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Objective and Subjective Visual Difficulties and Financial Exploitation in Older Adults.
Nava Mironi1, Gali H Weissberger1, Yoav S Bergman2
1Department of Social and Health Sciences, Bar-Ilan University, Ramat-Gan, Israel.
Clinical Gerontologist
|November 1, 2025
Summary
Older adults who perceive vision difficulties are more vulnerable to financial exploitation (FE). Subjective vision, not objective measures, significantly predicts FE risk, highlighting the need for patient-reported assessments.
Area of Science:
- Gerontology
- Ophthalmology
- Social Sciences
Background:
- Financial exploitation (FE) poses significant social and health risks to older adults.
- Understanding risk factors for FE is crucial for developing effective prevention strategies.
Purpose of the Study:
- To investigate the association between objective and subjective vision abilities and vulnerability to financial exploitation in older adults.
- To determine if self-reported vision difficulties or objective vision measures are stronger predictors of FE vulnerability.
Main Methods:
- 97 community-dwelling older adults (≥60 years) completed questionnaires on subjective vision, FE vulnerability, and FE history.
- Objective vision assessments included distance, near, and contrast sensitivity tests conducted by a gerontological optometrist.
Main Results:
- Self-reported vision difficulties were significantly associated with increased FE vulnerability (β=.355, p<.001).
- Subjective vision difficulties also predicted a history of FE experiences (OR=7.866, p=.005).
- Objective vision measures did not show a significant association with FE vulnerability or experiences.
Conclusions:
- Subjective perception of vision difficulties is a stronger indicator of financial exploitation risk than objective vision measurements.
- Patient-reported visual assessments may offer a practical approach to identify older adults at risk for financial exploitation.
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