scholarly journals ELDER SEXUAL ABUSE: A REVIEW OF LEGALLY MANDATED APPROACHES TOWARD PREVENTION AND FUTURE IMPLICATIONS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S968-S968
Author(s):  
Michelle Hand
Keyword(s):  
Older Adults ◽  
Sexual Abuse ◽  
Young Women ◽  
Elder Abuse ◽  
Policy Research ◽  
Intervention Strategies ◽  
Culturally Appropriate ◽  
Prevention And Intervention ◽  
Effective Training ◽  
Research And Education

Abstract Rape stereotypes involve the assault of young women due to sexual desire, resulting in the exclusion of older adults from sexual violence research, policies, and interventions, suggesting a need to further knowledge in this area (Bows & Westmarland, 2015). Debates also persist on the prevalence and nature of elder sexual abuse (ESA), where it occurs, and its most common perpetrators (Bows, 2018). Thus a systematic scoping review was conducted to explore the nature and prevalence of ESA as well as mandated prevention and intervention strategies to guide practice, policy, research and education on prevention. Eligible sources were research-based and focused on the nature of ESA along with legal prevention and/or intervention mandates. In total, 38 peer-reviewed articles and reports were screened in for review, obtained from AgeLine, EBSCO, Clinical Key Flex, PubMed, Google, and Google Scholar databases. Findings suggest while consensus has not been reached (Bows, 2018), ESA estimates range from 0.2% to 7% of U.S. elder abuse cases, yet actual rates are likely much higher due to underreporting (Cannell et al., 2014). Additionally, results suggest ESA most often occurs in nursing homes, predominantly perpetrated by staff or residents (Ramsey-Klawsnik et al., 2008). Still, ESA remains underreported despite several mandated approaches to prevention and intervention (Payne, 2010). Thus findings demonstrate a need for reliable estimates of prevalence, location as well as common victim-perpetrator relations and awareness of required steps toward prevention and intervention (Payne, 2010). Beyond this, transdisciplinary efforts are needed to yield effective training, education, and culturally appropriate resources.

The prevalence of suicide attempts among community-dwelling US Chinese older adults – findings from the PINE study

2014 ◽  
Vol 7 (1) ◽  
pp. 23-35 ◽  
Author(s):  
XinQi Dong ◽  
Ruijia Chen ◽  
E-Shien Chang ◽  
Melissa A. Simon
Keyword(s):  
Older Adults ◽  
Epidemiological Study ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Population Based ◽  
Intervention Strategies ◽  
Community Dwelling ◽  
Prevention And Intervention ◽  
Content Type ◽  
Chinese Older Adults

Purpose – The purpose of this paper is to examine the prevalence of suicide attempts and explore the suicide methods among community-dwelling Chinese older adults. Design/methodology/approach – Data were drawn from the Population Study of Chinese Elderly in Chicago (PINE) study, a population-based epidemiological study of Chinese older adults aged 60 years and above in the greater Chicago area. Guided by the community-based participatory research (CBPR) approach, the study enrolled 3,159 community-dwelling Chinese older adults from 2011 to 2013. Findings – The lifetime prevalence of suicide attempts is 791 per 100,000 and the past 12-month prevalence of suicide attempts is 285 per 100,000. Medication overdose is the most common suicide method both in the group of lifetime suicide attempts and 12-month suicide attempts. Lower income is positively correlated with lifetime suicide attempts and 12-month suicide attempts. Living with fewer household members is positively correlated with lifetime suicide attempts but not with 12-month suicide attempts. Research limitations/implications – The findings emphasize the needs for improved understanding of suicidal behavior among minority older adults and to develop culturally and linguistically sensitive prevention and intervention strategies. Practical implications – Community stakeholders should improve the accessibility and availability of culturally sensitive mental health services and extend timely and effective suicide interventions in the Chinese community. Originality/value – This study represents the first and largest population-based epidemiological study to investigate the suicide attempts and methods among US Chinese older adults. In addition, the implementation of the CBPR approach allows us to minimize the cultural barriers associated with suicide investigation. The study emphasizes the need for improved understanding on suicidal behavior among minority older adults to inform culturally and linguistically sensitive prevention and intervention strategies.

Understanding Elder Victimization and Best Practice Intervention Strategies

2021 ◽  
pp. 274-299
Author(s):  
Beverly Dolinsky ◽  
Robert A. Jerin
Keyword(s):  
Older Adults ◽  
Social Service ◽  
Best Practice ◽  
Elder Abuse ◽  
Social Systems ◽  
The Elderly ◽  
Intervention Strategies ◽  
Elder Abuse And Neglect ◽  
Abuse And Neglect ◽  
Control And Prevention

The Centers for Disease Control and Prevention report 1 in 10 adults over the age of 60 have experienced some form of abuse including neglect and exploitation. However, these statistics are an underestimate. Professionals who interact with the elderly describe being reluctant to report abuse due to a lack of knowledge of elder abuse, the reporting process, and the resources available to support victims. The invisibility of elder abuse has only increased during the 2020 COVID pandemic due to the increased social isolation of older adults and understaffed, overburdened health and social systems. Cross-disciplinary education for healthcare and social service practitioners, law enforcement, court personnel, families, and the older adults themselves is an essential component to identify and prevent elder abuse. This chapter provides an overview of elder abuse and neglect categories, risk factors, and best practice interventions advocated for addressing elder victimization.

A First (and Disturbing) Look at the Relationship Between the Opioid Epidemic and Elder Abuse: Insights of Human Service Professionals

2020 ◽  
pp. 073346482094727
Author(s):  
Karen A. Roberto ◽  
Pamela B. Teaster ◽  
Brian W. Lindberg ◽  
Robert Blancato
Keyword(s):  
Older Adults ◽  
Thematic Analysis ◽  
Health Care Professionals ◽  
Human Service ◽  
Elder Abuse ◽  
Intervention Strategies ◽  
Opioid Epidemic ◽  
Opioid Misuse ◽  
Human Service Professionals ◽  
The Relationship

This study explored the relationship between the opioid epidemic and elder abuse. Twenty professionals from four states with working knowledge of elder abuse cases participated in focus groups. Thematic analysis revealed four themes characterizing the relationship between opioid misuse and elder abuse: (a) Opioid-Related Elder Abuse i s an Escalating Problem; (b) Vulnerable Older Adults a re Prisoners in Their Own Home; (c) Health Care Professionals Perpetrate Opioid-Related Elder Abuse; and (d) Older Adults Abuse and Deal Opiates. In addition, all participants noted the lack of reliable, retrievable data to address cases of elder abuse when opioids are involved. Findings lay the groundwork for further research to understand the breadth and depth of the opioid-elder abuse relationship that can ultimately be used to develop prevention and intervention strategies and policies to address this hidden but widespread concern.

scholarly journals Re-experiencing Violence Across the Life Course: Histories of Childhood Maltreatment and Elder Abuse Victimization

2018 ◽  
Vol 74 (5) ◽  
pp. 853-857 ◽  
Author(s):  
Jooyoung Kong ◽  
Scott D Easton
Keyword(s):  
Older Adults ◽  
Sexual Abuse ◽  
Life Course ◽  
Childhood Maltreatment ◽  
Emotional Abuse ◽  
Elder Abuse ◽  
Secondary Data ◽  
Future Research ◽  
The Life Course ◽  
Physical And Sexual Abuse

Abstract Objectives This study primarily examines the associations between histories of childhood maltreatment (i.e., neglect, emotional, physical, and sexual abuse) and elder abuse victimization and explores whether gender moderates the associations. Methods We conducted a secondary data analysis of 5,968 older adults (mean age = 71 years) based on data from the Wisconsin Longitudinal Study (2010–2011). Using retrospective self-reports of childhood and current (past 12 months) victimization experiences, logistic regression analyses were conducted to estimate the effects of early-life adversities on the likelihood of elder abuse victimization. Results Results indicate that childhood emotional abuse and childhood sexual abuse (CSA) were associated with greater risk of being abused as older adults, after controlling for childhood and adult background factors. We also found that the effect of CSA on elder abuse victimization was weaker for women than men. Discussion Findings suggest that the phenomenon of revictimization may occur not only in early and middle adulthood, but also in late life. To advance our understanding of victimization across the life course, future research on root causes of elder abuse should include histories of child abuse.

scholarly journals Engaging Rural and Racial-Ethnic Populations in Gerontological Research

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 318-319
Author(s):  
Ishan Williams
Keyword(s):  
Older Adults ◽  
Diverse Populations ◽  
Collaborative Partnerships ◽  
Culturally Appropriate ◽  
Ethnic Populations ◽  
Marginalized Groups ◽  
Gerontological Research ◽  
Research And Education ◽  
The Impact ◽  
Racial Ethnic

Abstract Older adults from racial/ethnic populations, as well as rural-dwelling older adults, are often at heightened risk for experiencing health disparities. Reasons for these disparities may include access issues, language barriers, distrust, lack of awareness, and of culturally appropriate materials. Racial/ethnic populations and rural-dwelling populations are also less likely to be included in research to help minimize the impact of these disparities. Shifting from reducing disparities to eliminating disparities will require attentiveness to designing programs and research that focus on increasing representation of racial/ethnic groups in research, integrating diverse populations (particularly rural and other marginalized groups) into the development of ideas and projects, and finally a commitment to culturally appropriate and inclusive approaches to research and education. Applying these strategies can provide guidance on how to best facilitate inclusive and equitable research, collaborative partnerships, and equitable healthcare for everyone, especially those from populations often underrepresented.

scholarly journals Structural equation model of affecting factors on elder abuse to patients under hemodialysis by family caregivers

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amaneh Mahmoudian ◽  
Abbas Shamsalinia ◽  
Atefeh Alipour ◽  
Zahra Fotoukian ◽  
Fatemeh Ghaffari
Keyword(s):  
Older Adults ◽  
Family Caregivers ◽  
Structural Equation Model ◽  
Structural Equation ◽  
Goodness Of Fit ◽  
Elder Abuse ◽  
Equation Model ◽  
Care Burden ◽  
Beta Coefficient ◽  
Fit Index

Abstract Background The objectives of the present study were to determine the prevalence of older adults with hemodialysis (HD) abuse by family caregivers and the factors affecting it. Method This is a correlational-causal study, which is conducted in 2018 in Iran. The sample size was 367 in both groups (the older adults and their family caregivers). Data collection was done using an individual-social information questionnaire for the older adults under hemodialysis and their family caregivers, the questionnaire of elder abuse by family caregivers to the older people under hemodialysis, Zarit Burden Interview and the scale of instrumental activities of daily living (IADL). Data were analyzed by the structural equation model (SEM) method. The Fitness of proposed pattern was measured using the following indexes: chi-square/degree of freedom ratio (CMIN/DF), Normed Fit Index (NFI), comparative fit index (CFI), goodness of fit index (GFI), and standardized root mean squared residual (SRMR). The significant level in this study was considered p < 0.05. Results The results of the present study showed that more than 70 % of the older adults suffer from elder abuse by family caregivers on average. The highest median elder abuse was related to emotional misbehavior (21.46 ± 6.09) and financial misbehavior (19.07 ± 5.33), respectively. Moderate care burden was experienced by 63.2 % of caregivers. The percentage of older women and men, who needed help with daily activities was 81.4 and 80.5 %, respectively. The results showed that the caregivers’ level of education and care burden with standard beta coefficient of -0.251 and 0.200 and the educational level of older adults and IADL with the best beta coefficient of -0.299 and − 0.234, had the highest regression effect on elder abuse respectively. According to the results, the model-fit indices of the hypothesized model was meet the criteria, with the NFI = 0.951, GFI = 0.970, CFI = 0.967, and SRMR = 0.041. The outcome was suitable for the recommended level, so the hypothetical model appeared to fit the data. Conclusions The results of the present study showed that the prevalence of elder abuse by family caregivers among the older adults under hemodialysis is high. Providing psychological counseling can reduce the consequences of elder abuse.

Sign in / Sign up

Export Citation Format

Share Document