Elder abuse in the COVID-19 era based on calls to the National Center on Elder Abuse resource line.

COVID-19 Elder abuse Emotional abuse Family members Financial abuse Neglect Physical abuse

Journal

BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548

Informations de publication

Date de publication:
20 08 2022
Historique:
received: 12 04 2022
accepted: 12 08 2022
entrez: 20 8 2022
pubmed: 21 8 2022
medline: 24 8 2022
Statut: epublish

Résumé

The COVID-19 pandemic has exacerbated circumstances that place older adults at higher risk for abuse, neglect, and exploitation. Identifying characteristics of elder abuse during COVID-19 is critically important. This study characterized and compared elder abuse patterns across two time periods, a one-year period during the pandemic, and a corresponding one-year period prior to the start of the pandemic. Contacts (including social media contacts, and email; all referred to as "calls" for expediency) made to the National Center on Elder Abuse (NCEA) resource line were examined for differences in types of reported elder abuse and characteristics of alleged perpetrators prior to the pandemic (Time 1; March 16, 2018 to March 15, 2019) and during the pandemic (Time 2; March 16, 2020 to March 15, 2021). Calls were examined for whether or not abuse was reported, the types of reported elder abuse, including financial, physical, sexual, emotional, and neglect, and characteristics of callers, victims, and alleged perpetrators. Chi-square tests of independence compared frequencies of elder abuse characteristics between time periods. In Time 1, 1401 calls were received, of which 795 calls (56.7%) described abuse. In Time 2, 1009 calls were received, of which 550 calls (54.5%) described abuse. The difference between time periods in frequency of abuse to non-abuse calls was not significant ([Formula: see text]). Time periods also did not significantly differ with regard to caller, victim, and perpetrator characteristics. Greater rates of physical abuse ([Formula: see text] and emotional abuse ([Formula: see text] were reported during Time 2 after adjustment for multiple comparisons. An increased frequency of multiple forms of abuse was also found in Time 2 compared to Time 1 ([Formula: see text]. Findings suggest differences in specific elder abuse subtypes and frequency of co-occurrence between subtypes between time periods, pointing to a potential increase in the severity of elder abuse during COVID-19.

Sections du résumé

BACKGROUND
The COVID-19 pandemic has exacerbated circumstances that place older adults at higher risk for abuse, neglect, and exploitation. Identifying characteristics of elder abuse during COVID-19 is critically important. This study characterized and compared elder abuse patterns across two time periods, a one-year period during the pandemic, and a corresponding one-year period prior to the start of the pandemic.
METHODS
Contacts (including social media contacts, and email; all referred to as "calls" for expediency) made to the National Center on Elder Abuse (NCEA) resource line were examined for differences in types of reported elder abuse and characteristics of alleged perpetrators prior to the pandemic (Time 1; March 16, 2018 to March 15, 2019) and during the pandemic (Time 2; March 16, 2020 to March 15, 2021). Calls were examined for whether or not abuse was reported, the types of reported elder abuse, including financial, physical, sexual, emotional, and neglect, and characteristics of callers, victims, and alleged perpetrators. Chi-square tests of independence compared frequencies of elder abuse characteristics between time periods.
RESULTS
In Time 1, 1401 calls were received, of which 795 calls (56.7%) described abuse. In Time 2, 1009 calls were received, of which 550 calls (54.5%) described abuse. The difference between time periods in frequency of abuse to non-abuse calls was not significant ([Formula: see text]). Time periods also did not significantly differ with regard to caller, victim, and perpetrator characteristics. Greater rates of physical abuse ([Formula: see text] and emotional abuse ([Formula: see text] were reported during Time 2 after adjustment for multiple comparisons. An increased frequency of multiple forms of abuse was also found in Time 2 compared to Time 1 ([Formula: see text].
CONCLUSIONS
Findings suggest differences in specific elder abuse subtypes and frequency of co-occurrence between subtypes between time periods, pointing to a potential increase in the severity of elder abuse during COVID-19.

Identifiants

pubmed: 35987616
doi: 10.1186/s12877-022-03385-w
pii: 10.1186/s12877-022-03385-w
pmc: PMC9392067
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

689

Subventions

Organisme : NIA NIH HHS
ID : T32 AG000037
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG060096
Pays : United States
Organisme : NIA NIH HHS
ID : K01 AG064986
Pays : United States
Organisme : NIA NIH HHS
ID : RF1 AG068166
Pays : United States

Informations de copyright

© 2022. The Author(s).

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Auteurs

Gali H Weissberger (GH)

Interdisciplinary Department of Social Sciences, Bar-Ilan University, Ramat Gan, Israel. Gali.Weissberger@biu.ac.il.

Aaron C Lim (AC)

Department of Family Medicine, USC Keck School of Medicine, 1000 S. Fremont Avenue, Unit 22, HSA Building A-6, Alhambra, CA, 91803, USA.

Laura Mosqueda (L)

Department of Family Medicine, USC Keck School of Medicine, 1000 S. Fremont Avenue, Unit 22, HSA Building A-6, Alhambra, CA, 91803, USA.
USC Keck School of Medicine, 1975 Zonal Ave, Los Angeles, CA, 90033, USA.
National Center On Elder Abuse, Department of Family Medicine and Geriatrics, 1000 S. Fremont Avenue, Unit 22, HSA Building A-6, Alhambra, CA, 91803, USA.
USC Leonard Davis School of Gerontology, Los Angeles, CA, 90089, USA.

Julie Schoen (J)

Department of Family Medicine, USC Keck School of Medicine, 1000 S. Fremont Avenue, Unit 22, HSA Building A-6, Alhambra, CA, 91803, USA.
National Center On Elder Abuse, Department of Family Medicine and Geriatrics, 1000 S. Fremont Avenue, Unit 22, HSA Building A-6, Alhambra, CA, 91803, USA.

Jenna Axelrod (J)

NorthShore University HealthSystem, 909 Davis, Evanston, IL, 60201, USA.

Annie L Nguyen (AL)

Department of Family Medicine, USC Keck School of Medicine, 1000 S. Fremont Avenue, Unit 22, HSA Building A-6, Alhambra, CA, 91803, USA.

Kathleen H Wilber (KH)

USC Leonard Davis School of Gerontology, Los Angeles, CA, 90089, USA.

Richard S Esquivel (RS)

Department of Family Medicine, USC Keck School of Medicine, 1000 S. Fremont Avenue, Unit 22, HSA Building A-6, Alhambra, CA, 91803, USA.
National Center On Elder Abuse, Department of Family Medicine and Geriatrics, 1000 S. Fremont Avenue, Unit 22, HSA Building A-6, Alhambra, CA, 91803, USA.

S Duke Han (SD)

Department of Family Medicine, USC Keck School of Medicine, 1000 S. Fremont Avenue, Unit 22, HSA Building A-6, Alhambra, CA, 91803, USA.
USC Leonard Davis School of Gerontology, Los Angeles, CA, 90089, USA.
Rush Alzheimer's Disease Center, Rush University Medical Center, 600 S. Paulina St, Chicago, IL, 60612, USA.
Department of Psychology, USC Dornsife College of Letters, Arts, and Sciences, Los Angeles, CA, 90089, USA.
Department of Neurology, USC Keck School of Medicine, Los Angeles, CA, 90033, USA.

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