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The mortality of elder mistreatment

M S Lachs1, C S Williams, S O'Brien

  • 1Division of Geriatrics and Gerontology, Cornell University Medical College, New York, NY 10021, USA.

JAMA
|August 13, 1998
PubMed
Summary

Elder mistreatment and self-neglect significantly increase mortality risk in older adults. This study found that victims of elder mistreatment had a 3.1 times higher risk of death, highlighting the critical need for protective services.

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Area of Science:

  • Gerontology
  • Public Health
  • Epidemiology

Background:

  • Elder mistreatment is a serious concern, but its impact on survival is not well understood.
  • Little is known about the mortality risks associated with elder abuse, neglect, and exploitation.

Purpose of the Study:

  • To determine the independent effect of reported elder abuse and neglect on all-cause mortality.
  • To analyze survival rates in community-dwelling older adults experiencing mistreatment.

Main Methods:

  • A prospective cohort study followed 2812 adults over 65 for at least 9 years.
  • Examined all-cause mortality in relation to corroborated elder mistreatment (abuse, neglect, exploitation) and self-neglect.

Main Results:

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  • Elder mistreatment was associated with significantly poorer survival rates (9%) compared to self-neglect (17%) and non-investigated individuals (40%).
  • Adjusted analyses revealed an elevated risk of death for those experiencing elder mistreatment (OR 3.1) and self-neglect (OR 1.7).
  • Conclusions:

    • Reported and verified elder mistreatment and self-neglect are linked to reduced survival in older adults.
    • These findings underscore the importance of protective services in mitigating mortality risks associated with elder mistreatment.