughter(s)-in-law, taking regular medications, belonging to the Dalit community according to the Hindu traditional caste system, and residing with a caregiver having a monthly family income of less than NRs. 20,000 (193USD). Conclusions Our data show that elder mistreatment is prevalent in a rural community of Nepal. Addressing the lower socio-economic or socio-cultural classes of caregivers and elders via community-focused development programs might have significant implications for improving the well-being of elders.

AB - Background Elder mistreatment is a well-recognized public health issue with complex underlying factors. The current study hypothesized that there is no effect of any of the following factors on any type of elder mistreatment: ethnicity, age group, education status, gender, living arrangement, concentration problems, medication for any disease, income level of caregiver, use of alcohol and tobacco products, and dependence on family or caregivers for daily activities. Materials and methods We conducted a cross-sectional study of 339 elders adults aged 60 or above residing in a rural part of eastern Nepal between August and November 2016. Multi-stage cluster sampling was adopted to select the study subjects. Information was collected using semi-structured questionnaires administered to elderly people by a designated interviewer. Factors associated with elder mistreatment were analyzed using logistic regression. Results Our findings revealed that 61.7% of 60+-year-olds experienced some form of mistreatment (physical 2.4%, psychological 22.4%, caregiver neglect 57.5%, financial 12.1% and stranger-inflicted 8.3%). Elder mistreatment was associated with the following characteristics of elders: dependent on family for daily living activities, illiterate, experiencing concentration problems, residing in a living arrangement with their son(s)/daughter(s)-in-law, taking regular medications, belonging to the Dalit community according to the Hindu traditional caste system, and residing with a caregiver having a monthly family income of less than NRs. 20,000 (193USD). Conclusions Our data show that elder mistreatment is prevalent in a rural community of Nepal. Addressing the lower socio-economic or socio-cultural classes of caregivers and elders via community-focused development programs might have significant implications for improving the well-being of elders.

UR - http://www.scopus.com/inward/record.url?scp=85048784622&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85048784622&partnerID=8YFLogxK

U2 - 10.1371/journal.pone.0198410

DO - 10.1371/journal.pone.0198410

M3 - Article

VL - 13

JO - PLoS One

JF - PLoS One

SN - 1932-6203

IS - 6

M1 - e0198410

ER -