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Eslami, Bahareh
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Eslami, B., Di Rosa, M., Barros, H., Torres-Gonzalez, F., Stankunas, M., Ioannidi-Kapolou, E., . . . Melchiorre, M. G. (2019). Lifetime abuse and somatic symptoms among older women and men in Europe. PLoS ONE, 14(8), Article ID e0220741.
Öppna denna publikation i ny flik eller fönster >>Lifetime abuse and somatic symptoms among older women and men in Europe
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2019 (Engelska)Ingår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 14, nr 8, artikel-id e0220741Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Research suggests that survivors of interpersonal violence have an increasing experience of bodily symptoms. This study aims to scrutinise the association between lifetime abuse and somatic symptoms among older women and men, considering demographics/socio-economic, social support and health variables. Methods: A sample of 4,467 community-dwelling persons aged 60–84 years (57.3% women) living in seven European countries (Germany, Greece, Italy, Lithuania, Portugal, Spain, Sweden) was recruited for this cross-sectional study. Lifetime abuse (psychological, physical, sexual, financial and injury) was assessed on the basis of the UK study of elder abuse and the Conflict Tactics Scale-2, while somatic symptoms were assessed by the Giessen Complaint List short version. Results: Women reported somatic symptoms more frequently than men. Multiple regression analyses revealed that lifetime exposure to psychological abuse was associated with higher levels of somatic symptoms among both women and men, while experiencing lifetime sexual abuse was associated with somatic symptoms only among older women, after adjusting for other demographic and socio-economic variables. Country of residence, older age, and low socio-economic status were other independent factors contributing to a higher level of somatic symptoms. Conclusions: The positive association between the experience of abuse during lifetime and the reporting of higher levels of somatic symptoms, in particular among older women, seems to suggest that such complaints in later life might also be related to the experience of mistreatment and not only to ageing and related diseases. Violence prevention throughout lifetime could help to prevent somatic symptoms in later life. 

Ort, förlag, år, upplaga, sidor
Public Library of Science, 2019
Nyckelord
ADULT child abuse victims, ABUSE of older people, OLDER women, MATERNAL age, OLDER men, Age groups, Anxiety, Biology and life sciences, Depression, Economics, Elderly, Emotions, Europe, European Union, Finance, Geographical locations, Italy, Lithuania, Medicine and health sciences, Mental health and psychiatry, Mood disorders, People and places, Population groupings, Portugal, Psychology, Research Article, Social sciences, Sweden
Nationell ämneskategori
Socialt arbete
Identifikatorer
urn:nbn:se:hig:diva-30569 (URN)10.1371/journal.pone.0220741 (DOI)000485002500057 ()31393925 (PubMedID)2-s2.0-85071280429 (Scopus ID)
Projekt
Elder Abuse: A multinational prevalence survey (ABUEL)
Anmärkning

Funding agency:

European Commission, Executive Agency for Health and Consumers (EAHC, currently CHAFEA, Consumers, Health, Agriculture and Food Executive Agency, Public Health Programme 2008–2010, Grant Agreement no. 2007123

Tillgänglig från: 2019-08-23 Skapad: 2019-08-23 Senast uppdaterad: 2019-11-29Bibliografiskt granskad
Eslami, B., Viitasara, E., Macassa, G., Melchiorre, M. G., Lindert, J., Stankunas, M., . . . Soares, J. J. F. (2016). The prevalence of lifetime abuse among older adults in seven European countries. International Journal of Public Health, 61(8), 891-901
Öppna denna publikation i ny flik eller fönster >>The prevalence of lifetime abuse among older adults in seven European countries
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2016 (Engelska)Ingår i: International Journal of Public Health, ISSN 1661-8556, E-ISSN 1661-8564, Vol. 61, nr 8, s. 891-901Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

OBJECTIVES: To investigate the lifetime prevalence rate of abuse among older persons and to scrutinize the associated factors (e.g. demographics).

METHODS: This cross-sectional population-based study had 4467 participants, aged 60-84, from seven European cities. Abuse (psychological, physical, sexual, financial and injuries) was measured based on The Revised Conflict Tactics Scale, and the UK survey of abuse/neglect of older people.

RESULTS: Over 34 % of participants reported experiencing lifetime psychological, 11.5 % physical, 18.5 % financial and 5 % sexual abuse and 4.3 % reported injuries. Lifetime psychological abuse was associated with country, younger age, education and alcohol consumption; physical abuse with country, age, not living in partnership; injuries with country, female sex, age, education, not living in partnership; financial abuse with country, age, not living in partnership, education, benefiting social/partner income, drinking alcohol; and sexual abuse with country, female sex and financial strain.

CONCLUSIONS: High lifetime prevalence rates confirm that elder abuse is a considerable public health problem warranting further longitudinal studies. Country of residence is an independent factor associated with all types of elder abuse which highlights the importance of national interventions alongside international collaborations.

Nyckelord
Determinant, Elder abuse, Financial, Injuries, Psychological, Sexual
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
urn:nbn:se:hig:diva-21454 (URN)10.1007/s00038-016-0816-x (DOI)000386766200006 ()27083450 (PubMedID)2-s2.0-84963748729 (Scopus ID)
Tillgänglig från: 2016-04-29 Skapad: 2016-04-29 Senast uppdaterad: 2018-03-22Bibliografiskt granskad
Eslami, B., Sundin, Ö., Macassa, G., Khankeh, H. R. & Soares, J. J. (2013). Anxiety, depressive and somatic symptoms in adults with congenital heart disease. Journal of Psychosomatic Research, 74(1), 49-56
Öppna denna publikation i ny flik eller fönster >>Anxiety, depressive and somatic symptoms in adults with congenital heart disease
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2013 (Engelska)Ingår i: Journal of Psychosomatic Research, ISSN 0022-3999, E-ISSN 1879-1360, Vol. 74, nr 1, s. 49-56Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective

Despite the improvement in life-expectancy of adults with congenital heart disease, they may experience unique medical and social challenges that could impact on their psychological functioning. The aims of this study were to address the experience of anxiety, depressive and somatic symptoms among adults with congenital heart disease in comparison with that of non-heart diseased persons considering the role of various factors (e.g. socio-economic).

Methods

In cross-sectional case–control study, the participants consisted of 347 patients with congenital heart disease (18–64 years, 52.2% female) and 353 matched (by sex/age) non-heart diseased persons. The participants completed a questionnaire. The data were analyzed with bivariate and multivariate methods.

Results

In bivariate analyses, scores in anxiety and somatic symptoms were higher among patients than the healthy controls (both at p ≤ 0.001), whereas the groups did not differ in depressive symptoms. Following multiple-linear-regression-analyses, only the association between congenital heart disease and somatic symptoms was confirmed. Among the patients, perceived financial strain was significantly related to anxiety, depressive and somatic symptoms; lower perceived social support to anxiety and depression; and low annual income to somatic symptoms. Additionally, somatic symptoms were associated with anxiety and depressive symptoms, and vice versa. And no medical variables were related to anxiety, depressive and somatic symptoms.

Conclusions

Congenital heart disease was only independently associated with somatic symptoms. Financial strain, social support and co-existence of emotional distress with somatic symptoms should be considered in developing appropriate interventions to improve the well-being of patients with congenital heart disease. However, longitudinal research is warranted to clarify causality.

Nyckelord
Congenital heart disease; Grown-up; Mental health; Psychosomatic; Social functioning
Nationell ämneskategori
Medicin och hälsovetenskap
Identifikatorer
urn:nbn:se:hig:diva-16041 (URN)10.1016/j.jpsychores.2012.10.006 (DOI)000313390100010 ()2-s2.0-84871686549 (Scopus ID)
Tillgänglig från: 2013-01-18 Skapad: 2014-01-17 Senast uppdaterad: 2018-03-13Bibliografiskt granskad
Eslami, B., Örjan, S., Macassa, G., Khankeh, H. R. & Soares, J. J. F. (2013). Gender differences in health conditions and socio-economic status of adults with congenital heart disease in a developing country. Cardiology in the Young, 23(2), 209-218
Öppna denna publikation i ny flik eller fönster >>Gender differences in health conditions and socio-economic status of adults with congenital heart disease in a developing country
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2013 (Engelska)Ingår i: Cardiology in the Young, ISSN 1047-9511, E-ISSN 1467-1107, Vol. 23, nr 2, s. 209-218Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background Providing appropriate care for adults with congenital heart disease requires the evaluation of their current situation. There is limited research in Iran about these patients, particularly in relation to gender differences in the demographic/socio-economic and lifestyle factors, as well as disease parameters.

Materials and methods The sample consisted of 347 congenital heart disease patients in the age group of 18–64 years, including 181 women, assessed by an analytical cross-sectional study. The patients were recruited from the two major heart hospitals in Tehran. Data were collected using questionnaires.

Results The mean age of the patients was 33.24 years. Women were more often married and more often had offspring than men (p < 0.001). Educational level and annual income were similar between women and men. Unemployment was higher among women (p < 0.001), but financial strain was higher among men (p < 0.001). Smoking, alcohol, and water-pipe use was higher among men than among women (p < 0.001). Cardiac factors, for example number of cardiac defects, were similar among women and men, except that there were more hospitalisations owing to cardiac problems, for example arrhythmia, among men. Disease was diagnosed mostly at the hospital (57.4%). Most medical care was provided by cardiologists (65.1%). Only 50.1% of patients had knowledge about their type of cardiac defect.

Conclusion Gender differences exist in the socio-economic and lifestyle characteristics of adults with congenital heart disease, in some cases related to the disease severity. Our findings also point to the need for interventions to increase patients’ knowledge about, and use of, healthier lifestyle behaviours, irrespective of gender. Furthermore, providing appropriate jobs, vocational training, and career counselling may help patients to be more productive.

Nyckelord
Grown-up with congenital heart disease, lifestyle, socio-demographic status
Nationell ämneskategori
Medicin och hälsovetenskap
Identifikatorer
urn:nbn:se:hig:diva-16042 (URN)000318623000007 ()2-s2.0-84879804094 (Scopus ID)
Tillgänglig från: 2012-04-16 Skapad: 2014-01-17 Senast uppdaterad: 2018-03-13Bibliografiskt granskad
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