Publication:
Prevalence of Abuse and its Associated Factors among Elder Population Living in Kawasoti Municipality of Nepal

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Abstract Background: Elder abuse is a growing public health problem. To tackle the elder issues World Health Organization, declare for the decade of healthy ageing from 2020 to 2030, where Nepal is not exception from this goal. Thus, the study aims to assess the prevalence of abuse and its associated factors among elder population living in Kawasoti Municipality. Methods: A community based cross sectional study was conducted, taking 422 elders who were 60 years and above. The face-to-face interviews were conducted from October 2018 to January 2019. The collected data were entered into EpiData 3.1 and was exported to SPSS 26 version. The logistic regression was performed to measure associated between overall abuse and its covariates. Results: The overall prevalence of elder abuse was 43.8% and caregiver neglect was the most reported form of elder abuse. Study found that nuclear family [OR=0.42, 95% CI;0.18-0.97], illiterate [OR: 2.01, 95% CI; 1.11-3.96], family members have no migrated to another country [OR=0.57, 95% CI; 0.33-0.97], health condition was bad [OR= 1.92, 95% CI; 1.15-3.21], elder who did not depend on their daily activities on family members [OR=0.25, 95% CI; 0.12-0.52], and those who had consumed tobacco [OR= 1.91, CI; 1.19-3.06] were associated with elder abuse. Conclusion: The finding suggests that good health, a nuclear family, literacy, family members not migrated to another country, and independence in daily activities strongly reduce elder abuse. To address this, it is essential to implement awareness programs, and ageing population for their economic sustainability activities, and healthy and active aging life.

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Bharat Kafle School of Public Health, Karnali Academy of Health Sciences, Jumla, Nepal https://orcid.org/0000-0003-4113-0760 Preeti Bhattarai School of Public Health, Karnali Academy of Health Sciences, Jumla, Nepal https://orcid.org/0009-0009-6861-6462 Aman Shrestha Division of Gerontology, Department of Epidemiology & Public Health, School of Medicine, University of Maryland Baltimore, Baltimore, Maryland, United States of America https://orcid.org/0000-0001-5990-108X Umesh Raj Aryal School of Public Health, Karnali Academy of Health Sciences, Jumla, Nepal https://orcid.org/0000-0002-1809-4071 Lok Raj Joshi School of Medicine, Karnali Academy of Health Sciences, Jumla, Nepal Kapil Amgain School of Medicine, Karnali Academy of Health Sciences, Jumla, Nepal https://orcid.org/0000-0003-0887-6405 Sagar Koirala School of Medicine, Karnali Academy of Health Sciences, Jumla, Nepal Seshananda Sanjel School of Public Health, Karnali Academy of Health Sciences, Jumla, Nepal https://orcid.org/0000-0002-0163-6946

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