Mortality of elder financial and psychological abuse victims in rural Malaysia: As prospective cohort study

Yunus, Raudah Mohd and Hairi, Noran Naqiah and Awang, Halimah and Choo, Wan Yuen and Jamaludin, Siti Zaharah and Mohd Hairi, Farizah and Samsuddin, Jamali and Mokhtar, Mohammad Mafrukhin and Fauzi, Syed Mohd and Peramalah, Devi and Sooryanarayana, Rajini and Ismail, Norliana and Ali, Zainudin Mohd and Razak, Inayah Abdul and Ahmad, Sharifah Nor and Othman, Sajaratulnisah and Mahmud, A.B.A. (2022) Mortality of elder financial and psychological abuse victims in rural Malaysia: As prospective cohort study. BMJ Open, 12 (7). ISSN 2044-6055, DOI

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Objectives To determine the longitudinal impact of elder financial and psychological abuse on risk of death among older Malaysians. Design 7-year prospective cohort study. Baseline data were collected in late 2013 and respondents were followed up in June 2020. Setting Kuala Pilah, Negeri Sembilan, Malaysia. Participants 1927 community-dwelling older adults aged 60 or older randomly sampled from the national census. Individuals with severe cognitive impairment were excluded. Outcome measure Mortality data were provided by the Malaysian National Registration Department and linked to respondents' national identification numbers. Kaplan-Meier curves and Cox regression were used to examine victims' survival periods and the impact of abuse on risk of death. Results Overall, 450 respondents (23.4%) died after 7 years. Among financial and psychological abuse victims, death percentage was 25.8% compared with 23.3% among those who did not experience these types of abuse. Kaplan-Meier curves showed shorter survival among abuse victims, but Cox regression found no significant impact of financial and psychological abuse on mortality risk (HR 1.05, 95% CI 0.78 to 1.41). Among all the variables studied, only cognitive impairment led to higher mortality risk (HR 1.32, 95% CI 1.03 to 1.69). Conclusion Our findings contradict prior empirical studies that supported the link between elder abuse and neglect (EAN) and mortality, even though we focused on two abuse subtypes. Results in this study are more in line with the recently emerging evidence that showed no association between EAN and mortality.

Item Type: Article
Funders: University of Malaya Grant Challenge (PEACE), GC001A/B-14HTM, Agensi Kaunseling & Pengurusan Kredit (AKPK), GA023-2021, University of Malaya/Ministry of Higher Education (UM/MOHE) High Impact Research Grant, E000010-20001
Uncontrolled Keywords: Public health; Preventive medicine; Geriatric medicine
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Medicine > Social & Preventive Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 22 Nov 2023 04:55
Last Modified: 22 Nov 2023 04:55

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