Elder Abuse: Global Situation, Risk Factors, and Prevention Strategies

Pillemer, Karl; Burnes, David; Riffin, Catherine; Lachs, Mark S.

doi:10.1093/geront/gnw004

Cited by 542 publications

(665 citation statements)

References 64 publications

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“…Most international studies found women are more likely than men to experience elder abuse. 10 Several theories may explain the possible causes of elder abuse by family members. 11 According to the social exchange theory, elder abuse may arise because of older people's dependence on the family members, while situational theory focuses on the role of stress and the burden of caregiving as precursors to elder abuse.…”

Section: -6 Eldermentioning

confidence: 99%

Elder abuse as a risk factor for psychological distress among older adults in India: a cross-sectional study

et al. 2017

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ObjectivesThis study examines the association between elder abuse and psychological distress among older adults in India and explores whether this association varies by the level of psychosocial and material resources.DesignThe study uses a cross-sectional survey design.SettingThe data are drawn from a representative sample of 9589 adults aged 60 and above in seven Indian states—Himachal Pradesh, Punjab, West Bengal, Odisha, Maharashtra, Kerala and Tamil Nadu—in 2011.Statistical analysesSecondary analysis, using bivariate and multivariate logistic regression models, is conducted using the United Nations Population Fund project Building Knowledge Base on Ageing in India survey. Elder abuse (physical and/or emotional) emanating from family members in the previous month before the survey is examined. Multivariate models are run on the total analytical sample and for men and women separately.ResultsThe overall prevalence of psychological distress among persons aged 60 and over living in the seven Indian States is 40.6%. Among those older persons who experienced some form of physical or emotional abuse or violence in the last month, the prevalence of psychological distress is much higher than that in the general older population, at 61.6% (p<0.001). The results show that the experience of abuse is negatively associated with the mental health of older adults, and this relationship persists even after controlling for demographic and socioeconomic factors (OR=1.60, 95% CI 1.22 to 2.09). The findings also suggest that household wealth has an inverse relationship with mental health, with the association between experiencing elder abuse and reporting poor mental health being strongest among older people in wealthy households.ConclusionsElder abuse in India is currently a neglected phenomenon, and greater recognition of the link between abuse and mental health is critical to improve the well-being of vulnerable older adults, some of whom may be ‘hidden’ within well-off households.

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Section: -6 Eldermentioning

confidence: 99%

Elder abuse as a risk factor for psychological distress among older adults in India: a cross-sectional study

et al. 2017

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“…In fact, mistreatment of the elder nursing home care recipients has rarely been tackled even on a global scale (17,18). One recent prospective study from Hong Kong (19) suggests that abusive behaviour of caregivers toward Chinese elderly with dementia is associated with the symptoms of burnout.…”

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confidence: 99%

Is the burnout syndrome associated with elder mistreatment in nursing homes: results of a cross-sectional study among nurses

Neuberg

Železnik

Meštrović³

et al. 2017

Archives of Industrial Hygiene and Toxicology

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As this issuehas not yet been addressed in Croatia, our aim was to explore the presence of the burnout syndrome in nurses and see how it is related to their perception of elder mistreatment in nursing homes and extended care units. The burnout syndrome was assessed in 171 nursing professionals with a standardised Maslach Burnout Inventory for Human Services Survey (MBI-HSS) for three dimensions: emotional exhaustion (EE), depersonalisation (DP), and personal accomplishment (PA). High EE was reported by 43.9 %, high DP by 22.2 %, and low PA by 39.8 % of the respondents. Their perception of elder abuse and neglect was investigated with two self-completion questionnaires. The answers suggest that elder mistreatment in Croatian nursing homes and extended care units is more common than expected: 55 % witnessed shouting at a resident in anger, 43 % insulting and swearing at a resident, 42 % force-feeding the resident, 39 % ignoring a resident when they called, and 38 % neglecting to turn or move a resident to prevent pressure sores. We also established associations between a number of questionnaire items on perceived abuse and neglect and the burnout syndrome dimensions and determined the items that predicted the type and level of burnout in our respondents. One way to avoid the pitfalls that lead to abuse and neglect is education in schools and at work. We believe our research could contribute to this end.

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“…A 2009 review study of the published literature shocked the field by concluding that there was not sufficient evidence to attest to the effectiveness of any elder abuse prevention intervention (Ploeg, Fear, Hutchison, MacMilllan, & Bolan, 2009). More shocking (and perhaps more discouraging), this same conclusion was confirmed seven years later in a 2016 study (Pillemer, Burnes, Riffin, & Lachs, 2016).…”

Section: Why Evaluate?mentioning

confidence: 79%

Rosalie Wolf Memorial Lecture: A logic model to measure the impacts of World Elder Abuse Awareness Day

Stein

2016

Journal of Elder Abuse & Neglect

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Elder Abuse: Global Situation, Risk Factors, and Prevention Strategies

Abstract: The findings highlight a growing consensus across studies regarding the extent and causes of elder mistreatment, as well as the urgent need for efforts to make elder mistreatment prevention programs more effective and evidence based.

Cited by 542 publications

References 64 publications

Elder abuse as a risk factor for psychological distress among older adults in India: a cross-sectional study

Elder abuse as a risk factor for psychological distress among older adults in India: a cross-sectional study

Is the burnout syndrome associated with elder mistreatment in nursing homes: results of a cross-sectional study among nurses

Rosalie Wolf Memorial Lecture: A logic model to measure the impacts of World Elder Abuse Awareness Day

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