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Quality of life among persons aged 60-84 years in Europe: The role of psychological abuse and socio-demographic, social and health factors
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.ORCID iD: 0000-0001-5221-9504
Mid Sweden University, Faculty of Human Sciences, Department of Psychology.ORCID iD: 0000-0002-4116-5501
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
Italian National Institute of Health and Science on Aging, INRCA, Ancona, Italy.
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2013 (English)In: Journal of Biosafety and Health Education, ISSN 2332-0893, Vol. 1, no 1, 1-12 p.Article in journal (Refereed) Published
Abstract [en]

Background: Elder abuse and its effects are a serious public health issue. However, little is known about therelation between psychological abuse, other factors (e.g. social support) and quality of life (QoL) by domain. This studyaddressed differences in QoL by domain between psychologically abused and non-abused. While considering otherfactors such as social support.

Methods: The respondents were 4,467 (2,559 women) randomly selected persons aged 60-84 years living in7 European cities. The mean response across countries was 45.2%. The cross-sectional data were analyzed withbivariate/multivariate methods.

Results: Abused respondents contrasted to non-abused scored lower in QoL (autonomy, 67.42 ± 21.26 vs. 72.39± 19.58; intimacy, 55.31 ± 31.15 vs. 67.21 ± 28.55; past/present/future activities, 62.79 ± 19.62 vs. 68.05 ± 18.09;social participation, 65.03 ± 19.84 vs. 68.21 ± 19.77). Regressions showed that abuse was negatively associated withautonomy, intimacy and past/present/future activities, and positively with the social participation. All QoL dimensionswere negatively associated with country and depressive/anxiety symptoms, and positively with social support. Further,variables such as age, sex and somatic symptoms were negatively associated with some of the QoL dimensions andothers such as family structure, education, health care use and drinking positively. The regression model “explained”32.8% of the variation in autonomy, 45.6% in intimacy, 44.8% in past/present/future activities and 41.5% in socialparticipation.

Conclusions: Abuse was linked to lower QoL in most domains, but other factors such as depressive symptomsalso carried a negative impact. Social support and to some extent family structure had a “protective” effect on QoL.Abuse, health indicators (e.g. depressive symptoms) and social support should be considered in addressing the QoL ofolder persons. However, QoL was influenced by many factors, which could not be firmly disentangled due to the crosssectionalapproach, calling for longitudinal research to address causality.

Place, publisher, year, edition, pages
2013. Vol. 1, no 1, 1-12 p.
Keyword [en]
Older persons; Psychological abuse; QoL; Demographics/ socio-economics; Mental health; Social support; Europe
National Category
Medical and Health Sciences
URN: urn:nbn:se:miun:diva-18658DOI: 10.4172/2332-0893.1000101OAI: diva2:613613
Available from: 2013-03-29 Created: 2013-03-29 Last updated: 2015-07-01Bibliographically approved

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Soares, Joaquim J. F.Sundin, ÖrjanViitasara, Eija
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