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Abuse and Neglect of Community-Dwelling Older Adults: Index Generation, an Assessment of Intensity, and Implications for Ageing in Place

Abstract

Abuse and neglect of older adults in the community are a threat to aging in place programs. Recently, some researchers constructed the first scale for assessing elderly abuse and neglect in the neighborhood for research and routine monitoring. This study provides a protocol for generating an index from this tool and assessing the intensity of abuse and neglect. Implications for aging in place are also provided. This study adopted a cross-sectional study and an analysis of secondary data on 515 community-dwelling older adults aged 60 years or higher. Standards in the literature were followed to develop a protocol for generating an index and assessing the intensity of abuse and neglect. The abuse and neglect scale has index scores ranging between 1 and 33, which means that the average score from the index that indicates the intensity of abuse and neglect would fall between this range. We found that abuse and neglect were moderate for the whole scale and the domain “discrimination and harassment” but was high for the domain “neglect and assault.” The dichotomization of the scale showed that high abuse and neglect can be associated with an increase or decrease in social activity. The abuse and neglect scale can be used as a monitoring tool to routinely assess the intensity of elderly abuse and neglect. The dichotomization of the scale can reveal how the highest level of abuse and neglect is affecting behaviors in community-dwelling older adults.

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REFERENCES

  1. Asiamah, N., Kouveliotis, K., Eduafo, R., et al., Assessing the maturity of community-level built environments for older adults’ active behaviors: highlights from a psychometric test, Adv. Gerontol., 2020, vol. 33, no. 1, pp. 153–158.

    CAS  PubMed  Google Scholar 

  2. Asiamah, N., Kouveliotis, K., Eduafo, R., et al., Psychometric properties of a new scale measuring neglect and abuse of older adults in the community: implications for social activity, Int. Q. Commun. Health Educ., 2020, vol. 41, no. 2, pp. 163–172. https://doi.org/10.1177/0272684X20915384

    Article  Google Scholar 

  3. Ayalon, L., Reports of elder neglect by older adults, their family caregivers, and their home care workers: a test of measurement invariance, J. Gerontol. Ser. B: Psychol. Sci. Soc. Sci., 2014, vol. 70, no. 3, pp. 432–442. https://doi.org/10.1093/geronb/gbu051

    Article  Google Scholar 

  4. Barnett, D.W., Barnett, A., Nathan, A., et al., Built environmental correlates of older adults’ total physical activity and walking: a systematic review and meta-analysis, Int. J. Behav. Nutr. Phys. Act., 2017, vol. 14, no. 1, pp. 1–24. https://doi.org/10.1186/s12966-017-0558-z

    Article  Google Scholar 

  5. Chen, B.I., Hsueh, M.C., Rutherford, R., et al., The associations between neighborhood walkability attributes and objectively measured physical activity in older adults, PLoS One, 2019, vol. 14, no. 9, pp. 1–12. https://doi.org/10.1371/journal.pone.0222268

    Google Scholar 

  6. Cherry, K.E., Walker, E.J., Brown, J.S., et al., Social engagement and health in younger, older, and oldest-old adults in the Louisiana healthy aging study, J. Appl. Gerontol., 2011, vol. 32, no. 1, pp. 51–75. https://doi.org/10.1177/0733464811409034

    Article  Google Scholar 

  7. Christman, Z.J., Wilson-Genderson, M., Heid, A., et al., The effects of neighborhood built environment on walking for leisure and for purpose among older people, Gerontologist, 2019, vol. 59, no. 1, pp. 1–10. https://doi.org/10.1093/geront/gnz093

    Article  Google Scholar 

  8. Edwards, N. and Dulai, J., Examining the relationships between walkability and physical activity among older persons: what about stairs?, BMC Publ. Health, 2018, vol. 18, no. 1, pp. 1–11. https://doi.org/10.1186/s12889-018-5945-0

    Article  Google Scholar 

  9. FaquinelloI, P. and Marcon, S.S., Friends and neighbors: an active social network for adult and elderly hypertensive individuals, Revista da Escola de Enfermagem da USP, 2011, vol. 45, no. 6, pp. 1343–1349. https://doi.org/10.1590/s0080-62342011000600010

  10. Garson, D., Testing Statistical Assumptions, Statistical Associates Publishing, Blue Book Publishing, 2012., рр. 1–52.

    Google Scholar 

  11. Gil-Lacruz, M., Saz-Gil, M.I., and Gil-Lacruz, A.I., Benefits of older volunteering on wellbeing: an international comparison, Front. Psychol., 2019, vol. 10, no. 1, pp. 1–12. https://doi.org/10.3389/fpsyg.2019.02647

    Article  Google Scholar 

  12. Hartley, J., Some thoughts on Likert-type scales, Int. J. Clin. Health Psychol., 2013, vol. 13, no. 1, рр. 83–86.

  13. Lawton, M.P., Environment and Aging, Los Angeles: Brooks/Cole, 1980.

    Google Scholar 

  14. Lu, W., Pikhart, H., and Sacker, A., Domains and measurements of healthy aging in epidemiological studies: a review, Gerontologist, 2018, vol. 59, no. 4, pp. 294–310. https://doi.org/10.1093/geront/gny029

    Article  Google Scholar 

  15. Mabikwa, O.V., Greenwood, D.C., Baxter, P.D., et al., Assessing the reporting of categorised quantitative variables in observational epidemiological studies, BMC Health Serv. Res., 2017, vol. 17, no. 1, pp. 1–8. https://doi.org/10.1186/s12913-017-2137-z

    Article  Google Scholar 

  16. Morrow-Howell, N., Hinterlong, J., Rozario, P.A., et al., Effects of volunteering on the well-being of older adults, J. Gerontol., Ser. B, 2003, vol. 58, no. 3, pp. S137–S145. https://doi.org/10.1093/geronb/58.3.s137

  17. Nadler, J.T., Weston, R., and Voyles, E.C., Stuck in the middle: the use and interpretation of mid-points in items on questionnaires, J. Gen. Psychol., 2015, vol. 142, no. 2, pp. 71–89. https://doi.org/10.1080/00221309.2014.994590

    Article  Google Scholar 

  18. Nelson, S.L.P., Ramakrishnan, V., Nietert, P.J., et al., An evaluation of common methods for dichotomization of continuous variables to discriminate disease status, Commun. Stat.—Theory Methods, 2016, vol. 46, no. 21, pp. 10 823–10 834. https://doi.org/10.1080/03610926.2016.1248783

    Article  Google Scholar 

  19. Norman, G., Likert scales, levels of measurement and the “laws” of statistics, Adv. Health Sci. Educ., 2010, vol. 15, no. 5, pp. 625–632. https://doi.org/10.1007/s10459-010-9222-y

    Article  Google Scholar 

  20. Oyeyemi, A.L., Kolo, S.M., Rufai, A.A., et al., Associations of neighborhood walkability with sedentary time in Nigerian older adults, Int. J. Environ. Res. Publ. Health, 2019, vol. 16, no. 11, pp. 1–12. https://doi.org/10.3390/ijerph16111879

    Article  Google Scholar 

  21. Phillips, L.J., Measuring symptoms of depression, Res. Gerontol. Nursing, 2012, vol. 5, no. 1, pp. 34–42. https://doi.org/10.3928/19404921-20111206-03

    Article  Google Scholar 

  22. Sass, D.A. and Smith, P.L., The effects of parceling unidimensional scales on structural parameter estimates in structural equation modeling, Struct. Equation Model., 2006, vol. 13, no. 4, pp. 566–586. https://doi.org/10.1207/s15328007sem1304_4

  23. Sharp, R., The Hamilton rating scale for depression, Occup. Med., 2015, vol. 65, no. 4, p. 1. https://doi.org/10.1093/occmed/kqv043

    Article  Google Scholar 

  24. Sullivan, G.M. and Artino, A.R., Analyzing and interpreting data from Likert-type scales, J. Graduate Med. Educ., 2013, vol. 5, no. 4, pp. 541–542. https://doi.org/10.4300/JGME-5-4-18

    Article  Google Scholar 

  25. Williams, N., The Borg Rating of Perceived Exertion (RPE) scale, Occup. Med., 2017, vol. 67, no. 5, pp. 404–405. https://doi.org/10.1093/occmed/kqx063

    Article  Google Scholar 

  26. Wiles, J.L., Leibing, A., Guberman, N., et al., The meaning of “aging in place” to older people, Gerontologist, 2011, vol. 52, no. 3, pp. 357–366. https://doi.org/10.1093/geront/gnr098

    Article  Google Scholar 

  27. Yon, Y., Ramiro-Gonzalez, M., Mikton, C.R., et al., The prevalence of elder abuse in institutional settings: a systematic review and meta-analysis, Eur. J. Publ. Health, 2018, vol. 29, no. 1, pp. 58–67. https://doi.org/10.1093/eurpub/cky093

    Article  Google Scholar 

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Correspondence to N. Asiamah.

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The authors declare that they have no conflicts of interest. This article does not contain any studies involving animals or human participants performed by any of the authors.

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Asiamah, N., Conduah, A.K., Danquah, E. et al. Abuse and Neglect of Community-Dwelling Older Adults: Index Generation, an Assessment of Intensity, and Implications for Ageing in Place. Adv Gerontol 12, 176–183 (2022). https://doi.org/10.1134/S2079057022020035

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  • DOI: https://doi.org/10.1134/S2079057022020035

Keywords:

  • abuse
  • neglect
  • older adults
  • scale
  • social activity
  • aging in place