Journal of Elder Abuse & Neglect最新文献

The present study attempted to examine the association of functional limitations and elder abuse among the tribal and non-tribal ethnic groups in West Bengal, India, from a comparative framework. The study revealed that tribal older adults (20%) were in a better position in the field of abuse since they were less abused compared to their non-tribal counterpart (44.5%). Substantially, 58.1% of older people with functional impairment were victims of abuse. Furthermore, non-tribal older adults were 0.07 times more likely to suffer from abuse (AOR: 0.07; CI: 0.02-0.21) than their counterparts. Similarly, functionally dependent respondents had a higher risk of being abused. Non-tribal older adults with functional impairments had higher odds to suffer from abuse compared to tribal older adults with no functional impairments. However, being widowed and having no formal education and with education up to upper primary level were also found to be significant predictors of mistreatment among older adults.

Background and objectives: Research on self-neglect in older adults often overlooks rural populations, especially those living alone. Existing studies rely heavily on scores, ignoring group distinctions and limiting intervention effectiveness. This study aims to examine self-neglect profiles, characteristics, and associated factors among rural older adults living alone.

Methods: We surveyed 499 rural older adults living alone in Southwest China using convenience sampling. Profile analysis and logistic regression were employed to explore self-neglect profiles and associated factors.

Results: Three distinct self-neglect categories were identified: "low self-neglect-high medical healthcare self-neglect" (59.32%), "high overall self-neglect" (18.64%), and "high emotional self-neglect" (22.04%). Gender, ethnicity, family functioning, and social isolation were associated with self-neglect profiles.

Conclusion: Rural older adults living alone exhibit specific self-neglect characteristics. Primary healthcare workers can develop tailored interventions based on these profiles to address this issue effectively.

Domestic violence affects individuals across all age groups. It persists throughout the lifespan, yet there remains a significant gap in understanding the profile of offenders and the specific nature and impact of domestic violence against older adults. This study aimed to address this gap by examining the prevalence, characteristics, and consequences of domestic violence against older adults (DVOA) in the Porto district, Northern Portugal, between 2010 and 2020. A retrospective cohort analysis of 20.841 domestic violence cases reported to police authorities identified only 1.415 (6.8%) involving older adults, indicating a low number of reported cases. Psychological or emotional violence was the most prevalent form of abuse (78.5%), with 51.7% of cases involving younger family members, particularly children or children-in-law. Additionally, 25.5% of offenders were involved in multiple cases, underscoring the need for targeted intergenerational interventions and sustained support systems to protect this vulnerable population.

The current study seeks to investigate the psychological mechanisms that lead older adults to fall victim to healthcare product scams. Initially, we conducted semi-structured, in-depth interviews with with victims and used grounded theory coding to develop a theoretical model. Subsequently, we applied structural equation modeling to validate and refine this theoretical model, which demonstrated a good fit. Our findings indicate that older adults' perceptions of cognitive aging, health status, health anxiety, and loneliness influence irrational consumption tendencies, including impulsive experimentation, conformity, emotional manipulation, trust in repetitive information, and manipulation by social support. These tendencies lead them to form risky consumption goals-pursuing positive effects, avoiding negative effects, pursuing physical well-being, pursuing product credibility, and avoiding medical treatment. These goals ultimately increase their likelihood of being defrauded.

Hospitalization can negatively impact older adults' health perceptions, making them vulnerable to hospitalized elder abuse. This cross-sectional correlational study investigated the relationship between hospitalized elder abuse and perceived health among 235 hospitalized older adults in Tehran, Iran in 2024. Data collection utilized the Hospitalized Elder Abuse Questionnaire (HEAQ), Health Perceptions Questionnaire (HPQ), and a personal characteristics questionnaire at the Imam Khomeini Hospital Complex. Results showed a mean hospitalized elder abuse score of 58.12 ± 16.27 and a mean perceived health score of 99.93 ± 14.02. A significant inverse relationship was found between hospitalized elder abuse and perceived health (r= -0.195, p = .004), which remained significant when accounting for contextual variables including age, marital status, mobility status, and hospitalization duration (β= -0.23, p = .007). These findings emphasize the need for timely elders' perceived abuse, health assessments and elder-reported measures of dignity in hospital quality metrics.

Elder mistreatment occurs in as many as one-half of the 11 million family care partnerships with persons living with Alzheimer's disease or related dementias (AD/ADRD) in the United States. Knowledge and Interpersonal Skills to Develop Enhanced Relationships is an 8-week psychoeducational intervention to prevent psychological mistreatment among family caregivers to persons living with dementia by building healthy caregiving relationships. The investigators conducted a single-arm pre- and posttest study to assess KINDER's feasibility. A total of 45 caregivers enrolled, among whom 37 completed the follow-up survey (82.2% retention). Caregivers attended an average of 2.1 of 3 discussion sessions (SD = 0.76). Paired t-test analyses comparing outcomes at baseline and post-intervention demonstrated a statistically significant decrease in psychological mistreatment and relationship strain, and an increase in resourcefulness skills. These findings suggest KINDER is a feasible low- to moderate-intensity intervention to prevent psychological mistreatment with AD/ADRD caregiving. Future research will test KINDER's efficacy.

This study was conducted to examine the relationship between self-neglect and spiritual well-being in older adults. This descriptive, cross-sectional and correlational study was conducted with 232 older adults. Data were collected using the "Elder Self-Neglect Scale (ESNS)" and "Spiritual Well-Being Scale (FACIT Sp-12)." It was found that 54% of the participants were female, 86% were married, 35% were primary school graduates, 66% lived in the district, 27% had hypertension, 54% had income equal to expenses, and 76% were retired. Mean ESNS total score of older adults was 102.83 ± 24.82 and mean FACIT Sp-12 total score was 33.73 ± 9.70. FACIT Sp-12 total score was found to be a significant negative predictor of the dependent variable ESNS total score (p < .05). In this study, it was determined that the spiritual well-being levels of older adults were above average and their self-neglect levels were low. It was determined that as the spiritual well-being levels of older adults increased, their self-neglect levels decreased.

In the present study, male and female community members (N = 194) read a fictional civil or criminal trial summary describing an 80-year-old female victim of a lottery scam (losing $10,000 or $100,000). The results yielded a significant main effect of amount stolen: Higher (vs. lower) amounts stolen led to more plaintiff decisions/guilty verdicts and higher pro-victim rating scores. This was qualified by a three-way interaction between type of trial, amount of money, and participant gender. Follow-up analyses showed no differences between conditions for women, but a type of trial x amount stolen interaction for men. Men rendered the most plaintiff decisions/guilty verdicts and higher pro-victim rating scores in civil cases that involved a high amount of money. Analyses on the verdict/decision data revealed that reasons for pro-victim decisions/verdicts centered around a "scam" taking place. Reasons for a verdict/decision supporting the defendant focused on "not enough evidence."

The global rise in aging populations presents concern about elder abuse risk. The caregiving burden for older adults predominately rests on informal caregivers, and caregiver stress and burnout are well-documented risk factors for elder mistreatment. In this qualitative study, we explored the perspectives of 19 informal caregivers in Singapore to better understand the contextual nature of the risk of elder abuse and mistreatment. Three themes explored: (i) the unbounded caregiver role and journey to caregiving; (ii) elder abuse risk, including relationship dynamics, caregiver emotions, and achieving compliance through fear, and (iii) protective strategies such as self-control, societal expectations, and external support. The findings present a nuanced picture of elder abuse, suggesting elder abuse risk is inherent in the caregiver role itself, with current prevention relying largely on caregiver self-regulation. Our study proposes that interventions to reduce elder abuse need to be integrated across individual, interpersonal, organizational, community, and societal levels.

The global increase in the elderly population requires the examination of the problems related to aging. Meeting the multiple and increasing needs of older adults is critical for their health and well-being. This study aims to determine the prevalence of elder self-neglect and associated risk factors. Predictive correlational research was performed. The study sample consists of individuals over 65 (n=484). According to the findings of this study, being a woman, living alone, lack of awareness about regular medication use, and having low daily living activities were found determinants of elder self-neglect. Also, some health-related variables such as chronic diseases, smoking, and alcohol use were associated with elder self-neglect. Identifying the risk factors associated with elder self-neglect will provide a guide for elderly welfare and especially healthcare professionals. Elderly people suspected of self-neglect may be detected at an early stage and directed to preventive and therapeutic interventions.