Factors associated with older adults’ neglect among relatives in urban areas of Indonesia: a cross-sectional study

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Introduction: The aging adult population increases its vulnerability to neglect and other associated risks due to decreased physical and mental competence. Older adults who cannot adapt owing to reduced physical and mental capabilities become dependent on others, particularly family members. Older adults can become neglected if they are not adequately cared for. This study aimed to identify factors associated with neglect among older adults who live with their relatives in Pekanbaru City, Indonesia.
Methods: A cross-sectional study with a sample size of 382 Older adults was conducted utilizing multi-stage cluster sampling. The questionnaire measuring tool was conducted through structured direct interviews with the Older adults, specifically to inquire about the variables of Older adults’ neglect, family support, social engagement, and family health tasks, which have been tested for validity and reliability. The data was analyzed using descriptive statistics, the chi-squared test, and binary logistic regression.
Results: The neglect experienced by the older adults was high, namely 190 people (49.74%), low, 192 people (50.26%), Family support (p<0.05), family health duties (p<0.05), and social engagement (p<0.05) were associated with Older adults neglect. The binary logistic regression analysis revealed a significant relationship between Older adults’ marital status(widow or widower) and the occurrence of neglect (p<0.05; OR: 29.0; CI: 3.2-25.9).
Conclusions: the older adults’ status (married, widow, or widower) significantly influences negligence among older adults.
Alexis Ramírez-Coronel, A. et al. (2022) ‘Abstract Resumen abuse: Systematic review Factores asociados al maltrato al adulto mayor: Revisión Sistemática’, pp. 7–10.
Alraddadi, K. (2022) ‘Impacts of mistreatment on the psychological and physical health of older adults living in sheltered homes’, Geriatric Nursing, 43, pp. 182–187. doi: 10.1016/j.gerinurse.2021.11.020.
Asian Development Bank (2024) Aging Well in Asia: Asian Development Policy Report.
Atim, L. M. et al. (2023) ‘Factors associated with elder abuse and neglect in rural Uganda: A cross-sectional study of community older adults attending an outpatient clinic’, PloS one, 18(2), p. e0280826. doi: 10.1371/journal.pone.0280826.
Audia, N. et al. (2023) ‘The dynamics of the role of women workers abroad to improve the family economy’, Journal of Economics Research and Policy Studies, 3(3), pp. 159–168. doi: 10.53088/jerps.v3i3.761.
Bae, Y. and Pachucki, M. C. (2024) ‘Social isolation and depression as risk factors for weight loss of 5kg or more among older Korean adults’, PLoS ONE, 19(3 March), pp. 1–23. doi: 10.1371/journal.pone.0299096.
Batista, I. B. et al. (2024) ‘Quality of life of older adults in family health strategy: A cross-sectional study’, Sao Paulo Medical Journal, 142(1), pp. 1–7. doi: 10.1590/1516-3180.2022.0445.R1.24042023.
BPS (2021) Badan Pusat Statistik 2021. jakarta.
Brinkmann, B. et al. (2021) ‘Impairment in Activities of Daily Living and Unmet Need for Care among Older Adults: A Population-Based Study from Burkina Faso’, Journals of Gerontology - Series B Psychological Sciences and Social Sciences, 76(9), pp. 1880–1892. doi: 10.1093/geronb/gbab041.
Chandanshive, P. et al. (2022) ‘Prevalence patterns and associated factors of elder abuse in an urban slum of eastern India’, BMC Geriatrics, 22(1), pp. 1–11. doi: 10.1186/s12877-022-02986-9.
Cipriani, G. et al. (2020) ‘Daily functioning and dementia’, Dementia e Neuropsychologia, 14(2), pp. 93–102. doi: 10.1590/1980-57642020dn14-020001.
Clark, C. (2016) ‘Watson’s Human Caring Theory: Pertinent Transpersonal and Humanities Concepts for Educators’, Humanities, 5(2), p. 21. doi: 10.3390/h5020021.
Deliema, M. et al. (2013) ‘of Abuse and Neglect’, J Am Geriatr Soc, 60(7), pp. 1333–1339. doi: 10.1111/j.1532-5415.2012.04025.x.Determining.
Devkota, R. et al. (2023) ‘Factors influencing emotional support of older adults living in the community: a scoping review protocol’, Systematic Reviews, 12(1), pp. 1–10. doi: 10.1186/s13643-023-02346-7.
Fadzil, S. N. M. et al. (2021) ‘Does financial support improve the well-being of the elderly?’, AIP Conference Proceedings, 2347(October 2022). doi: 10.1063/5.0051777.
Felix, M. S. et al. (2022) ‘Scoping review: Neglect of the elderly by nuclear family members’, Journal of Public Health and Development, 20(2), pp. 282–311. doi: 10.55131/jphd/2022/200221.
Francisco, C., Andrea, M. and Lopez, G. (2023) ‘The Ones We Once Loved: A Qualitative Study on the Experiences of Abandoned Senior Citizens in Home for the Aged’, Psych Educ, 7(February), pp. 253–260. doi: 10.5281/zenodo.7659052.
Frazão, S. L. et al. (2014) ‘Domestic violence against elderly with disability’, Journal of Forensic and Legal Medicine, 28, pp. 19–24. doi: 10.1016/j.jflm.2014.09.003.
Fu, L., Wang, Y. and He, L. (2020) ‘Factors associated with the psychological health of caregiving older parents and support from their grown children: Results from the China health and retirement longitudinal study’, International Journal of Environmental Research and Public Health, 17(2). doi: 10.3390/ijerph17020556.
George, M. S. et al. (2023) ‘Social networks and their impact on access to health care: insights from older widows living alone in Kottayam, South India’, Ageing and Society, 43(5), pp. 1141–1163. doi: 10.1017/S0144686X21001100.
Guruge, S. et al. (2021) ‘Elder abuse risk factors: Perceptions among older Chinese, Korean, Punjabi, and Tamil immigrants in Toronto’, Journal of Migration and Health, 4(October 2020), p. 100059. doi: 10.1016/j.jmh.2021.100059.
Hailu, G. N. et al. (2024) ‘Understanding the Support Needs and Challenges Faced by Family Caregivers in the Care of Their Older Adults at Home. A Qualitative Study’, Clinical Interventions in Aging, 19(March), pp. 481–490. doi: 10.2147/CIA.S451833.
Hanlon, P. et al. (2024) ‘The relationship between frailty and social vulnerability: a systematic review’, The Lancet Healthy Longevity, 5(3), pp. e214–e226. doi: 10.1016/S2666-7568(23)00263-5.
Hayati, Y. S. and Astari, A. M. (2020) ‘Phenomenology Study : Family Experience in Elderly Care In Depok Jawa Barat’, Research Journal of Life Science, 7(3), pp. 177–185. doi: 10.21776/ub.rjls.2020.007.03.8.
Hidayat, C. T. and Elmaghfuroh, D. R. (2024) ‘Implementation of the Family Care Model for Elderly Healthy’, International Journal of Health Systems and Medical Sciences, 3(3), pp. 197–203. doi: 10.51699/ijhsms.v3i3.3569.
Jaihind Jothikaran, T. A. et al. (2020) ‘Older adults in traditional and modern living arrangements in southern India: The importance of maintaining a sense of belonging and positive intergenerational exchanges’, Journal of Aging Studies, 54(2020), p. 100867. doi: 10.1016/j.jaging.2020.100867.
Jiang, H. et al. (2020) ‘Current status on the ability of the elderly in rural China: implications for future nursing and policy’, Cardiovascular Diagnosis and Therapy, 10(5), pp. 1216–1225. doi: 10.21037/cdt-20-555.
Kang, H. and Kim, H. (2022) ‘Ageism and Psychological Well-Being Among Older Adults: A Systematic Review’, Gerontology and Geriatric Medicine, 8, pp. 1–22. doi: 10.1177/23337214221087023.
Kendini, Y. (2024) ‘The Effect of Loneliness, Depression and Death Anxiety on Self-Neglect of the Elderly’, Journal of Health Sciences, 13(1), pp. 231–242.
Kinasih Angkit, P. T. (2021) ‘Healthy Elderly in Pandemic : Physical Activities During’, Journal of Community Health, 7(2), pp. 221–225.
Kopystynska, O. et al. (2022) ‘The Influence of Interparental Conflict and Violence on Parenting and Parent–Child Relationships’, Personal Relationships, (August). doi: 10.1111/pere.12441.
Lee, S. R. and Kim, L. S. (2022) ‘Coresidence of Older Parents and Adult Children Increases Older Adults’ Self-Reported Psychological Well-Being’, International Journal of Alzheimer’s Disease, 2022. doi: 10.1155/2022/5406196.
Liu, Y. and Hu, J. (2024) ‘The Influence of Family Structure on the Elderly ’ s Financial Willingness and Strategy for Retirement : An Empirical Analysis Based on CHARLS Data’, pp. 1–15.
Luo, J. and Cui, M. (2023) ‘For Children or Grandchildren?—The Motivation of Intergenerational Care for the Elderly in China’, International Journal of Environmental Research and Public Health, 20(2). doi: 10.3390/ijerph20021441.
Nair, S. et al. (2021) ‘Gender Issues in the Care of Elderly: A Narrative Review’, Indian Journal of Psychological Medicine, 43(5_suppl), pp. S48–S52. doi: 10.1177/02537176211021530.
National Centre on Elder Abuse (NCEA) (2017) ‘The Facts o f Elder Abuse’, Keck Sch Med USC. doi: 10.1056/NEJMra1404688.
Nursolehah, E. and Krisnatuti, D. (2017) ‘Communication Elderly-Children and Elderly-Children in Law, Social Support and Successful Aging in Elderly Men and Women’, Journal of Family Sciences, 2(2), p. 11. doi: 10.29244/jfs.2.2.11-22.
Pei, M. (2022) ‘Research on the Problem of Old-age Care for Female Elderly Living alone in Rural Areas’, 666(Stehf), pp. 224–227.
‘Prolonged social isolation of the elderly during COVID-19: Between benefit and damage T Dear’ (2020), (January).
Punyakaew, A., Lersilp, S. and Putthinoi, S. (2019) ‘Active ageing level and time use of elderly persons in a Thai suburban community’, Occupational Therapy International, 2019. doi: 10.1155/2019/7092695.
Rai, S., Khanal, P. and Chalise, H. N. (2018) ‘Elderly Abuse Experienced by Older Adults Prior to Living in Old Age Homes in Kathmandu’, Journal of Gerontology & Geriatric Research, 07(01), pp. 1–5. doi: 10.4172/2167-7182.1000460.
Rayner, J., Fetherstonhaugh, D. and Mcauliffe, L. (2024) ‘What is Needed to Provide High-Quality Cultural and Spiritual Care in Long-Term Care Homes ?’, Journal of Long Term care, pp. 371–382. doi: 10.31389/jltc.285.
Rzeszut, S. M. (2017) ‘The Need for a Stronger Definition: Recognizing Abandonment as a form of Elder Abuse Across the United States’, Family Court Review, 55(3), pp. 444–457. doi: 10.1111/fcre.12295.
Dos Santos, M. A. B. et al. (2020) ‘Factors associated with elder abuse: A systematic review of the literature’, Ciencia e Saude Coletiva, 25(6), pp. 2153–2175. doi: 10.1590/1413-81232020256.25112018.
Sathya, T. and Premkumar, R. (2020) ‘Association of functional limitations and disability with elder abuse in India: A cross-sectional study’, BMC Geriatrics, 20(1), pp. 1–11. doi: 10.1186/s12877-020-01619-3.
Sharma, A. (2021) ‘Elder Abuse and Neglet: a Brief Primer in an Era of a Pandemic’, International Journal of Healthcare Sciences, 9(2), pp. 116–121.
Soares, J. da S. et al. (2023) ‘Risk of violence and frailty syndrome among older adults treated at a hospital service’, Revista brasileira de enfermagem, 76Suppl 2(Suppl 2), p. e20220278. doi: 10.1590/0034-7167-2022-0278.
Spiers, G. F. et al. (2021) ‘What are the consequences of caring for older people and what interventions are effective for supporting unpaid carers? A rapid review of systematic reviews’, BMJ Open, 11(9), pp. 1–10. doi: 10.1136/bmjopen-2020-046187.
Stasolla, F. et al. (2022) ‘The effect of the time parents spend with children on children’s well-being’, Developmental Psychology.
Wahyuningsih, T. (2019) ‘Faktor-Faktor Yang Mempengaruhi Literasi Kesehatan Masyarakat Di Puskesmas Banguntapan I Bantul D.I.Y’, Jurnal Manajemen Informasi dan Administrasi Kesehatan (JMIAK), 2(1), pp. 26–31. doi: 10.32585/jmiak.v2i01.447.
Walson, J. L. and Berkley, J. A. (2018) ‘The impact of malnutrition on childhood infections’, Current Opinion in Infectious Diseases, 31(3), pp. 231–236. doi: 10.1097/QCO.0000000000000448.
Wamara, C. K., Bennich, M. and Strandberg, T. (2021) ‘Missing voices: older people’s perspectives on being abused in Uganda’, Journal of Elder Abuse and Neglect, 33(4), pp. 288–310. doi: 10.1080/08946566.2021.1970682.
Wang, L. et al. (2020) ‘Family support, multidimensional health, and living satisfaction among the elderly: A case from shaanxi province, china’, International Journal of Environmental Research and Public Health, 17(22), pp. 1–18. doi: 10.3390/ijerph17228434.
Whangmahaporn, P. (2020) ‘Thai Elder Abuse Problems and Prevention’, SSRN Electronic Journal, 6(2), pp. 46–56. doi: 10.2139/ssrn.3546344.
Widiyanto, A. et al. (2021) ‘The implementation of family nursing care to patients with chronic diseases: A systematic review’, STRADA Jurnal Ilmiah Kesehatan, 10(1), pp. 1225–1233. doi: 10.30994/sjik.v10i1.753.
Wu, J. et al. (2023) ‘Prevalence and correlates of elder neglect in the community-dwelling Chinese population: New evidence from the CLHLS study’, Frontiers in Publich Health, (1), pp. 1–12.
Zhang, C. and Dong, C. (2023) ‘The Influence of Social Support on the Mental Health of Elderly Individuals in Healthy Communities with the Framework of Mental Toughness’, Psychology Research and Behavior Management, 16(June), pp. 2977–2988. doi: 10.2147/PRBM.S413901.
Zhang, Chi et al. (2022) ‘The impact of adult children rural–urban migration on left-behind parents’ health: Evidence from China’, Frontiers in Public Health, 10(2). doi: 10.3389/fpubh.2022.951124.
Zhao, B. et al. (2023) ‘Social engagement and subjective health among older adults in South Korea: Evidence from the Korean Longitudinal Study of Aging (2006–2018)’, SSM - Population Health, 21(January), p. 101341. doi: 10.1016/j.ssmph.2023.101341.
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