prevalence of elder abuse in institutional settings: a systematic review and meta-analysis.

Background A recent study has shown that close to one in six older adults have experienced elder abuse in a community setting in the past year. It is thought that abuse in institutions is just as prevalent. Few systematic evidence of the scale of the problem exists in elder care facilities. The aim...

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Publicado en:European Journal of Public Health Vol. 29; no. 1; pp. 58 - 68
Autores principales: Yon, Yongjie, Ramiro-Gonzalez, Maria, Mikton, Christopher R, Huber, Manfred, Sethi, Dinesh
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Oxford University Press / USA Feb2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2019
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      pub: Oxford University Press / USA
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        10.1093/eurpub/cky093
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        atl: prevalence of elder abuse in institutional settings: a systematic review and meta-analysis.
      aug:
        au:
          Yon, Yongjie
          Ramiro-Gonzalez, Maria
          Mikton, Christopher R
          Huber, Manfred
          Sethi, Dinesh
        affil: WHO Regional Office for Europe, Copenhagen DR-2100, Denmark
      sug:
        subj:
          Elder Abuse Epidemiology
          Institutionalization
          Human
          Systematic Review
          Meta Analysis
          Prevalence
          Medical Staff Psychosocial Factors
          Self Report
          Verbal Abuse
          Violence
          Sexual Abuse
          Elder Abuse Prevention and Control
      ab: Background A recent study has shown that close to one in six older adults have experienced elder abuse in a community setting in the past year. It is thought that abuse in institutions is just as prevalent. Few systematic evidence of the scale of the problem exists in elder care facilities. The aim of this review is to conduct a systematic review and meta-analysis of the problem in institutional settings and to provide estimates of the prevalence of elder abuse in the past 12 months. Methods Fourteen academic databases and other online platforms were systematically searched for studies on elder abuse. Additionally, 26 experts in the field were consulted to identify further studies. All studies were screened for inclusion criteria by two independent reviewers. Data were extracted, and meta-analysis was conducted. Self-reported data from older residents and staff were considered separately. Results Nine studies met the inclusion criteria from an initial of 55 studies identified for review. Overall abuse estimates, based on staff reports, suggest that 64.2% of staff admitted to elder abuse in the past year. There were insufficient studies to calculate an overall prevalence estimate based on self-reported data from older residents. Prevalence estimates for abuse subtypes reported by older residents were highest for psychological abuse (33.4%), followed by physical (14.1%), financial (13.8%), neglect (11.6%), and sexual abuse (1.9%). Conclusions The prevalence of elder abuse in institutions is high. Global action to improve surveillance and monitoring of institutional elder abuse is vital to inform policy action to prevent elder abuse.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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