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Elder abuse severity: a critical but understudied dimension of victimization for clinicians and researchers
- Authors:
- BURNES David, PILLEMER Karl, LACHS Mark S.
- Journal article citation:
- Gerontologist, 57(4), 2017, pp.745-756.
- Publisher:
- Oxford University Press
Purpose of the Study: To describe the variation in severity of elder emotional abuse, physical abuse, and neglect and identify factors associated with more severe forms of elder mistreatment (EM). Design and Methods: Population-based study using random digit-dial sampling and telephone interviews with a representative sample (n = 4,156) of community-dwelling, cognitively intact older adults in New York State. The Conflict Tactics Scale and DUKE Older Americans Resources and Services scales were adapted to assess EM subtypes. For each EM subtype, severity was operationalized by summing the number of different mistreatment behaviours and the frequency of each behaviour. Among older adults reporting some degree of mistreatment, ordinal or multinomial regression predicted severity of elder emotional abuse, physical abuse, and neglect. Results: Distribution of EM severity was characterised by a negative/right skew. More severe emotional abuse was predicted by younger age, living with the perpetrator only, Hispanic background, and higher education. Increasing physical abuse severity was associated with younger age and living only with the perpetrator. Higher neglect severity was associated with functional impairment, younger age, living only with the perpetrator, lower income, and lower education. The presence of nonperpetrator others living in the home served a protective function against escalating mistreatment severity. Implications: Extends existing EM risk factor research by operationalising mistreatment phenomena along a continuum of severity. Findings enhance capacity to screen and report particularly vulnerable EM victims and inform targeted interventions to ameliorate the problem. Incorporation of severity into EM research/measurement reflects the clinical and phenomenological reality of the problem. (Edited publisher abstract)
Risk factors for reported elder abuse and neglect: a nine-year observational cohort study
- Authors:
- LACHS Mark S., et al
- Journal article citation:
- Gerontologist, 37(4), August 1997, pp.469-474.
- Publisher:
- Oxford University Press
Determines longitudinal risk factors for elder abuse and neglect, an established cohort of community-dwelling older adults was linked with elderly protective service records over a 9-year follow-up period. In pooled logistic regression, age, race, poverty, functional disability, and cognitive impairment were identified as risk factors for reported elder mistreatment. Additionally, the onset of new cognitive impairment was also associated with elder abuse and neglect. Concludes that because the mechanism of elder mistreatment case-finding used in this study was a social welfare system, the influence of race and poverty as risk factors is likely to be overestimated due to reporting bias.