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Elder abuse in the community: prevalence and consequences

H C Comijs1, A M Pot, J H Smit

  • 1Institute for Research in Extramural Medicine, Vrije Universiteit, Amsterdam, The Netherlands.

Journal of the American Geriatrics Society
|July 22, 1998
PubMed
Summary

Elder abuse, including verbal aggression and financial mistreatment, affects 5.6% of older adults in the Netherlands. Most victims stop the abuse, but targeted interventions are needed for those who cannot.

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Area of Science:

  • Gerontology
  • Public Health
  • Social Sciences

Background:

  • Elder abuse is a significant public health concern with diverse manifestations.
  • Understanding its prevalence and impact is crucial for developing effective support systems.

Purpose of the Study:

  • To determine the prevalence and consequences of elder abuse (verbal, physical, financial, neglect) in a community sample.
  • To explore the circumstances surrounding elder abuse and victim coping mechanisms.

Main Methods:

  • A population-based sample of 1797 independent older adults in Amsterdam, Netherlands, was surveyed.
  • Victims were re-interviewed one year later to assess abuse background and consequences.

Main Results:

  • The 1-year prevalence of elder abuse was 5.6%, with verbal aggression (3.2%), physical aggression (1.2%), financial mistreatment (1.4%), and neglect (0.2%) being the most common forms.

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  • While most victims experienced emotional distress, a small number suffered physical or financial damage.
  • Over 70% of victims successfully terminated the abuse, with or without assistance.
  • Conclusions:

    • Elder abuse is prevalent in the Netherlands, particularly when considering a broader range of perpetrators beyond close relatives.
    • Intervention strategies should prioritize the 40% of victims unable to resolve the abuse independently.