As federal agencies support the development of data systems for adult protective services (APS), researchers and practitioners are increasingly using administrative data to study types of adult maltreatment, including self-neglect, and the systems that respond to them. To date, however, APS has worked with little guidance about how best to use these data. This situation has contributed to inconsistent findings and uneven quality of research. Based on the authors' experience in multiple states and using examples from research and practice, this paper reviews practical considerations related to organizing and analyzing APS administrative data. We address concerns related to time-limited, erroneous, and missing data, as well as defining metrics and accounting for the multilevel structure of data with repeated observations. Reviewing these methodological details can help APS practitioners strengthen quality assurance processes and improve research in this important area.
{"title":"Using administrative data from adult protective services: opportunities and considerations.","authors":"Kenneth J Steinman, Pi-Ju Liu, Georgia Anetzberger, Alyssa Pettey Rockwood, Andreas Teferra, Farida Kassim Ejaz","doi":"10.1080/08946566.2021.2020700","DOIUrl":"https://doi.org/10.1080/08946566.2021.2020700","url":null,"abstract":"<p><p>As federal agencies support the development of data systems for adult protective services (APS), researchers and practitioners are increasingly using administrative data to study types of adult maltreatment, including self-neglect, and the systems that respond to them. To date, however, APS has worked with little guidance about how best to use these data. This situation has contributed to inconsistent findings and uneven quality of research. Based on the authors' experience in multiple states and using examples from research and practice, this paper reviews practical considerations related to organizing and analyzing APS administrative data. We address concerns related to time-limited, erroneous, and missing data, as well as defining metrics and accounting for the multilevel structure of data with repeated observations. Reviewing these methodological details can help APS practitioners strengthen quality assurance processes and improve research in this important area.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39824643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01Epub Date: 2022-01-09DOI: 10.1080/08946566.2021.2024106
Karolina Filipska, Monika Biercewicz, Adam Wiśniewski, Kornelia Kędziora-Kornatowska, Robert Ślusarz
Our aim was to assess the psychometric properties and reliability of a Polish version of the VASS. This cross-sectional validation study involved 228 patients above 65 years of age. Authors-Designed Questionnaire, the Geriatric Depression Scale, and the Activities of Daily Living Scale were used to assess construct validity. Psychometric properties, reliability and repeatability were assessed. Cronbach's alpha coefficient for the VASS scale was 0.89. Almost all items showed a high correlation value in relation to the others (R > 0.45). A high coefficient of repeatability and narrow limits of agreement were observed in the Bland-Altman analysis. All items analyzed had excellent intraclass correlation coefficient (ICC>0.9) and weighted kappa (κ > 0.9) scores. Very strong, significant correlations with other tools confirm the accuracy of the VASS scale. Our research shows promising validity and reliability Polish version of the VASS scale to assess the risk of elder abuse and neglect.
{"title":"Reliability and validity of the polish version of the vulnerability to Abuse Screening Scale (VASS).","authors":"Karolina Filipska, Monika Biercewicz, Adam Wiśniewski, Kornelia Kędziora-Kornatowska, Robert Ślusarz","doi":"10.1080/08946566.2021.2024106","DOIUrl":"https://doi.org/10.1080/08946566.2021.2024106","url":null,"abstract":"<p><p>Our aim was to assess the psychometric properties and reliability of a Polish version of the VASS. This cross-sectional validation study involved 228 patients above 65 years of age. Authors-Designed Questionnaire, the Geriatric Depression Scale, and the Activities of Daily Living Scale were used to assess construct validity. Psychometric properties, reliability and repeatability were assessed. Cronbach's alpha coefficient for the VASS scale was 0.89. Almost all items showed a high correlation value in relation to the others (R > 0.45). A high coefficient of repeatability and narrow limits of agreement were observed in the Bland-Altman analysis. All items analyzed had excellent intraclass correlation coefficient (ICC>0.9) and weighted kappa (κ > 0.9) scores. Very strong, significant correlations with other tools confirm the accuracy of the VASS scale. Our research shows promising validity and reliability Polish version of the VASS scale to assess the risk of elder abuse and neglect.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39674621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01Epub Date: 2021-12-16DOI: 10.1080/08946566.2021.2016534
Liliana Giraldo-Rodríguez, Marcela Agudelo-Botero
The purpose of this study was to analyze the barriers to managing elder abuse from the perspective of primary care health workers in Mexico City. We performed an ethnographic qualitative-descriptive study. Thirty semi-structured interviews were conducted with healthcare providers associated with three health centers located in areas with medium and high levels of poverty. A phenomenological approach was used to identify themes, subthemes and codes. Three main types of barriers were found: 1) institutional framework; 2) professional competency limitations and the dominance of a biomedical vision; and 3) the invisibilization of elder abuse. These barriers, described by healthcare workers, highlight the complexity involved in integrating the treatment of elder abuse into primary care health services. It is necessary to develop public educational and preventive public policies for elder abuse that are coordinated both with support services to treat such cases as well as with programs to strengthen healthcare providers professional competency.
{"title":"Barriers to managing elder abuse in primary care services: experiences of healthcare providers in Mexico City.","authors":"Liliana Giraldo-Rodríguez, Marcela Agudelo-Botero","doi":"10.1080/08946566.2021.2016534","DOIUrl":"https://doi.org/10.1080/08946566.2021.2016534","url":null,"abstract":"<p><p>The purpose of this study was to analyze the barriers to managing elder abuse from the perspective of primary care health workers in Mexico City. We performed an ethnographic qualitative-descriptive study. Thirty semi-structured interviews were conducted with healthcare providers associated with three health centers located in areas with medium and high levels of poverty. A phenomenological approach was used to identify themes, subthemes and codes. Three main types of barriers were found: 1) institutional framework; 2) professional competency limitations and the dominance of a biomedical vision; and 3) the invisibilization of elder abuse. These barriers, described by healthcare workers, highlight the complexity involved in integrating the treatment of elder abuse into primary care health services. It is necessary to develop public educational and preventive public policies for elder abuse that are coordinated both with support services to treat such cases as well as with programs to strengthen healthcare providers professional competency.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39843108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01Epub Date: 2022-01-13DOI: 10.1080/08946566.2021.2024105
Jing Wen, Hang Yang, Qianhan Zhang, Jingjin Shao
The current study aimed to clarify the relationships among loneliness, susceptibility to persuasion, self-control, and vulnerability to fraud among older adults. Especially, we wanted to investigate whether susceptibility to persuasion mediates the association between loneliness and vulnerability to fraud, and whether self-control moderates the relationship in this process. A moderated mediation model was examined with 252 Chinese older adults (Mage = 67.94, SD = 6.27) who completed questionnaires regarding loneliness, susceptibility to persuasion, self-control, and vulnerability to fraud. The results revealed that loneliness significantly predicted older adults' vulnerability to fraud and susceptibility to persuasion partially mediated this relationship. Moreover, this mediating effect was only significant for older adults with low self-control. These findings enrich our understanding of how loneliness affects older adults' vulnerability to fraud and provide practical guidance for establishing protections against fraud targeting older adults.
{"title":"Understanding the mechanisms underlying the effects of loneliness on vulnerability to fraud among older adults.","authors":"Jing Wen, Hang Yang, Qianhan Zhang, Jingjin Shao","doi":"10.1080/08946566.2021.2024105","DOIUrl":"https://doi.org/10.1080/08946566.2021.2024105","url":null,"abstract":"<p><p>The current study aimed to clarify the relationships among loneliness, susceptibility to persuasion, self-control, and vulnerability to fraud among older adults. Especially, we wanted to investigate whether susceptibility to persuasion mediates the association between loneliness and vulnerability to fraud, and whether self-control moderates the relationship in this process. A moderated mediation model was examined with 252 Chinese older adults (<i>M</i><sub>age</sub> = 67.94, <i>SD </i>= 6.27) who completed questionnaires regarding loneliness, susceptibility to persuasion, self-control, and vulnerability to fraud. The results revealed that loneliness significantly predicted older adults' vulnerability to fraud and susceptibility to persuasion partially mediated this relationship. Moreover, this mediating effect was only significant for older adults with low self-control. These findings enrich our understanding of how loneliness affects older adults' vulnerability to fraud and provide practical guidance for establishing protections against fraud targeting older adults.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39930341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-01Epub Date: 2021-10-20DOI: 10.1080/08946566.2021.1990815
Syeda Wasfeea Wazid, Raudah Mohd Yunus, Noran Naqiah Mohd Hairi, Wan Yuen Choo
Among the challenges in systematic inquiry into elder abuse and neglect (EAN) is the lack of standardized tool of measurement. Existing literature demonstrates diverse tools being used, with the Conflict Tactics Scale (CTS) and its versions being the most common. The Malaysian Elder Mistreatment Project (MAESTRO) utilized the Modified CTS developed and used by the National Study of Elder Abuse and Neglect in Ireland (NSEA-I). This article aimed to validate this Malay version of the modified CTS for use in the Malaysian context and by Malay-speaking populations across Southeast Asia while highlighting the various practical and methodological challenges encountered along the process. Data were collected from 1927 older respondents who lived in Kuala Pilah district. Preliminary data screening led to the dropping of 10 items due to 0 variance. Further four items were deleted during CFA due to low loading. The indicators of neglect factor were made into a composite factor due to high collinearity. The final scale had acceptable reliability and validity. This tool is likely to assist in assessing and detecting EAN more quickly and conveniently. It will also assist future researches of EAN in taking into account the issues that arise in the measurement of EAN.
{"title":"Malay version of the modified Conflict Tactics Scale of elder abuse and neglect (MMCTS-EAN): Validation and methodological challenges.","authors":"Syeda Wasfeea Wazid, Raudah Mohd Yunus, Noran Naqiah Mohd Hairi, Wan Yuen Choo","doi":"10.1080/08946566.2021.1990815","DOIUrl":"https://doi.org/10.1080/08946566.2021.1990815","url":null,"abstract":"<p><p>Among the challenges in systematic inquiry into elder abuse and neglect (EAN) is the lack of standardized tool of measurement. Existing literature demonstrates diverse tools being used, with the Conflict Tactics Scale (CTS) and its versions being the most common. The Malaysian Elder Mistreatment Project (MAESTRO) utilized the Modified CTS developed and used by the National Study of Elder Abuse and Neglect in Ireland (NSEA-I). This article aimed to validate this Malay version of the modified CTS for use in the Malaysian context and by Malay-speaking populations across Southeast Asia while highlighting the various practical and methodological challenges encountered along the process. Data were collected from 1927 older respondents who lived in Kuala Pilah district. Preliminary data screening led to the dropping of 10 items due to 0 variance. Further four items were deleted during CFA due to low loading. The indicators of neglect factor were made into a composite factor due to high collinearity. The final scale had acceptable reliability and validity. This tool is likely to assist in assessing and detecting EAN more quickly and conveniently. It will also assist future researches of EAN in taking into account the issues that arise in the measurement of EAN.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39536228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-01Epub Date: 2021-12-08DOI: 10.1080/08946566.2021.2003278
Timothy F Platts-Mills, John A Encarnacion, Rayad Bin Shams, Karen Hurka-Richardson, Tony Rosen, Brad Cannell
Developing reliable screening tools to identify elder mistreatment requires an accurate and reproducible reference standard. This study sought to investigate the reliability of the Longitudinal, Experts, All Data (LEAD) methodology as a reference standard in confirming presence of elder mistreatment. We analyzed data from a large, emergency department-based study that used a LEAD panel to determine the reference standard. For this study, a second, blinded LEAD panel reviewed clinical material for 40 patients. For each panel, five content experts voted on whether elder mistreatment was present. We found moderate agreement between the two LEAD panels in determining presence of elder mistreatment: 85% agreement; k = 0.58; 95% Confidence Interval 0.28-0.87. Individual raters for both LEAD panels reported being mostly certain or certain >90% of votes. Efforts to further characterize and improve the reliability of the LEAD methodology in this context are warranted.
开发可靠的筛查工具来识别虐待老人行为需要一个准确且可重复的参考标准。本研究旨在调查 "纵向、专家、所有数据(LEAD)"方法作为确认是否存在虐待老人行为的参考标准的可靠性。我们分析了一项基于急诊科的大型研究的数据,该研究使用 LEAD 小组来确定参考标准。在这项研究中,第二个盲法 LEAD 小组审查了 40 名患者的临床资料。每个小组由五位内容专家投票决定是否存在虐待老人的情况。我们发现,两个专家组在确定是否存在虐待老人行为方面的意见基本一致:一致率为 85%;k = 0.58;95% 置信区间为 0.28-0.87。两个专家组的个人评定者均表示,90%以上的投票结果为基本确定或确定。在这种情况下,有必要进一步确定和提高 LEAD 方法的可靠性。
{"title":"Reliability of the longitudinal experts all data (LEAD) methodology for determining the presence of elder mistreatment.","authors":"Timothy F Platts-Mills, John A Encarnacion, Rayad Bin Shams, Karen Hurka-Richardson, Tony Rosen, Brad Cannell","doi":"10.1080/08946566.2021.2003278","DOIUrl":"10.1080/08946566.2021.2003278","url":null,"abstract":"<p><p>Developing reliable screening tools to identify elder mistreatment requires an accurate and reproducible reference standard. This study sought to investigate the reliability of the Longitudinal, Experts, All Data (LEAD) methodology as a reference standard in confirming presence of elder mistreatment. We analyzed data from a large, emergency department-based study that used a LEAD panel to determine the reference standard. For this study, a second, blinded LEAD panel reviewed clinical material for 40 patients. For each panel, five content experts voted on whether elder mistreatment was present. We found moderate agreement between the two LEAD panels in determining presence of elder mistreatment: 85% agreement; k = 0.58; 95% Confidence Interval 0.28-0.87. Individual raters for both LEAD panels reported being mostly certain or certain >90% of votes. Efforts to further characterize and improve the reliability of the LEAD methodology in this context are warranted.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8881787/pdf/nihms-1777018.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10178604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-01Epub Date: 2021-09-16DOI: 10.1080/08946566.2021.1980171
Chaoxin Jiang, Shan Jiang
Elder mistreatment is a risk factor in the life satisfaction of older adults, yet understanding of its underlying mechanisms remains limited. This study investigates the mediating role of emotional closeness and loneliness in the association between elder mistreatment and life satisfaction. A sample of 8,717 Chinese older adults is obtained from the 2018 China Longitudinal Aging Social Survey. Results reveal that emotional mistreatment has a negative effect on the life satisfaction of older adults. Moreover, emotional mistreatment is associated with a low level of emotional closeness and a high degree of loneliness, which further decreases life satisfaction. However, emotional closeness with children did not significantly mediate the association between physical mistreatment and life satisfaction. This study advances the comprehension of the influencing path on how elder mistreatment affects the life satisfaction of older adults. Implications for policy and intervention programs are discussed.
{"title":"Elder mistreatment and life satisfaction of older adults: mediating roles of emotional closeness with children and loneliness.","authors":"Chaoxin Jiang, Shan Jiang","doi":"10.1080/08946566.2021.1980171","DOIUrl":"https://doi.org/10.1080/08946566.2021.1980171","url":null,"abstract":"<p><p>Elder mistreatment is a risk factor in the life satisfaction of older adults, yet understanding of its underlying mechanisms remains limited. This study investigates the mediating role of emotional closeness and loneliness in the association between elder mistreatment and life satisfaction. A sample of 8,717 Chinese older adults is obtained from the 2018 China Longitudinal Aging Social Survey. Results reveal that emotional mistreatment has a negative effect on the life satisfaction of older adults. Moreover, emotional mistreatment is associated with a low level of emotional closeness and a high degree of loneliness, which further decreases life satisfaction. However, emotional closeness with children did not significantly mediate the association between physical mistreatment and life satisfaction. This study advances the comprehension of the influencing path on how elder mistreatment affects the life satisfaction of older adults. Implications for policy and intervention programs are discussed.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39423119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-01Epub Date: 2021-08-25DOI: 10.1080/08946566.2021.1970682
Charles Kiiza Wamara, Maria Bennich, Thomas Strandberg
Abuse of older people is a major challenge for people who are aging. Studies into older people's perspectives on abuse focus mainly on developed countries, while the views of those in sub-Saharan Africa remain largely unheard in social research. To address this imbalance, we report a qualitative study using in-depth semi-structured interviews and focus group discussions to examine older people's perceptions of abuse in Uganda. Thirty-three participants were selected from four districts of Uganda to reflect different locations, levels of development, cultures, and contexts. Behaviors considered abusive were categorized into five themes: economic abuse, harassment and violence, disrespect, neglect and abandonment, and discrimination. Results showed that participants largely viewed their abuse from a cultural perspective, contrary to the West's perception based on a discourse of human rights. The findings show the need for a broader definition that includes the cultural dimensions of the abuse of older people in developing societies.
{"title":"Missing voices: older people's perspectives on being abused in Uganda.","authors":"Charles Kiiza Wamara, Maria Bennich, Thomas Strandberg","doi":"10.1080/08946566.2021.1970682","DOIUrl":"https://doi.org/10.1080/08946566.2021.1970682","url":null,"abstract":"<p><p>Abuse of older people is a major challenge for people who are aging. Studies into older people's perspectives on abuse focus mainly on developed countries, while the views of those in sub-Saharan Africa remain largely unheard in social research. To address this imbalance, we report a qualitative study using in-depth semi-structured interviews and focus group discussions to examine older people's perceptions of abuse in Uganda. Thirty-three participants were selected from four districts of Uganda to reflect different locations, levels of development, cultures, and contexts. Behaviors considered abusive were categorized into five themes: economic abuse, harassment and violence, disrespect, neglect and abandonment, and discrimination. Results showed that participants largely viewed their abuse from a cultural perspective, contrary to the West's perception based on a discourse of human rights. The findings show the need for a broader definition that includes the cultural dimensions of the abuse of older people in developing societies.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39346116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
National Ageing Research Institute, , Melbourne, Australia; School of Allied Health, Curtin University, Perth, Australia; Division of Social Gerontology, National Ageing Research Institute, Melbourne, Australia; Seniors Rights Victoria at Council of the Ageing Victoria, Melbourne, Australia; ARC Centre of Excellence in Population Ageing Research, School of Population and Global Health, The University of Melbourne, Melbourne, Australia; National Ageing Research Institute, School of Population and Global Health, The University of Melbourne, School of Nursing and Midwifery, Deakin University, Melbourne, Australia
{"title":"A 7-year trend analysis of the types, characteristics, risk factors, and outcomes of elder abuse in community settings.","authors":"Bianca Brijnath, Pragya Gartoulla, Melanie Joosten, Peter Feldman, Jeromey Temple, Briony Dow","doi":"10.1080/08946566.2021.1954574","DOIUrl":"https://doi.org/10.1080/08946566.2021.1954574","url":null,"abstract":"National Ageing Research Institute, , Melbourne, Australia; School of Allied Health, Curtin University, Perth, Australia; Division of Social Gerontology, National Ageing Research Institute, Melbourne, Australia; Seniors Rights Victoria at Council of the Ageing Victoria, Melbourne, Australia; ARC Centre of Excellence in Population Ageing Research, School of Population and Global Health, The University of Melbourne, Melbourne, Australia; National Ageing Research Institute, School of Population and Global Health, The University of Melbourne, School of Nursing and Midwifery, Deakin University, Melbourne, Australia","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2021.1954574","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39199089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-01Epub Date: 2021-08-25DOI: 10.1080/08946566.2021.1970683
Supa Pengpid, Karl Peltzer
The study aimed to estimate the associations between elder abuse and poor physical health, poor mental health, and health risk behaviors in older adults in a national community-based survey in India. The study sample included 31,477 older adults (≥60 years) from a cross-sectional national community dwelling survey in India in 2017-2018. Results indicate that the prevalence of elder abuse in the past 12 months was 5.2%. In the adjusted logistic regression analysis, elder abuse was significantly positively associated with poor mental health and poor well-being (low life satisfaction, not happy, insomnia symptoms, depressive symptoms, loneliness, neurological or psychiatric problems, and lower self-rated health status), poor physical health (bone or joint disease, physical pain, gastrointestinal problems, incontinence, functional disability, underweight, and persistent headaches), fall and health care utilization. In addition, in unadjusted analysis, elder abuse was associated with poorer cognitive functioning, current tobacco use, and dizziness. Elder abuse among older adults in India is associated with poor physical health, poor mental health, and health care utilization, emphasizing the need to consider elder abuse in various physical and mental health contexts.
{"title":"Elder abuse and health outcomes among community-dwelling older adults in India: results of a national survey in 2017-2018.","authors":"Supa Pengpid, Karl Peltzer","doi":"10.1080/08946566.2021.1970683","DOIUrl":"https://doi.org/10.1080/08946566.2021.1970683","url":null,"abstract":"<p><p>The study aimed to estimate the associations between elder abuse and poor physical health, poor mental health, and health risk behaviors in older adults in a national community-based survey in India. The study sample included 31,477 older adults (≥60 years) from a cross-sectional national community dwelling survey in India in 2017-2018. Results indicate that the prevalence of elder abuse in the past 12 months was 5.2%. In the adjusted logistic regression analysis, elder abuse was significantly positively associated with poor mental health and poor well-being (low life satisfaction, not happy, insomnia symptoms, depressive symptoms, loneliness, neurological or psychiatric problems, and lower self-rated health status), poor physical health (bone or joint disease, physical pain, gastrointestinal problems, incontinence, functional disability, underweight, and persistent headaches), fall and health care utilization. In addition, in unadjusted analysis, elder abuse was associated with poorer cognitive functioning, current tobacco use, and dizziness. Elder abuse among older adults in India is associated with poor physical health, poor mental health, and health care utilization, emphasizing the need to consider elder abuse in various physical and mental health contexts.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39346115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}