Elder abuse: Nationwide findings among community-dwelling Malaysian older persons

Sooryanarayana, Rajini and Ganapathy, Shubash Shander and Wong, Norazizah Ibrahim and Rosman, Azriman and Choo, Wan Yuen and Hairi, Noran Naqiah (2020) Elder abuse: Nationwide findings among community-dwelling Malaysian older persons. Geriatrics & Gerontology International, 20 (2). pp. 85-91. ISSN 1444-1586, DOI https://doi.org/10.1111/ggi.13989.

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Abstract

Aim Elder abuse is a significant public health problem. This study aims to estimate its prevalence and associated factors, using representative national Malaysian data. Methods A nationwide population-based survey involving 3977 community-dwelling older persons aged >= 60 years was conducted via face-to-face interview, of whom 3466 older persons were eligible for screening using a locally validated tool. Elder abuse was defined as any one occurrence of neglect, financial, psychological, physical or sexual abuse perpetrated by someone in a position of trust that was experienced in the past 12 months. Results About 9.0% of older persons in Malaysia have experienced elder abuse in the past 12 months, with neglect being the commonest type experienced (7.5%; 95% confidence interval CI]: 5.54, 10.07). There is no significant difference by age group and geographical location. Males (adjusted odds ratio aOR] 1.7; 95% CI: 1.06, 2.60), poorer social support (aOR 5.0; 95% CI: 2.25, 11.22), dependency in activities of daily living (aOR 2.1; 95% CI: 1.23, 3.44) and a previous history of abuse (aOR 10.1; 95% CI: 4.50, 22.86) show higher odds of experiencing elder abuse. Almost 5% of abused older persons reported experiencing multiple types of abuse. Reporting is low at 19.3% with none reporting to healthcare personnel. Conclusions The prevalence of elder abuse in this study is lower than global estimates, but similar to local studies. Preventive measures and programs are crucial to overcoming elder abuse and need to be carried out at multiple levels - the individual, community, healthcare and other stakeholders. Geriatr Gerontol Int 2020; 20: 85-91.

Item Type: Article
Funders: Ministry of Health Malaysia
Uncontrolled Keywords: Community; Elder abuse; National Health and Morbidity Survey; Neglect; Older persons
Subjects: H Social Sciences > HT Communities. Classes. Races
R Medicine
Divisions: Faculty of Medicine > Social & Preventive Medicine
Depositing User: Ms Zaharah Ramly
Date Deposited: 13 Oct 2023 06:04
Last Modified: 20 Oct 2023 02:52
URI: http://eprints.um.edu.my/id/eprint/36244

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