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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

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Published on: February 16, 2011

Elder abuse through a life course lens.

Lynn McDonald1, Cynthia Thomas

  • 1Institute for the Life Course and Aging, University of Toronto, Toronto, Ontario, Canada. lynn.mcdonald@utoronto.ca

International Psychogeriatrics
|March 29, 2013
PubMed
Summary
This summary is machine-generated.

A history of childhood abuse significantly increases the risk of experiencing elder abuse later in life. This life course perspective is crucial for understanding and preventing mistreatment in older adults.

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Area of Science:

  • Gerontology
  • Criminology
  • Public Health

Background:

  • Pilot study findings inform a national Canadian elder abuse prevalence study.
  • Investigated the utility of a life course perspective in examining elder abuse.
  • Examined abuse prevalence across life stages and its predictive factors.

Purpose of the Study:

  • Determine if a life course perspective is a useful framework for studying elder abuse.
  • Analyze the prevalence of abuse perceptions at different life stages.
  • Assess the impact of early life abuse on later elder abuse.

Main Methods:

  • Cross-sectional telephone survey of 267 adults aged 55+.
  • Measured five types of elder abuse (neglect, physical, sexual, psychological, financial) across childhood, young adulthood, and older adulthood.
  • Used descriptive statistics, bivariate correlations, and logistic regression models.

Main Results:

  • 55% reported childhood abuse; 34.1% reported young adult abuse; 43% reported mature adult abuse; 24.4% reported abuse post-age 55.
  • Psychological abuse was most common across all life stages.
  • Childhood abuse history was a significant predictor of elder abuse (OR = 1.81, p = 0.046).

Conclusions:

  • A life course perspective effectively frames the understanding of elder abuse and neglect.
  • Childhood abuse history significantly influences later mistreatment, independent of later life events.