Violence against the elderly: the relevance of an old health problem

Abstract

This article presents data on morbidity and mortality due to "external causes" among the Brazilian elderly and a review of the Brazilian and international literature on the theme. The data refer to the period from 1980 to 1998. The main sources were the Mortality Information System (SIM) and the Hospital Information System of the Unified National Health System (SIH-SUS). The basic cause of death was evaluated according to the 9th Review of the International Classification of Diseases (ICD9) for 1980 to 1995 and based on the 10th Review since then. The Brazilian and international literature review was based on texts from MEDLINE, LILACS, and Informa. Accidents and violence are the 6th most common cause of death among individuals 60 years of age and older in Brazil. The majority of hospitalizations from external causes involve lesions from falls and injuries to older pedestrians by motor vehicles. However, violence against elderly Brazilians is more widespread and varied than this, as reflected by cases of physical, psychological, sexual, and financial abuse and neglect that fail to reach the health care system; rather, such cases are "taken for granted", seen as basically natural within the daily routine of family relations and various forms of social and public policy neglect.