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Collective violence and the health of the elderly: a cross-sectional analysis of a population-based national survey in Mexico

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Date
2017-02
Author
García-Peña, Carmen
Sánchez-Garrido, Natalia
Wynne-Bannister, Emma Grace
Moreno-Peniche, Bernardo
Pérez-Zepeda, Mario Ulises
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Abstract
Objective. To describe the association between collective violence and the health of older adults in Mexico. Methods. The data analyzed were taken from a Mexican population-based national survey of health and nutrition that included a representative sample of adults over 60 years of age and from an index of violence for each of the states of Mexico that was compiled by a major research center. Five of the most common geriatric ailments (weight loss, depressive symptoms, falls, positive affectivity, and disability) were crossed with the violence index score assigned to each state. Results. A total of 7 108 older adults were included in the analysis. Among the five geriatric health problems, weight loss had the strongest association with violence, even when an adjusted model was used. For weight loss, that association increased as the level of collective violence rose. With the adjusted model, there was also an association of severe collective violence with disability and with low positive affectivity. Conclusions. Our results show that there is an association of collective violence with weight loss and other geriatric problems. Collective violence could indirectly affect individuals’ health, especially older persons and other vulnerable groups.
 
Objetivo. Describir la asociación entre la violencia colectiva y la salud de los adultos mayores en México. Métodos. Los datos analizados se tomaron de una encuesta nacional de salud y nutrición de la población mexicana que incluía una muestra representativa de adultos mayores de 60 años y de un índice de violencia para cada uno de los estados de México, compilado por un importante centro de investigación. Se cruzaron cinco de las dolencias geriátricas más frecuentes (pérdida de peso, síntomas depresivos, caídas, afectividad positiva baja y discapacidad) con la puntuación del índice de violencia de cada estado. Resultados. En el análisis se incluyó un total de 7 108 adultos mayores. De los cinco problemas de salud geriátricos, la pérdida de peso reveló la asociación más fuerte con la violencia, incluso cuando se utilizó un modelo ajustado. Esa asociación aumentaba a medida que se elevaba el nivel de violencia colectiva. Con el modelo ajustado también se observó una asociación de la violencia colectiva grave con la discapacidad y con una afectividad positiva baja. Conclusiones. Nuestros resultados indican que existe una asociación entre la violencia colectiva y la pérdida de peso y otros problemas geriátricos. La violencia colectiva podría afectar indirectamente la salud de las personas, especialmente los adultos mayores y las personas de otros grupos vulnerables.
 
Objetivo. Descrever a associação entre a violência coletiva e a saúde do idoso no México. Métodos. Os dados analisados foram obtidos de um inquérito nacional de base populacional de saúde e nutrição conduzido no México com uma amostra representativa da população adulta acima de 60 anos de idade e com base em estimativas dos índices de violência dos estados mexicanos fornecidas por um grande centro de pesquisa. Cinco problemas geriátricos mais comuns (perda de peso, sintomas depressivos, quedas, afetividade positiva e incapacidade) foram examinados em relação ao índice de violência de cada estado. Resultados. A análise incluiu uma amostra de 7.108 idosos. Dentre os cinco problemas geriátricos, a perda de peso teve a associação mais expressiva com a violência, mesmo após o uso de um modelo ajustado. Esta associação aumentou com o nível de violência coletiva. No modelo ajustado, verificou-se também a associação de alto nível de violência coletiva com incapacidade e baixa afetividade positiva. Conclusões. Este estudo demonstra existir uma associação entre violência coletiva e perda de peso e outros problemas geriátricos. A violência coletiva possivelmente exerceria uma influência indireta na saúde da população, sobretudo de idosos e outros grupos vulneráveis.
 
Translated title
Violência coletiva e saúde do idoso: análise transversal de um inquérito nacional de base populacional no México
Series
Rev Panam Salud Publica;41, feb. 2017
Subject
Aging; Violence; Exposure to Violence; Health of the Elderly; Envejecimiento; Violencia; Exposición a la Violencia; Salud del Anciano; Mexico
Category of PAHO Strategic Plan 2014-2019
Cat 3. Determinants of Health and Promoting Health throughout the Life Course
URI
https://iris.paho.org/handle/10665.2/33969
Citation
García-Peña C, Sánchez-Garrido N, Wynne-Bannister EG, Moreno-Peniche B, Pérez-Zepeda MU. Collective violence and the health of the elderly: a cross-sectional analysis of a population-based national survey in Mexico. Rev Panam Salud Publica. 2017;41:e29.
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