The prevalence of elder abuse in institutional settings: a systematic review and meta-analysis

RÉSUMÉLa maltraitance des personnes âgées est un important problème de santé publique et de droits de l’homme. Néanmoins, notre connaissance de la veritable ampleur du phénomène demeure limitée. Pour y remédier, nous allons procéder à une revue systématique et une méta-analyse des études de prevalence de la maltraitance des personnes âgées dans le monde entier. Ce protocole décrit l’approche méthodologique qui sera adoptée pour la réalisation de la revue systématique et de la méta-analyse. En particulier, le protocole décrit le développement des stratégies de recherche et des critères pour identifier et sélectionner les études de prévalence ainsi que la façon dont les données des études sélectionnées seront extraites pour l’analyse. Le protocole décrit également l’approche analytique qui sera utilisée pour calculer les estimations de prevalence et l’utilisation de méta-régression pour évaluer la façon dont les caractéristiques des études influencent les estimations de la prévalence. Ce protocole est conforme au “Preferred Reporting Items for Systematic reviews and Meta-Analysis” – ou PRISMA – et a été enregistré auprès du registre de revues systématique PROSPERO International Prospective Register.

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A RESEARCH PROTOCOL ON THE SYSTEMATIC REVIEW AND META-ANALYSIS OF ELDER ABUSE PREVALENCE STUDIES

The Gerontologist ◽

10.1093/geront/gnw162.2179 ◽

2016 ◽

Vol 56 (Suppl_3) ◽

pp. 539-540

Keyword(s):

Systematic Review ◽

Elder Abuse ◽

Meta Analysis ◽

Research Protocol ◽

Prevalence Studies

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Prevalence of elder abuse in Iran: a systematic review and meta analysis

Salmand ◽

10.21859/sija-1202242 ◽

2017 ◽

Vol 12 (2) ◽

pp. 242-253 ◽

Cited By ~ 2

Author(s):

Maziyar Molaei ◽

Korosh Etemad ◽

Parisa Taheri Tanjani

Keyword(s):

Systematic Review ◽

Elder Abuse ◽

Meta Analysis

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The Prevalence of Self-Reported Elder Abuse Among Older Women in Community Settings: A Systematic Review and Meta-Analysis

Trauma Violence & Abuse ◽

10.1177/1524838017697308 ◽

2017 ◽

Vol 20 (2) ◽

pp. 245-259 ◽

Cited By ~ 13

Author(s):

Yongjie Yon ◽

Christopher Mikton ◽

Zachary D. Gassoumis ◽

Kathleen H. Wilber

Keyword(s):

Systematic Review ◽

Older Women ◽

Elder Abuse ◽

Meta Analysis ◽

World Health ◽

Community Settings ◽

Middle Income ◽

Prevalence Studies ◽

Prevalence Estimates ◽

Health Organization

The abuse of older women appears to be a significant problem. Developing a better understanding of the extent of the problem is an important step toward preventing it. We conducted a global systematic review and meta-analysis of existing prevalence studies, in multiple languages, that occurred in the community settings from inception to June 26, 2015, in order to determine the extent of abuse against women aged 60 years and over. To disentangle the wide variations in prevalence estimates, we also investigated the associations between prevalence estimates and studies’ demographic and methodological characteristics. A total of 50 studies were included in the meta-analysis. The combined prevalence for overall elder abuse in the past year was 14.1% (95% confidence interval (CI) [11.0, 18.0]). Pooled prevalence for psychological abuse was 11.8% (95% CI [9.2%, 14.9%]), neglect was 4.1% (95% CI [2.7%, 6.3%]), financial abuse was 3.8% (95% CI [2.5%, 5.5%]), sexual abuse was 2.2% (95% CI [1.6%, 3.0%]), and physical abuse was 1.9% (95% CI [1.2%, 3.1%]). The studies included in the meta-analysis for overall abuse were heterogeneous indicating that significant differences among the prevalence estimates exist. Significant associations were found between prevalence estimates and the following covariates: World Health Organization–defined regions, countries’ income classification, and sample size. Together, these covariates explained 37% of the variance. Although robust prevalence studies are sparse in low- and middle-income countries, about 1 in 6, or 68 million older women experience abuse worldwide. More work is needed to understand the variation in prevalence rates and implications for prevention.

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Elder abuse screening tools: a systematic review

The Journal of Adult Protection ◽

10.1108/jap-10-2016-0026 ◽

2017 ◽

Vol 19 (6) ◽

pp. 368-379 ◽

Cited By ~ 5

Author(s):

Louise McCarthy ◽

Susan Campbell ◽

Bridget Penhale

Keyword(s):

Systematic Review ◽

Social Care ◽

Elder Abuse ◽

Meta Analysis ◽

Final Analysis ◽

Screening Tools ◽

Clinical Environment ◽

Validity And Reliability ◽

Content Type ◽

Health And Social Care

Purpose Elder abuse results in high rates of morbidity and mortality. It has longstanding physical and psychological effects and is difficult to detect. Due to fear or embarrassment, victims may make attempts to hide it rather than to disclose and professionals are often reluctant to report it as they may worry about worsening a situation. If detected early enough, serious harm can be prevented and lives saved. Screening and screening tools can assist health and social care practitioners to detect abuse. This review of screening tools was undertaken as part of an MSc in clinical research, funded by the National Institute for Health Research; the purpose of this paper is to report on the review and its findings. Design/methodology/approach This was a systematic review with eligibility inclusion and exclusion criteria decided in advance. Keywords and their synonyms were combined and then used to search health and social care databases. Data items were collected from the included studies. The preferred reporting item for systematic reviews and meta-analysis was followed for the reporting of the results. A narrative synthesis approach was applied to the analysis. Findings A total of 34 full text studies were downloaded, read and analysed. In all, 11 met the inclusion criteria and were included in the final analysis. Of these, three studies reported sensitivity and specificity, with the remainder reporting validity and reliability testing. In total, 12 tools of varying length and quality were found. The length and characteristics of tools affects the efficacy of their use. The clinical environment will determine choice of screening tool to be used. Screening tools should be used within an overall system of detection and management of abuse. Research limitations/implications The synthesis of results was challenging due to the lack of homogeneity between the included studies. The variations in tool characteristics and qualities added to this challenge. A further limitation was the lack of a gold standard tool in elder abuse. Originality/value This systematic review highlights a lack of robust evidence in the development and validation of screening tools to detect elder abuse. Though there is an increasing awareness and knowledge about elder abuse, its detection remains problematic and the lack of research in this area is worth emphasising. Specific tools, centred on the clinical setting in which they are used, are recommended.

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