Jinan Usta, Rana El Jarrah, Nabil Kronfol, JoAnn M Farver
{"title":"Perspectives of elder abuse in Lebanon.","authors":"Jinan Usta, Rana El Jarrah, Nabil Kronfol, JoAnn M Farver","doi":"10.1080/08946566.2021.1881013","DOIUrl":"https://doi.org/10.1080/08946566.2021.1881013","url":null,"abstract":"<p><p>Elder abuse is a preventable problem. Presently, little is known about this phenomenon in Middle Eastern settings. The purpose of this study was to explore elder abuse in Beirut, Lebanon from different stakeholders' points of view with a focus on identifying behaviors that are considered to be abusive to older adults and predisposing factors. Focus group discussions were carried out with 88 home- and institution-based older adults, their family members and caregivers, and with 49 stakeholders (medical professionals, institution directors, government officials). Results showed that behaviors considered abusive among Lebanese participants were comparable to reports from international studies. The most commonly mentioned risk factors were history of abuse in a seemingly dysfunctional family followed by caregivers' lack of acceptance of the physical changes that accompany aging. The response to elder abuse requires a multidimensional approach that spans protective policies to increase care providers' awareness about the physiologic changes of aging as well as concerted efforts to correct misinformation about the hidden problem of elder abuse.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2021.1881013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25323148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kendon J Conrad, Pi-Ju Liu, Zachary Hass, Karen M Conrad
{"title":"Balancing practicality and validity of elder abuse identification measures: using data from adult protective services investigations.","authors":"Kendon J Conrad, Pi-Ju Liu, Zachary Hass, Karen M Conrad","doi":"10.1080/08946566.2021.1876579","DOIUrl":"https://doi.org/10.1080/08946566.2021.1876579","url":null,"abstract":"<p><p><b>Background and Objectives</b>. In testing a comprehensive decision support system for Adult Protective Services (APS), this study addressed two problems common in APS research and practice: the psychometric quality of the measures and measurement burden. <b>Research Design and Methods</b>. Data were generated on 1,472 APS cases over six months in two California counties using the Identification, Services and Outcomes (ISO) Matrix, a comprehensive decision support system for APS. The ISO Matrix uses Short-Forms developed from the Elder Abuse Decision Support System (EADSS). Mini-Forms were developed from the Short-Forms and tested in order to reduce measurement burden. Mini-Forms were developed on each measure using sensitivity and specificity of the items in predicting the criterion of substantiation (yes/no). Psychometric quality was addressed by estimating predictive validity and Cronbach's alpha of Short-Forms. Predictive validity and reliability were also estimated on the Mini-Forms as was their correlation with the Short-Forms. <b>Results</b>. On Short-Forms, good predictive validity was found for all measures except those that were very rare. Results for even shorter Mini-Forms were mixed, and some will require further research on their reliability and validity. <b>Discussion and Implications</b>. Short-Forms had good psychometric properties and some Mini-Forms did as well. Ongoing adoption by several California counties and Montana demonstrates the viability and sustainability of using the ISO Matrix for research and practice.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2021.1876579","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25328578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Protective effects of neighborhood community factors on elder abuse in India.","authors":"E-Shien Chang, Becca R Levy","doi":"10.1080/08946566.2020.1864695","DOIUrl":"10.1080/08946566.2020.1864695","url":null,"abstract":"<p><p>Elder abuse impacts one in six older persons globally. Most studies of elder abuse have focused on risk factors rather than protective factors, individual-level factors rather than structural factors, and developed countries rather than developing countries where resources are scarce. The current study addressed these gaps by examining whether neighborhood social cohesion and physical order could be such structural-level protective factors for older persons in India. Our cohort consisted of 541 participants aged 60 and over in the pilot wave of the Longitudinal Aging Study in India. We found that older persons with high neighborhood social cohesion were 38% less likely to experience abuse compared to older persons with low cohesion (OR = 0.62, 95% CI = 0.39-0.99). Similarly, participants with high neighborhood physical order were 48% less likely to experience abuse compared to older persons with low physical order (OR = 0.52, 95% CI = 0.32-0.83). Both models adjusted for relevant covariates. Policies supporting greater cohesion and order in communities could reap significant health benefits for older persons.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7904631/pdf/nihms-1657723.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38761721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Elder mistreatment and psychological distress among U.S. Chinese older adults.","authors":"Ying-Yu Chao, Mengting Li, Shou-En Lu, XinQi Dong","doi":"10.1080/08946566.2020.1814180","DOIUrl":"https://doi.org/10.1080/08946566.2020.1814180","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the associations between different types of elder mistreatment, anxiety symptoms, and depressive symptoms among U.S. Chinese older adults.</p><p><strong>Methods: </strong>Data were derived from the Population Study of Chinese Elderly (PINE), a study of Chinese older adults aged 60 years and above in the greater Chicago area from 2011-2013. Measurements include elder mistreatment screening tools, Hospital Anxiety and Depression Scale, and Patient Health Questionnaire-9. Negative binomial regressions and logistic regressions were performed.</p><p><strong>Results: </strong>Participants with any mistreatment, psychological mistreatment, physical mistreatment, financial exploitation, and caregiver neglect were more likely to have anxiety symptoms and depressive symptoms. Sexual mistreatment was not associated with symptoms of anxiety and depression.</p><p><strong>Conclusion and implications: </strong>The rate of psychological distress differs based on the types of mistreatment among U.S. Chinese older adults. The findings underline the need for public and community awareness and improved education for health care professionals.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1814180","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38345951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Khiya Marshall, Jeffrey Herbst, Candace Girod, Francis Annor
{"title":"Do interventions to prevent or stop abuse and neglect among older adults work? A systematic review of reviews.","authors":"Khiya Marshall, Jeffrey Herbst, Candace Girod, Francis Annor","doi":"10.1080/08946566.2020.1819926","DOIUrl":"https://doi.org/10.1080/08946566.2020.1819926","url":null,"abstract":"<p><p>Abuse and neglect among older adults impact everyone and are recognized internationally as significant and growing public health issues. A systematic review of reviews was conducted to identify effective strategies and approaches for preventing abuse and neglect among older adults. Eligible reviews were systematic or meta-analyses; focused on the older population as reported in the publications; reviewed prevention interventions; included relevant violence and abuse outcomes; written in English; and published in a peer-reviewed journal between January 2000 and May 2020. Eleven unique reviews (12 publications) met the eligibility criteria, including one meta-analysis. Included reviews mainly focused on general abuse directed toward older adults; and educational interventions for professional and paraprofessional caregivers, multidisciplinary teams of health care and legal professionals, and families. Interventions were implemented in a variety of community and institutional settings and addressed primary, secondary, and tertiary prevention. The reviews indicated weak or insufficient evidence of effectiveness in preventing or reducing abuse, yet several promising practices were identified. Future research is needed to evaluate emerging and promising strategies and approaches to prevent abuse among older adults. Effective interventions are also needed to prevent or reduce abuse and neglect among older adults.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1819926","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38501135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julia M Rowan, Jeanine Yonashiro-Cho, Kathleen H Wilber, Zachary D Gassoumis
{"title":"Who is in the revolving door? Policy and practice implications of recurrent reports to adult protective services.","authors":"Julia M Rowan, Jeanine Yonashiro-Cho, Kathleen H Wilber, Zachary D Gassoumis","doi":"10.1080/08946566.2020.1852142","DOIUrl":"https://doi.org/10.1080/08946566.2020.1852142","url":null,"abstract":"<p><p>Repeat referral to adult protective services APS (recurrence) is a much-discussed topic among APS agencies as it may indicate ongoing harm, yet there is limited research examining prevalence or causes. This paper provides a foundational investigation of recurrence within a California APS county program. Drawing from thirty-three months of de-identified reports, we used logistic regression to examine the impact of intake report characteristics on repeat referral within one year after baseline case closure. One-fifth of the sample was recurrent (19.9%, n=987/4,958), with self-neglect being the most common type of report to recur (14.3%, n=307/2,141). Overall recurrence was predicted by female gender, older age, living alone, and multiple elder abuse, neglect, and exploitation (ANE) types reported at baseline, and report placed by social service provider, friends, family, landlords, and victim self-reports. Reporters personally related to the victim and social service providers are potential partners in identifying ANE, and alternate intervention approaches may be necessary.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1852142","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38363851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bernard A Steinman, Virginia B Vincenti, Sukyung Yoon
{"title":"Family dynamics and their association with elder family financial exploitation in families with appointed powers of attorney.","authors":"Bernard A Steinman, Virginia B Vincenti, Sukyung Yoon","doi":"10.1080/08946566.2020.1823290","DOIUrl":"https://doi.org/10.1080/08946566.2020.1823290","url":null,"abstract":"<p><p>Powers of attorney (POA), widely used in end-of-life planning, give authority, often to relatives, to manage elders' affairs if they become incapacitated. Unfortunately, family members are frequently perpetrators of elder family financial exploitation (EFFE). To understand possible EFFE precursors, the <i>Elder Family Financial Exploitation Survey</i> (EFFES) collected hierarchical data (individual relatives nested within families) including respondent and elder demographics, financial exploitation details if it occurred, and family dynamics (<i>general family functioning, fairness conflict, resource exchange patterns, entitlement attitudes</i>, and <i>communication/problem-solving</i>). Multilevel logistic regression models found positive association with greater fairness conflict and entitlement attitudes, and negative association with general family function, resource exchange expectations, and communication patterns when growing up, but no association with current communication. Findings can prompt families to proactively address negative family dynamics to reduce the risk of EFFE. Results may also inform decisions about appointing other fiduciaries, e.g., trustees, and personal representatives (executors).</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1823290","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38387350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Traditional values and domestic violence: an examination of older women's attitudes and the ability to care for oneself.","authors":"Susan J Hoppe","doi":"10.1080/08946566.2020.1830216","DOIUrl":"https://doi.org/10.1080/08946566.2020.1830216","url":null,"abstract":"<p><p>Domestic violence (DV) is a worldwide societal problem affecting victims of all ages. While a sizable body of DV literature primarily surrounding young adults exists, research on DV among older individuals has received less attention. Yet, older non-victims and DV victims alike face unique challenges not experienced by younger age groups, such as socialization favoring traditional values, and loved ones who become unable to care for themselves. Less is known, however, about factors that influence older women's attitudes toward traditional values. Using a sample of women age 50 and older, including both victims and non-victims, the current study addressed this gap in research by examining whether age or the women's loved one's ability to care for themselves have an effect on attitudes toward traditional values. A discussion of the findings is provided, as well as policy implications and suggestions for future research.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1830216","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38363854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mario Brondani, Maxine G Harjani, Nawaf Alfawzan, Claudia Maria C Alves, Inger Wårdh, Leann Donnelly
{"title":"Discussing elder abuse and neglect in undergraduate dental education: a commentary.","authors":"Mario Brondani, Maxine G Harjani, Nawaf Alfawzan, Claudia Maria C Alves, Inger Wårdh, Leann Donnelly","doi":"10.1080/08946566.2020.1750523","DOIUrl":"https://doi.org/10.1080/08946566.2020.1750523","url":null,"abstract":"<p><p>The intra- and extra-oral signs of physical abuse and neglect can appear visible to a dental professional during routine care. Yet, little is known about the existing pedagogies employed to discuss elder abuse and neglect in undergraduate dental education and the level of knowledge undergraduate dental students have about elder abuse and neglect. The purpose of this commentary is to present a literature review exploring how the subject of elder abuse and neglect is taught in dental schools and to discuss the results of a brief knowledge-based questionnaire focused on elder abuse and neglect applied to Canadian undergraduate dental students.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1750523","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37875072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yvonne Jonk, Kimberly I Snow, D Thayer, C McGuire, S Bratesman, C A Smith, E Ziller
{"title":"Pent-up demand for care among dual-eligible victims of elder financial exploitation in Maine.","authors":"Yvonne Jonk, Kimberly I Snow, D Thayer, C McGuire, S Bratesman, C A Smith, E Ziller","doi":"10.1080/08946566.2020.1806980","DOIUrl":"https://doi.org/10.1080/08946566.2020.1806980","url":null,"abstract":"<p><p>Elder financial exploitation (EFE), the misuse of a vulnerable adult's property or resources for personal gain, is a form of elder abuse. This study addresses whether dual-eligible EFE victims were experiencing pent-up demand for health services alleviated through investigation by Adult Protective Services (APS). A quasi-experimental design addressed health service utilization and costs for 131 dual-eligible Maine APS clients over age 60 with substantiated allegations of EFE relative to comparable non-APS controls. APS case files spanning 2007-2012 were linked to 2006-2014 Medicare and Medicaid claims data. Service utilization and costs were analyzed 1 year prior, during, and 2 years after the initial APS investigation. Difference in differences logistic regression and generalized linear models addressed the likelihood of incurring costs and expenditure levels relative to matched controls, respectively. Victims of EFE had higher overall odds of using inpatient and long-term services and supports (LTSS) and higher odds of using LTSS post-investigation than controls. Higher overall levels of outpatient and prescriptions expenditures and higher inpatient expenditures during the APS event year contributed toward APS clients incurring $1,142 higher PMPM total costs than controls. Victims of EFE were experiencing significant pent-up demand for health services post-APS involvement.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1806980","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38345535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}