Elder abuse prevalence in community settings: a systematic review and meta-analysis

Yon, MA Yongjie; Mikton, Christopher; Gassoumis, Zachary D.; Wilber, Kathleen H.

doi:10.1016/s2214-109x(17)30006-2

Cited by 578 publications

(566 citation statements)

References 48 publications

(36 reference statements)

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“…7 Elder abuse is estimated to affect one in six older adults worldwide, has become a growing public health challenge and requires more attention by healthcare systems, researchers and more evidence-based intervention. [8][9] Across a wide range of countries, risk factors for elder abuse include functional dependence or physical disability, poor physical and mental health and low socioeconomic status. Most international studies found women are more likely than men to experience 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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“…Epidemiological studies have shown that mistreatment of older people is common in the Unites States and Europe. A recent metaanalysis of data from 28 countries found that the pooled prevalence rate for elder abuse was 15.7%, but lack of consensus in defining and measuring elder abuse and its major subtypes (psychological, physical, sexual, and financial abuse and neglect) have resulted in wide variations in reported prevalence rates.…”

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confidence: 99%

“…Many become their parents' caregivers and depend financially and emotionally on them. Risk of abuse increases, especially when the older person is the only source of family income …”

mentioning

confidence: 99%

Prevalence and Correlates of Elder Abuse in São Paulo and Rio de Janeiro

Blay

Laks

Marinho

et al. 2017

J American Geriatrics Society

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“…Many studies show that neglect is the most common form of elder mistreatment [1][2][3][4] but is more likely to be overlooked because of its muted nature, although the out- comes of neglect can be as pernicious as physical abuse. The definition for neglect with the greatest consensus [5] clearly includes substandard care provided by institutions and medical professionals.…”

Section: Discussionmentioning

confidence: 99%

“…Neglect is a common form of reported elder mistreatment [1,2], and occurs among individuals living in private residences as well as institutions [1,3,4]. While a primary definition for neglect [5] includes institutional caregivers who fail to provide services that maintain the well-being of residents, most cases of neglect occurring in institutions are unlikely to be attributed to substandard care, but rather ascribed to the dying process or the result of comorbidities [6,7].…”

Section: Introductionmentioning

confidence: 99%

Association between Type of Residence and Clinical Signs of Neglect in Older Adults

Friedman

Avila

Friedman³

et al. 2018

Gerontology

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Background: Studies have demonstrated that measures of lower quality of care and associated adverse health effects are more prevalent in for-profit nursing homes compared to not-for-profit facilities. However, these studies omit persons who receive care in the community setting, and exclusively focus on isolated clinical signs that may obscure the true effect size, since these clinical signs rarely occur in isolation. Objective: In this study, we use the Clinical Signs of Neglect Scale (CSNS), which is an aggregate measure of clinical signs of neglect and substandard care, to evaluate the association of residence type on health outcomes among individuals living in both private community residences and for-profit and not-for-profit long-term care facilities. Methods: In a multicenter, retrospective data analysis of 1,149 patients identified from an inpatient hospital registry, we assessed the relationship between residence type (community dwelling, not-for-profit, and for-profit facilities) and clinical signs of neglect. Adjusted parameter estimates and 95% CIs were estimated with linear regression in 3 models using different reference groups. Results: The most serious clinical signs were consistently more prevalent among residents of for-profit facilities, as were measures of poor institutional quality. Relative to low-functioning community-dwelling patients, the mean difference in CSNS scores was higher among patients residing in not-for-profit facilities by 1.99 (p = 0.012) and 3.55 (p ≤ 0.001) among patients in for-profit facilities. In a separate model, the mean difference in CSNS scores among patients living in for-profit facilities compared to not-for-profit facilities was 1.90 (p = 0.035). Conclusions: Using an aggregate measure, our findings support prior studies demonstrating an association between residence type and adverse health outcomes for disabled elderly.

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Elder abuse prevalence in community settings: a systematic review and meta-analysis

Abstract: Social Sciences and Humanities Research Council of Canada and the WHO Department of Ageing and Life Course.

Cited by 578 publications

References 48 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

Prevalence and Correlates of Elder Abuse in São Paulo and Rio de Janeiro

Association between Type of Residence and Clinical Signs of Neglect in Older Adults

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