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Five-year all-cause mortality rates across five categories of substantiated elder abuse occurring in the community
Authors:Jason Burnett PhD  Shelly L. Jackson PhD  Arup K. Sinha MS  Andrew R. Aschenbrenner BS  MS  Kathleen Pace Murphy PhD  Rui Xia PhD
Affiliation:1. Medical School-Geriatric and Palliative Medicine, UTHealth Houston, Houston, Texas, USA;2. Texas Elder Abuse and Mistreatment Institute, Houston, Texas, USA;3. Department of Biostatistics, School of Public Health, UTHealth Houston, Houston, Texas, USA;4. Department of Health Promotion and Behavioral Sciences, School of Public Health, UTHealth Houston, Houston, Texas, USA;5. Consortium on Aging, UTHealth Houston, Houston, Texas, USAJason.Burnett@uth.tmc.edu;7. Institute of Law, Psychiatry and Public Policy, University of Virginia, Charlottesville, Virginia, USA;8. Department of Biostatistics, School of Public Health, UTHealth Houston, Houston, Texas, USA;9. Consortium on Aging, UTHealth Houston, Houston, Texas, USA
Abstract:ABSTRACT

Elder abuse increases the likelihood of early mortality, but little is known regarding which types of abuse may be resulting in the greatest mortality risk. This study included N = 1,670 cases of substantiated elder abuse and estimated the 5-year all-cause mortality for five types of elder abuse (caregiver neglect, physical abuse, emotional abuse, financial exploitation, and polyvictimization). Statistically significant differences in 5-year mortality risks were found between abuse types and across gender. Caregiver neglect and financial exploitation had the lowest survival rates, underscoring the value of considering the long-term consequences associated with different forms of abuse. Likewise, mortality differences between genders and abuse types indicate the need to consider this interaction in elder abuse case investigations and responses. Further mortality studies are needed in this population to better understand these patterns and implications for public health and clinical management of community-dwelling elder abuse victims.
Keywords:Caregiver neglect  elder abuse  financial exploitation  mortality  polyvictimization
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