Impacto do abuso financeiro no declínio da mobilidade do idoso
Bibliographic record
Abstract
Introduction: Financial abuse of the elderly is usually a constant and neglected event, and can have serious consequences and important implications for public health systems around the world. Knowledge of the relationship between financial abuse and the decline in functionality/mobility is still scarce in the scientific literature. Objective: To describe the prevalence of financial abuse in older people of different aging demographic profiles, and its impact on the decline in functionality and mobility. Materials and methods: This is a study with population samples of elderly people in 04 countries (Canada, Albania, Colombia and Brazil). The sample consisted of individuals of both sexes aged between 65 and 74 years, residents of the cities of Kingston, Saint-Hyacinthe, Tirana, Manizales and Natal. Information was collected on financial abuse, socioeconomic status, health conditions and limitations of mobility and physical performance. Multiple linear regression models and mediation analysis were used to assess the effect of financial abuse on objective and subjective measures of physical performance and mobility decline. Results: The prevalence of financial abuse varied between cities, being lowest in SaintHyacinthe (6,7%) and Kingston (4,2%), and highest among women in Natal (13,7%) and Tirana (20,3%). Adjusting for age, sex, education level and research city, those who reported financial abuse had greater mobility impairment (β= 0.08; 95% CI: 0.29; 0.86). The effects of financial abuse on mobility and physical performance decline were mediated by chronic conditions and depressive symptomatology. Conclusion: Financial abuse, along with other adverse factors, contributes to negative outcomes in the decline of mobility and physical performance in the elderly. The pathways that can explain this relationship have a strong relationship with exposure to adverse experiences throughout life, such as depressive symptoms, and the physiological response to chronic stress, which is expressed by the multimorbidity often present in elderly populations.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.001 |
| Meta-epidemiology (narrow) | 0.002 | 0.002 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.001 | 0.003 |
| Science and technology studies | 0.008 | 0.000 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.003 | 0.001 |
| Research integrity | 0.002 | 0.004 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; both teacher heads agree on what is shown here.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".