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Elder abuse through a life course lens

Published online by Cambridge University Press:  27 March 2013

Lynn McDonald  and
Cynthia Thomas
Lynn McDonald*
Affiliation:
Institute for the Life Course and Aging, University of Toronto, Toronto, Ontario, Canada
Cynthia Thomas
Affiliation:
Westat Inc., Rockville, Maryland, USA
*
Correspondence should be addressed to: Lynn McDonald, Director, Institute for the Life Course and Aging, University of Toronto, 263 McCaul Street, Suite 328, Toronto M5T 1W7, Ontario, Canada. Phone: 416-978-7065; Fax: 416-978-4771. Email: [email protected].
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Abstract

Background: This paper provides the findings from a large pilot study, Defining and Measuring Elder Abuse and Neglect, a precursor to a national prevalence study to be conducted in Canada beginning in September 2013. One purpose of this study and the focus of this paper was to determine whether a life course perspective would provide a useful framework for examining elder abuse. The two-year pilot study, 2009–2011, examined the prevalence of perceptions of abuse at each life stage by type of abuse, the importance of early life stage abuse in predicting types of elder abuse, and early life stage abuse as a risk factor for elder abuse.

Methods: Older adults who were aged ≥55 years (N = 267) completed a cross-sectional telephone survey, comprising measures of five types of elder abuse (neglect, physical, sexual, psychological, and financial) and their occurrence across the life course: childhood (≤17 years), young adulthood (18 to 24 years), and older adulthood (5 to 12 months prior to the interview date). Data analyses included descriptive statistics, bivariate correlations for abuse at the various life stages, and the estimation of logistic regression models that examined predictors of late life abuse, and multinomial logistic regression models predicting the frequency of abuse.

Results: Fifty-five percent of the sample reported abuse during childhood, and 34.1% reported abuse during young adulthood. Forty-three percent said they were abused during mature adulthood, and 24.4% said they were abused since age 55 but prior to the interview date of the study. Psychological (42.3%), physical (26.6%), and sexual abuses (32.2%) were the most common abuses in childhood while psychological abuse was the most common type of abuse at each life stage. When the risk factors for abuse were considered simultaneously including abuse during all three life stages, only a history of abuse during childhood retained its importance (OR = 1.81, p = 0.046, CI = 1.01–3.26). Abuse in childhood increased the risk of experiencing one type of abuse relative to no abuse, but was also unrelated to experiencing two or more types of abuse compared to no abuse.

Conclusions: Results suggest that a life course perspective provides a useful framework for understanding elder abuse and neglect. The findings indicate that a childhood history of abuse in this sample had a deciding influence on later mistreatment, over and above what happens later in life.

Keywords

elder abuse and neglectlife course theorychildhood abuseyoung adult abuseolder adulthoodpredictors of abuse
Type
Special Issue Research Articles
Information
International Psychogeriatrics , Volume 25 , Issue 8: Elder abuse an international perspective , August 2013 , pp. 1235 - 1243
Copyright
Copyright © International Psychogeriatric Association 2013 

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References

Acierno, R.et al. (2010). Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States: the National Elder Mistreatment Study. American Journal of Public Health, 100, 292–297.CrossRefGoogle ScholarPubMed
Ansello, E. F. (1996). Causes and theories. InBaumhover, A. and Beal, S. C. (eds.), Abuse, Neglect and Exploitation of Older Persons: Strategies for Assessment and Intervention (pp. 9–29). Baltimore, MD: Health Professions Press.Google Scholar
Bonnie, R. J. and Wallace, R. B. (eds.). (2003). Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press.Google Scholar
Chokkanathan, S. and Lee, A. E. (2005). Elder mistreatment in urban India: a community based study. Journal of Elder Abuse and Neglect, 17, 45–61.CrossRefGoogle ScholarPubMed
CLSA (2012). Canadian Longitudinal Study on Aging. Available at: http://www.clsa-elcv.ca/ (last accessed July 2012).Google Scholar
Comijs, H. C., Smit, J. H., Pot, A. M., Bouter, L. M. and Jonker, C. (1998). Risk indicators of elder mistreatment in the community. Journal of Elder Abuse and Neglect, 9, 67–76.CrossRefGoogle Scholar
Cooper, C., Selwood, A. and Livingston, G. (2008). The prevalence of elder abuse and neglect: a systematic review. Age and Ageing, 37, 151–160.CrossRefGoogle ScholarPubMed
Dow, B. and Joosten, M. (2012). Guest editorial. Understanding elder abuse: a social rights perspective. International Psychogeriatrics, 24, 853–855.CrossRefGoogle Scholar
Elder, G. H. (2006). Life course. In Schulz, R. (ed.), Encyclopedia of Aging. New York: Springer.Google Scholar
Executive Agency for Health and Consumers (2010). ABUEL: abuse of the elderly in Europe. Available at: http://www.abuel.org/; last accessed 8 November 2010.Google Scholar
Garre-Olmo, J., Planas-Pujol, X., Lopez-Pousa, S., Juvinya, D., Vila, A. and Vilalta-Franch, J. (2009). Prevalence and risk factors of suspected elder abuse subtypes in people aged 75 and older. Journal of the American Geriatrics Society, 57, 815–822.CrossRefGoogle Scholar
George, L. (2003). Life course research: achievements and potential. InMortimer, J. T. and Shanahan, M. J. (eds.), Handbook of the Life Course (pp. 671–680). New York: Kluwer Academic.CrossRefGoogle Scholar
Harris, S. (1996). For better or worse: spouse abuse grown old. Journal of Elder Abuse and Neglect, 8, 1–33.CrossRefGoogle Scholar
Iborra, I. (ed.). (2005). Violencia Contra Personas Mayores. Barcelona: Centro Reina Sofía para el Estudio de la Violencia.Google Scholar
Lachs, M. S., Williams, C., O'brien, S., Hurst, L. and Horwitz, R. I. (1997). Risk factors for reported elder abuse and neglect: a nine-year observational cohort study. The Gerontologist, 37, 469–474.CrossRefGoogle ScholarPubMed
Lachs, M. S., Williams, C. S., O'Brien, S., Pillemer, K. A. and Charlson, M. E. (1998). The mortality of elder mistreatment. JAMA, 280, 428–432.CrossRefGoogle ScholarPubMed
Laumann, E. O., Leitsch, S. A. and Waite, L. J. (2008). Elder mistreatment in the United States: prevalence estimates from a nationally representative study. The Journals of Gerontology, 63, S248–S254.CrossRefGoogle ScholarPubMed
Lawton, M. P. and Brody, E. M. (1969). Assessment of older people: self-maintaining and instrumental activities of daily living. The Gerontologist, 9, 179–186.CrossRefGoogle ScholarPubMed
Lifespan of Greater Rochester Inc. (2011). Under the radar: New York state elder abuse prevalence study. New York: Lifespan of Greater Rochester, Inc., Weill Cornell Medical Center of Cornell University, and New York City Department for the Aging.Google Scholar
Lowenstein, A., Eisikovits, Z., Band-Winterstein, T. and Enosh, G. (2009). Is elder abuse and neglect a social phenomenon? Data from the First National Prevalence Survey in Israel. Journal of Elder Abuse and Neglect, 21, 253–277.CrossRefGoogle ScholarPubMed
McDonald, P. L. (2011). Elder abuse and neglect in Canada: the glass is still half full. Canadian Journal on Aging/La Revue canadienne du vieillissement, 30, 1–30.CrossRefGoogle ScholarPubMed
NICE (2012). Defining and Measuring Elder Abuse and Neglect: Synthesis of Preparatory Work Required to Measure the Prevalence of Abuse and Neglect of Older Adults in Canada. Toronto: National Initiative for the Care of the Elderly. Available at: http://www.nicenet.ca/detail.aspx?menu=52&app=234&cat1=709&tp=2&lk=no (last accessed July 2012).Google Scholar
Oh, J., Kim, H. S., Martins, D. and Kim, H. (2006). A study of elder abuse in Korea. International Journal of Nursing Studies, 43, 203–214.CrossRefGoogle ScholarPubMed
O'Keeffe, M.et al. (2007). UK Study of Abuse and Neglect of Older People: Prevalence Survey Report. London, UK: National Centre for Social Research.Google Scholar
Pillemer, K. and Finkelhor, D. (1988). The prevalence of elder abuse: a random sample survey. The Gerontologist, 28, 51–57.CrossRefGoogle ScholarPubMed
Podnieks, E. (1992). Emerging themes from a follow-up study of Canadian victims of elder abuse. Journal of Elder Abuse and Neglect, 4, 59–111.CrossRefGoogle Scholar
Podnieks, E. (1993). National survey on abuse of the elderly in Canada. Journal of Elder Abuse and Neglect, 4, 5–58.CrossRefGoogle Scholar
Pottie Bunge, V. (2000). Abuse of older adults by family members. InPottie Bunge, V. and Locke, D. (eds.), Family Violence in Canada: A Statistical Profile (pp. 27–30). Ottawa, ON: Statistics Canada.Google Scholar
Public Health Agency of Canada (PHAC) (2010). Canadian Incidence Study of reported child abuse and neglect, 2008. Available at: http://www.phac-aspc.gc.ca/cm-vee/csca-ecve/2008/assets/pdf/cis-2008_report_eng.pdf (last accessed July 2012).Google Scholar
Selwood, A., Cooper, C., Owens, C., Blanchard, M. and Livingston, G. (2009). What Would Help Me Stop Abusing? The Family Carer's Perspective. London, UK: Department of Mental Health Sciences, University College London.Google ScholarPubMed
Settersten, R. A. (ed.). (2003). Invitation to the Life Course: Toward New Understandings of Later Life. Amityville, NY: Baywood.Google Scholar
Soares, J. J. F.et al. (2010). Abuse and Health Among Elderly in Europe. Kaunas: Lithuanian University of Health Sciences Press.Google Scholar
Statistics Canada (2011). Family Violence in Canada, Catalogue no. 85-224-X. Available at: http://www.statcan.gc.ca/pub/85-224-x/85-224-x2010000-eng.pdf (last accessed June 2012).Google Scholar
Straus, M. A., Hamby, S. L., BoneyMcCoy, S. and Sugarman, D. B. (1996). The revised Conflict Tactics Scales (CTS2) – development and preliminary psychometric data. Journal of Family Issues, 17, 283–316.CrossRefGoogle Scholar
Teaster, P. B. and Roberto, K. A. (2004). Sexual abuse of older adults: APS cases and outcomes. The Gerontologist, 44, 788–796.CrossRefGoogle ScholarPubMed
Thomas, C. (2000). First national study of elder abuse and neglect: contrast with results from other studies. Journal of Elder Abuse and Neglect, 12, 1.CrossRefGoogle Scholar
Thomas, C. and Tatara, T. (1998). National Elder Abuse Incidence Study: Final Report, pp. 4–13; 4–21. Washington D.C.: Administration on Aging, US Department of Health and Human Services.Google Scholar
Westat (2011). Mental Health Treatment Study: Supplemental Appendices, MHTS Screener, Final Report. Baltimore, MD: US Social Security Administration.Google Scholar
Wolf, R. S. (1992). Victimization of the elderly: Elder abuse and neglect. Reviews in Clinical Gerontology, 2, 269–276.CrossRefGoogle Scholar
Wolf, R. S. and Pillemer, K. A. (1989). Helping Elderly Victims: The Reality of Elder Abuse. New York: Columbia University Press.Google Scholar