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Rural-Urban Differences in the Prevalence and Correlates of Elder Mistreatment
Carrie Henning-Smith1, Ingrid Jacobson1, Dionne Bailey1
1Rural Health Research Center, Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA.
Summary
Elder mistreatment is prevalent in both rural and urban settings, but urban older adults experience higher rates. This research highlights urban risks and rural resilience in elder mistreatment.
Area of Science:
- Gerontology
- Public Health
- Sociology
Background:
- Rural and urban areas exhibit disparities in demographics, health, and resource access.
- Limited research exists on elder mistreatment variations between rural and urban populations.
Purpose of the Study:
- To investigate rural-urban differences in elder mistreatment rates.
- To analyze specific indicators of mistreatment across diverse geographic settings.
Main Methods:
- Utilized data from the National Social Life, Health & Aging Project (NSHAP) survey (n=2,333).
- Employed logistic regression models and predicted probabilities, adjusting for sociodemographic and social well-being factors.
- Examined 11 indicators of elder mistreatment.
Main Results:
- Elder mistreatment was less common in rural older adults (41.5%) compared to urban counterparts (49.5%).
- Urban older adults showed higher rates for most individual mistreatment indicators.
- Overall mistreatment rates exceeded 40% in both rural and urban groups.
Conclusions:
- Urban older adults face a greater risk of elder mistreatment.
- Findings underscore the need to address urban risks and acknowledge rural resilience in elder mistreatment prevention efforts.
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