The incidence of elder abuse under East Asian cultural background: A systematic review and meta‐analysis

Zhuzhu Wang · Rui Zhu · Xiaolan Lai · Wencong Chen

12 citations0/0 files storedInternational Journal of Geriatric Psychiatry

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Elder Abuse and Neglect Intimate Partner and Family Violence Child Abuse and Trauma

Abstract

OBJECTIVE: Elder abuse (EA) is a critical social, health, and economic issue worldwide. To date, there is limited information on EA in certain similar culture-specific subpopulations, especially in East Asia. This study aims to summarize EA incidence in East Asia through a systematic review and meta-analysis and identify its variations and heterogeneity in the incidence estimates. METHODS/DESIGN: The study followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses protocol. Systematic review registration number PROSPERO CRD42020197131. A systematic literature search was performed to identify relevant articles published before July 5th, 2020, from six electronic databases. Two reviewers screened for relevance of the studies against eligible criteria and assessed the bias of the included studies independently. A random-effect model was adopted to estimate the incidence of EA, followed by subgroup analyses and multi meta-regression. Sensitivity and publication bias tests were performed to verify the robustness of the meta-analysis by Stata version 15.1. RESULTS: = 99.9%). The sampling method, sample size, scope, instrument, data collection method, income classification, types of participants, and urbanity are all the sources of heterogeneity, which can explain nearly 100% of the variance between studies. CONCLUSIONS: The incidence of EA in this study is not as high as the global level. It may be furtherly underestimated in East Asia due to cultural norms. It is imperative to develop a culture-tailored EA assessment instrument to evaluate potential victims. Future studies should also identify more effective educational programs to raise the public's awareness and promote recognition ability.

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References

2009Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement 2009Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement 2002The world report on violence and health 2010A basic introduction to fixed-effect and random-effects models for meta-analysis 2015Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data 1998meta-analysis bias in location and selection of studies 2017Elder abuse prevalence in community settings: a systematic review and meta-analysis 1997Ethnicity and family therapy

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