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

Yon, Yongjie and R Mikton, Christopher and D Gassoumis, Zachary and H Wilber, Kathleen (2017) Elder abuse prevalence in community settings: a systematic review and meta-analysis. The Lancet Global Health, 5 (2). e147-e156. ISSN 0140-6736


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Background Elder abuse is recognised worldwide as a serious problem, yet quantitative syntheses of prevalence studies are rare. We aimed to quantify and understand prevalence variation at the global and regional levels. Methods For this systematic review and meta-analysis, we searched 14 databases, including PubMed, PsycINFO, CINAHL, EMBASE, and MEDLINE, using a comprehensive search strategy to identify elder abuse prevalence studies in the community published from inception to June 26, 2015. Studies reporting estimates of past-year abuse prevalence in adults aged 60 years or older were included in the analyses. Subgroup analysis and meta-regression were used to explore heterogeneity, with study quality assessed with the risk of bias tool. The study protocol has been registered with PROSPERO, number CRD42015029197. Findings Of the 38 544 studies initially identifi ed, 52 were eligible for inclusion. These studies were geographically diverse (28 countries). The pooled prevalence rate for overall elder abuse was 15·7% (95% CI 12·8–19·3). The pooled prevalence estimate was 11·6% (8·1–16·3) for psychological abuse, 6·8% (5·0–9·2) for fi nancial abuse, 4·2% (2·1–8·1) for neglect, 2·6% (1·6–4·4) for physical abuse, and 0·9% (0·6–1·4) for sexual abuse. Meta-analysis of studies that included overall abuse revealed heterogeneity. Signifi cant associations were found between overall prevalence estimates and sample size, income classifi cation, and method of data collection, but not with gender. Interpretation Although robust prevalence studies are sparse in low-income and middle-income countries, elder abuse seems to aff ect one in six older adults worldwide, which is roughly 141 million people. Nonetheless, elder abuse is a neglected global public health priority, especially compared with other types of violence.

Item Type: Article
Subjects: WA Public Health
Divisions: Faculty of Medicin
Depositing User: Touba Derakhshande
Date Deposited: 13 Sep 2017 05:00
Last Modified: 13 Sep 2017 05:00
URI: http://eprints.bpums.ac.ir/id/eprint/5963

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