Association of functional limitations and disability with elder abuse in India: a cross-sectional study

Ramaswamy Premkumar

66 citations0/0 files storedBMC Geriatrics

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Elder Abuse and Neglect Child Abuse and Trauma Aging, Health, and Disability

Abstract

BACKGROUND: Globally, elder abuse is a common form of violence against the elderly. This study examines the association of disability and functional ability measures with elder abuse in India. METHODS: Cross-sectional data from the UNFPA's 'Building Knowledge Base on Population Ageing in India' (BKPAI 2011) have been analysed. Bivariate and multivariate logistic regression analyses have been used to examine the association of measures of disability and functional ability with elder abuse/mistreatment. RESULTS: The overall prevalence of elder abuse in the study population is 11.4%. The prevalence of elder abuse experienced by study participants in the month before the survey is 6%. The prevalence of disability/functional ability increases the likelihood of elder abuse. Furthermore, the association between functional ability and abuse is stronger and consistent among the elderly who experienced abuse in the month preceding the survey. In addition, the association between disability and elder abuse is stronger in urban areas. Another observation is that gender introduces considerable disparities in the association of disability and functional ability measures with elder abuse. While elderly men with more than two disabilities are 1.85 times (95% CI: 1.23, 2.77, p < 0.003) more likely to experience abuse/mistreatment, women are 3.16 times (CI: 2.22, 4.49, p < .001) more exposed to it. CONCLUSIONS: The results of this study suggest a significant association of disability and functional ability with elder abuse. The association differs considerably by place of residence and gender. Measures to improve the functional health of the elderly population and measures to protect the elderly with disability and functional limitations are important in preventing abuse/mistreatment in old age.

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References

2009Prevalence and Correlates of Emotional, Physical, Sexual, and Financial Abuse and Potential Neglect in the United States: The National Elder Mistreatment Study 2017Elder abuse prevalence in community settings: a systematic review and meta-analysis 2016Elder Abuse: Global Situation, Risk Factors, and Prevention Strategies 1998The Mortality of Elder Mistreatment 2015Elder Abuse: Systematic Review and Implications for Practice 2008Elder Mistreatment in the United States: Prevalence Estimates From a Nationally Representative Study 2009Elder Self-neglect and Abuse and Mortality Risk in a Community-Dwelling Population 2013Elder abuse: a systematic review of risk factors in community-dwelling elders

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2020Violence and associated health outcomes among older adults in India: A gendered perspective 2021Factors associated with the risk of violence against older adult women: a cross-sectional study 2020Multimorbidity as a Risk Factor of Elder Abuse/Mistreatment in India: A Cross-Sectional Study 2023The prevalence of elder abuse and risk factors: a cross-sectional study of community older adults

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