ABUSE AND VIOLENCE AGAINST ELDERLY PEOPLE AND THEIR RELATIONSHIP WITH FRAILTY, DEPRESSIVE SYMPTOMS, AND NUTRITIONAL STATUS: A CROSS-SECTIONAL STUDY CONDUCTED IN PRIMARY HEALTH CARE IN AN URBAN REGION OF BRAZIL
Abuse, violence, elderly people, frailty, depressive symptoms, nutritional status
Objective: To investigate the association between the risk of violence against older adults and factors such as frailty, depressive symptoms, and nutritional status in a population served in Primary Health Care (PHC). Method: This was an observational, cross-sectional, and quantitative study conducted between June 2023 and March 2024 in the municipalities of Santa Cruz and Macaíba, Rio Grande do Norte, Brazil. A total of 323 older adults (≥ 60 years) enrolled in PHC were included. Data collection used validated instruments, including the Hurt, Insult, Threaten, Scream - Elder Abuse Screening Test (H-S/EAST) to assess the risk of violence, the Conflict Tactics Scales Form R (CTS-1) to classify violence situations, the Edmonton Frailty Scale (EFS) for frailty, the Geriatric Depression Scale (GDS-15) for depressive symptoms, and the Mini Nutritional Assessment (MNA) for nutritional status. Descriptive statistical analyses, chi-square tests, Mann-Whitney U tests, Spearman correlations, and binary logistic regression were performed. Results: Among the participants, 46.1% were at risk of violence. The absence of verbal aggression, adequate social support, emotional independence, and better functionality were protective factors against violence. Advanced frailty (OR = 2.43), depressive symptoms (OR = 2.49), and malnutrition (OR = 1.52) were significantly associated with the risk of abuse. Logistic regression identified mood (R² = 0.19) and depressive symptoms (R² = 0.19) as the main predictors of violence. Conclusion: We found an association between the risk of abuse and violence and multidimensional aspects, with a history of violent situations, frailty, and depressive symptoms standing out as key factors.