Impacto do abuso financeiro no declínio da mobilidade do idoso
Introduction: Financial abuse of the elderly is usually a constant and neglected event, and can have serious consequences and important implications for public health systems around the world. Knowledge of the relationship between financial abuse and the decline in functionality/mobility is still...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/57198 |
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| Resumo: | Introduction: Financial abuse of the elderly is usually a constant and neglected event,
and can have serious consequences and important implications for public health systems
around the world. Knowledge of the relationship between financial abuse and the decline
in functionality/mobility is still scarce in the scientific literature. Objective: To describe
the prevalence of financial abuse in older people of different aging demographic profiles,
and its impact on the decline in functionality and mobility. Materials and methods: This
is a study with population samples of elderly people in 04 countries (Canada, Albania,
Colombia and Brazil). The sample consisted of individuals of both sexes aged between
65 and 74 years, residents of the cities of Kingston, Saint-Hyacinthe, Tirana, Manizales
and Natal. Information was collected on financial abuse, socioeconomic status, health
conditions and limitations of mobility and physical performance. Multiple linear
regression models and mediation analysis were used to assess the effect of financial abuse
on objective and subjective measures of physical performance and mobility decline.
Results: The prevalence of financial abuse varied between cities, being lowest in SaintHyacinthe (6,7%) and Kingston (4,2%), and highest among women in Natal (13,7%) and
Tirana (20,3%). Adjusting for age, sex, education level and research city, those who
reported financial abuse had greater mobility impairment (β= 0.08; 95% CI: 0.29; 0.86).
The effects of financial abuse on mobility and physical performance decline were
mediated by chronic conditions and depressive symptomatology. Conclusion: Financial
abuse, along with other adverse factors, contributes to negative outcomes in the decline
of mobility and physical performance in the elderly. The pathways that can explain this
relationship have a strong relationship with exposure to adverse experiences throughout
life, such as depressive symptoms, and the physiological response to chronic stress, which
is expressed by the multimorbidity often present in elderly populations. |
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