Abuse of Hispanic elders.
ABSTRACT The nature, extent, and consequences of Hispanic elder abuse are described infrequently and often underconsidered. We reviewed information of 16,677 Hispanic elders living in the community who were abused between 1991 and 1995; these were based on valid cases reported to the Adult Protective Services (APS) office in Texas. Data did not include nursing home victims. Hispanic elders accounted for 20.6% of all elderly cases reported to APS. A 10% to 20% annual increase was seen over each of the past 5 years. Self-neglect was the most commonly identified form of abuse (63.2%). Cases with more than 1 allegation were common. The most common perpetrators (excluding self) were adult children (44.6%). Women were twice as likely as men to suffer abuse of any kind. Reluctance of victims to become involved in services to ameliorate their situations is a major barrier to effective intervention. Strategies to prevent abuse of Hispanic elders are needed and should focus on known characteristics of the abused and abusers.
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ABSTRACT: Informal family care for elders is conventional in Mexican American communities despite increasing intergenerational gaps in filial values. In our study, we explored whether acculturation and dyadic mutuality, as perceived by Mexican American family caregivers, explain the caregivers' expectations of family loyalty toward elderly relatives. A nonexperimental, correlational design with convenience sampling was used in El Paso, Texas, from October 2007 to January 2008. Three bilingual promotoras collected data from 193 Mexican American adult caregivers of community-dwelling elders using three scales designed for Mexican Americans: the Acculturation Rating Scale for Mexican Americans II-Short Form, the Mutuality Scale, and the Expectations of Family Loyalty of Children Toward Elderly Relatives Scale. Confirmatory factor analysis was used to analyze the data. Acculturation had a marginal effect (r = .21, p < .05), but mutuality presented a strong correlation (r = .45, p < .001) with the expectations of family loyalty toward elderly relatives. There was no significant correlation between acculturation and mutuality (r = .05). Although Mexican American caregivers with strong Mexican orientation may have high expectations of family loyalty toward elderly relatives, mutuality exhibits more significant effects on expectations. Among Mexican Americans, mutuality between the caregiving dyad, as perceived by caregivers, may be a better predictor of filial values than caregivers' acculturation alone. It may be useful to incorporate the dual paradigm of acculturation and mutuality into immigrant family care for elderly relatives.Journal of Nursing Scholarship 04/2012; 44(2):111-9. · 1.61 Impact Factor
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ABSTRACT: To identify prevalence studies of abuse among elderly and assess their quality. A systematic literature review was performed through PubMed, LILACS, Embase, ISI, and PsycInfo, for the period between 1988 and 2005. Population-based studies were included and studies without clear methodological definition and with clinical and service samples were excluded. There were found 440 articles, but only 11 of them were selected. Most were cross-sectional designs and only two were longitudinal studies. These studies were conducted in various countries worldwide, mostly in US and Europe. They varied widely in terms of abuse definition. Prevalence of physical abuse ranged from 1.2% (Holland) to 18% (Finland). There is a considerable prevalence variation between sites. The most influential variables on prevalence seem to be culture-related. As the number of elderly is increasing worldwide, there is a need for studies to better understand this phenomenon.Revista de Saúde Pública 05/2007; 41(2):301-6. · 1.07 Impact Factor
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ABSTRACT: We conducted this study to understand the interpretations of elder mistreatment (EM) in multiethnic older adults. Focus group sessions were held with three ethnically homogenous groups (n = 18) and a group of elder care professionals (n = 6) eliciting responses to vignettes depicting various types of elder mistreatment. Qualitative analysis of focus group transcripts was performed to define EM occurrence, its severity, and to identify the perpetrator and victim. Four main categories emerged: social expectations, caregiver expectations, victim characteristics, and characteristics of the interaction. Themes included issues of gender roles, filial obligations, martial commitments, and ageism as features of the vignette discussions. Professional and lay caregiver issues were features of the caregiver expectations. Mental capacity, physical dependency, physical attributes, and complicity were the victim characteristics discussed. The characteristics of the interaction that were identified included resistance to care, retaliation, habitual occurrence, and perpetrator intent. Older adults identify multiple factors influencing the interpretation of elder mistreatment. These factors may determine strategies for future EM intervention.Journal of Elder Abuse & Neglect 02/2005; 17(2):21-44.