Impact of financial abuse on elderly mobility
Abuse in the elderly, financial, mobility
Introduction: One of the consequences of aging is elder abuse. The types of abuse include financial, psychological or emotional, as well as physical, this has serious consequences for public health systems and a high risk of mortality for the elderly. Objective: To describe the prevalence of financial abuse in the elderly and its impact on mobility. Materials and methods: This is an epidemiological multicenter longitudinal study. The sample will be composed of individuals of both sexes aged between 65 and 74 years, residents of the cities surveyed. In Tirana, Manizales and Natal, a random sample of elderly people registered in primary health care units will be used; in Kingston and Saint-Hyacinthe, data from participants who received a letter from their family physicians, inviting them to contact the research field coordinator will be used. During data collection, individuals are evaluated using instruments to measure violence, socioeconomic status, health conditions and mobility limitations. Data will be analyzed using the Statistical Package for the Social Sciences Software - SPSS version 20.0 tool and for all analyses, a p≤0.05 will be considered. Results: The prevalence of financial abuse varies between cities, being lowest in Saint-Hyacinthe and Kingston and highest among women in Natal and Tirana. Adjusting for age, sex, education level, and research city, those who reported financial abuse had greater mobility impairment (β= 0.08; 95% CI: 0.31; 0.88). Those residing in Kingston had better mobility scores (β= 0.12; 95% CI: 0.10; 0.28). The effect of financial abuse on mobility was mediated by chronic conditions and symptoms of depression. Conclusion: Financial abuse and adverse factors contributes to negative outcomes in the mobility of the elderly.