Factors associated with elder mistreatment in rural Tamil Nadu, India: a cross‐sectional survey

Jan 18, 2014International journal of geriatric psychiatry

Factors linked to elder mistreatment in rural Tamil Nadu, India

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Abstract

Elder mistreatment is associated with factors such as family stress and alcohol consumption among perpetrators.

Mistreatment of older adults is linked to the age and educational background of the perpetrator.
Alcohol consumption and a history of mistreating other family members are connected to higher instances of elder mistreatment.
Family environments characterized by stress and low cohesion are associated with increased risk of mistreatment.
Among older adults, experiencing physical abuse by family members is related to their own exposure to mistreatment.
Targeted interventions may be needed for families with alcohol issues, relationship conflicts, and histories of violence.

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BACKGROUND: There is limited evidence for the multifactorial aetiology of elder mistreatment. The goal of this study is to investigate the factors associated with the mistreatment of older adults living in rural Tamil Nadu, India.

METHOD: A cross-sectional household survey was conducted in a sub-district of rural Tamil Nadu by using a standard questionnaire. Face to face interviews were conducted with 902 older adults aged 61 years and older. The relation between the characteristics of older adults, family members and family environments with reported mistreatment was examined by univariate and multivariate logistic regression analyses.

RESULTS: The multivariate results reveal that elder mistreatment is related to several factors associated with the perpetrator and the family environment. Perpetrator factors include middle age, a tertiary education (protective), alcohol consumption and the mistreatment of other family members. Family environment factors include family stress and low cohesion. Among the factors related to older adults, only physical abuse of family members was associated with exposure to mistreatment.

CONCLUSION: The characteristics of older adults, family members and family environment are potent predictors of elder mistreatment. Multi-dynamic interventions should target dysfunctional families displaying alcohol use, relationship conflicts, low cohesion and the presence of some form of family violence.

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