title: Factors associated with elder mistreatment in rural Tamil Nadu, India: a cross-sectional survey.
abstract: BACKGROUND
  There is limited evidence for the multifactorial aetiology of elder mistreatment. The goal of this study is to investigate the factors associated with the mistreatment of older adults living in rural Tamil Nadu, India.
  
  
  METHODS
  A cross-sectional household survey was conducted in a sub-district of rural Tamil Nadu by using a standard questionnaire. Face to face interviews were conducted with 902 older adults aged 61 years and older. The relation between the characteristics of older adults, family members and family environments with reported mistreatment was examined by univariate and multivariate logistic regression analyses.
  
  
  RESULTS
  The multivariate results reveal that elder mistreatment is related to several factors associated with the perpetrator and the family environment. Perpetrator factors include middle age, a tertiary education (protective), alcohol consumption and the mistreatment of other family members. Family environment factors include family stress and low cohesion. Among the factors related to older adults, only physical abuse of family members was associated with exposure to mistreatment.
  
  
  CONCLUSIONS
  The characteristics of older adults, family members and family environment are potent predictors of elder mistreatment. Multi-dynamic interventions should target dysfunctional families displaying alcohol use, relationship conflicts, low cohesion and the presence of some form of family violence.
authors.affiliation: Department of Social Work, Faculty of Arts & Social Sciences, National University of Singapore, Singapore, Singapore.
authors.forename: Srinivasan
authors.initials: S
authors.lastname: Chokkanathan
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D004552:Elder Abuse / Q000706:statistics & numerical data*; D005195:Family Relations; D005260:Female; D006801:Humans; D007194:India; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
keywords: ecological framework; mistreatment; older adults; rural India