Skip to main content
Top
Published in: BMC Geriatrics 1/2022

Open Access 01-12-2022 | COVID-19 | Research

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

Authors: Gali H. Weissberger, Aaron C. Lim, Laura Mosqueda, Julie Schoen, Jenna Axelrod, Annie L. Nguyen, Kathleen H. Wilber, Richard S. Esquivel, S. Duke Han

Published in: BMC Geriatrics | Issue 1/2022

Login to get access

Abstract

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 (\(p=0.28\)). Time periods also did not significantly differ with regard to caller, victim, and perpetrator characteristics. Greater rates of physical abuse (\({\upchi }^{2}=23.52, p<0.001)\) and emotional abuse (\({\upchi }^{2}=7.12, p=0.008)\) 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 (\({\upchi }^{2}=23.52, p<0.001)\).

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.
Appendix
Available only for authorised users
Literature
1.
go back to reference Mosqueda L, Dong X. Elder Abuse and Self-neglect:“I Don’t Care Anything About Going to the Doctor, to Be Honest….” JAMA. 2011;306(5):532–40.CrossRef Mosqueda L, Dong X. Elder Abuse and Self-neglect:“I Don’t Care Anything About Going to the Doctor, to Be Honest….” JAMA. 2011;306(5):532–40.CrossRef
2.
go back to reference Pillemer K, Connolly M-T, Breckman R, Spreng N, Lachs MS. Elder mistreatment: Priorities for consideration by the White House Conference on Aging. Gerontologist. 2015;55(2):320–7.CrossRef Pillemer K, Connolly M-T, Breckman R, Spreng N, Lachs MS. Elder mistreatment: Priorities for consideration by the White House Conference on Aging. Gerontologist. 2015;55(2):320–7.CrossRef
4.
go back to reference Han SD, Mosqueda L. Elder Abuse in the COVID-19 Era. J Am Geriatr Soc. 2020;68(7):1386–7.CrossRef Han SD, Mosqueda L. Elder Abuse in the COVID-19 Era. J Am Geriatr Soc. 2020;68(7):1386–7.CrossRef
5.
go back to reference Makaroun LK, Bachrach RL, Rosland A-M. Elder abuse in the time of COVID-19—Increased risks for older adults and their caregivers. Am J Geriatr Psychiatry. 2020;28(8):876–80.CrossRef Makaroun LK, Bachrach RL, Rosland A-M. Elder abuse in the time of COVID-19—Increased risks for older adults and their caregivers. Am J Geriatr Psychiatry. 2020;28(8):876–80.CrossRef
6.
go back to reference Yunus RM, Abdullah NN, Firdaus MAM. Elder abuse and neglect in the midst of COVID-19. J Glob Health. 2021;11:03122.CrossRef Yunus RM, Abdullah NN, Firdaus MAM. Elder abuse and neglect in the midst of COVID-19. J Glob Health. 2021;11:03122.CrossRef
7.
go back to reference Burnes D, Pillemer K, Caccamise PL, Mason A, Henderson CR Jr, Berman J, et al. Prevalence of and risk factors for elder abuse and neglect in the community: a population-based study. J Am Geriatr Soc. 2015;63(9):1906–12.CrossRef Burnes D, Pillemer K, Caccamise PL, Mason A, Henderson CR Jr, Berman J, et al. Prevalence of and risk factors for elder abuse and neglect in the community: a population-based study. J Am Geriatr Soc. 2015;63(9):1906–12.CrossRef
8.
go back to reference Schiamberg LB, Gans D. Elder abuse by adult children: An applied ecological framework for understanding contextual risk factors and the intergenerational character of quality of life. Int J Aging Hum Dev. 2000;50(4):329–59.CrossRef Schiamberg LB, Gans D. Elder abuse by adult children: An applied ecological framework for understanding contextual risk factors and the intergenerational character of quality of life. Int J Aging Hum Dev. 2000;50(4):329–59.CrossRef
9.
go back to reference Acierno R, Hernandez MA, Amstadter AB, Resnick HS, Steve K, Muzzy W, et al. Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States: The National Elder Mistreatment Study. Am J Public Health. 2010;100(2):292–7.CrossRef Acierno R, Hernandez MA, Amstadter AB, Resnick HS, Steve K, Muzzy W, et al. Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States: The National Elder Mistreatment Study. Am J Public Health. 2010;100(2):292–7.CrossRef
10.
go back to reference Chang E-S, Levy BR. High prevalence of elder abuse during the COVID-19 pandemic: risk and resilience factors. Am J Geriatr Psychiatry. 2021;29(11):1152–9.CrossRef Chang E-S, Levy BR. High prevalence of elder abuse during the COVID-19 pandemic: risk and resilience factors. Am J Geriatr Psychiatry. 2021;29(11):1152–9.CrossRef
11.
go back to reference Du P, Chen Y. Prevalence of elder abuse and victim-related risk factors during the COVID-19 pandemic in China. BMC Public Health. 2021;21(1):1–10.CrossRef Du P, Chen Y. Prevalence of elder abuse and victim-related risk factors during the COVID-19 pandemic in China. BMC Public Health. 2021;21(1):1–10.CrossRef
12.
go back to reference Yan E, Lai DW, Lee VW, Bai X, KL Ng H. Abuse and discrimination experienced by older women in the era of COVID-19: a two-wave representative community survey in Hong Kong. Violence Against Women. 2022;28(8):1750–72. Yan E, Lai DW, Lee VW, Bai X, KL Ng H. Abuse and discrimination experienced by older women in the era of COVID-19: a two-wave representative community survey in Hong Kong. Violence Against Women. 2022;28(8):1750–72.
13.
go back to reference Weissberger GH, Goodman MC, Mosqueda L, Schoen J, Nguyen AL, Wilber KH, et al. Elder Abuse Characteristics Based on Calls to the National Center on Elder Abuse Resource Line. J Appl Gerontol. 2019;39(10):1078–87.CrossRef Weissberger GH, Goodman MC, Mosqueda L, Schoen J, Nguyen AL, Wilber KH, et al. Elder Abuse Characteristics Based on Calls to the National Center on Elder Abuse Resource Line. J Appl Gerontol. 2019;39(10):1078–87.CrossRef
14.
go back to reference Biggs S, Manthorpe J, Tinker A, Doyle M, Erens B. Mistreatment of older people in the United Kingdom: Findings from the first national prevalence study. J Elder Abuse Negl. 2009;21(1):1–14.CrossRef Biggs S, Manthorpe J, Tinker A, Doyle M, Erens B. Mistreatment of older people in the United Kingdom: Findings from the first national prevalence study. J Elder Abuse Negl. 2009;21(1):1–14.CrossRef
15.
go back to reference Choi NG, Mayer J. Elder abuse, neglect, and exploitation: Risk factors and prevention strategies. J Gerontol Soc Work. 2000;33(2):5–25.CrossRef Choi NG, Mayer J. Elder abuse, neglect, and exploitation: Risk factors and prevention strategies. J Gerontol Soc Work. 2000;33(2):5–25.CrossRef
16.
17.
go back to reference Moon A, Lawson K, Carpiac M, Spaziano E. Elder abuse and neglect among veterans in Greater Los Angeles: prevalence, types, and intervention outcomes. J Gerontol Soc Work. 2006;46(3–4):187–204.CrossRef Moon A, Lawson K, Carpiac M, Spaziano E. Elder abuse and neglect among veterans in Greater Los Angeles: prevalence, types, and intervention outcomes. J Gerontol Soc Work. 2006;46(3–4):187–204.CrossRef
18.
go back to reference Hall, JE, Karch, DL, Crosby, AE. Elder Abuse Surveillance: Uniform Definitions and Recommended Core Data Elements For Use In Elder Abuse Surveillance, Version 1.0. Atlanta (GA): National Center for Injury Prevention and Control, Centers for Disease Control and Prevention; 2016. Hall, JE, Karch, DL, Crosby, AE. Elder Abuse Surveillance: Uniform Definitions and Recommended Core Data Elements For Use In Elder Abuse Surveillance, Version 1.0. Atlanta (GA): National Center for Injury Prevention and Control, Centers for Disease Control and Prevention; 2016.
20.
go back to reference Amstadter AB, Zajac K, Strachan M, Hernandez MA, Kilpatrick DG, Acierno R. Prevalence and correlates of elder mistreatment in South Carolina: The South Carolina elder mistreatment study. J Interpers Violence. 2011;26(15):2947–72.CrossRef Amstadter AB, Zajac K, Strachan M, Hernandez MA, Kilpatrick DG, Acierno R. Prevalence and correlates of elder mistreatment in South Carolina: The South Carolina elder mistreatment study. J Interpers Violence. 2011;26(15):2947–72.CrossRef
21.
go back to reference Boserup B, McKenney M, Elkbuli A. Alarming trends in US domestic violence during the COVID-19 pandemic. Am J Emerg Med. 2020;38(12):2753–5.CrossRef Boserup B, McKenney M, Elkbuli A. Alarming trends in US domestic violence during the COVID-19 pandemic. Am J Emerg Med. 2020;38(12):2753–5.CrossRef
22.
go back to reference Moore RC, Hancock JT. Older Adults, Social Technologies, and the Coronavirus Pandemic: Challenges, Strengths, and Strategies for Support. Social Media+ Society. 2020;6(3):1–5. Moore RC, Hancock JT. Older Adults, Social Technologies, and the Coronavirus Pandemic: Challenges, Strengths, and Strategies for Support. Social Media+ Society. 2020;6(3):1–5.
23.
go back to reference Teaster P, Roberto K, Hoyt E, Savla J, Fua I, Kebede B. Adult Protective Services Study on the Impact of COVID-19: Findings From State Administrator Survey and Interviews with Local APS Staff. 2020. Teaster P, Roberto K, Hoyt E, Savla J, Fua I, Kebede B. Adult Protective Services Study on the Impact of COVID-19: Findings From State Administrator Survey and Interviews with Local APS Staff. 2020.
24.
go back to reference Liu P-J, Delagrammatikas L. Adult Protective Service’s Role in Addressing Older and Dependent Adult Abuse in the Age of COVID. Front Public Health. 2021;9:815. Liu P-J, Delagrammatikas L. Adult Protective Service’s Role in Addressing Older and Dependent Adult Abuse in the Age of COVID. Front Public Health. 2021;9:815.
25.
go back to reference Fisher BS, Regan SL. The extent and frequency of abuse in the lives of older women and their relationship with health outcomes. Gerontologist. 2006;46(2):200–9.CrossRef Fisher BS, Regan SL. The extent and frequency of abuse in the lives of older women and their relationship with health outcomes. Gerontologist. 2006;46(2):200–9.CrossRef
26.
go back to reference Post L, Page C, Conner T, Prokhorov A, Fang Y, Biroscak BJ. Elder abuse in long-term care: Types, patterns, and risk factors. Res Aging. 2010;32(3):323–48.CrossRef Post L, Page C, Conner T, Prokhorov A, Fang Y, Biroscak BJ. Elder abuse in long-term care: Types, patterns, and risk factors. Res Aging. 2010;32(3):323–48.CrossRef
Metadata
Title
Elder abuse in the COVID-19 era based on calls to the National Center on Elder Abuse resource line
Authors
Gali H. Weissberger
Aaron C. Lim
Laura Mosqueda
Julie Schoen
Jenna Axelrod
Annie L. Nguyen
Kathleen H. Wilber
Richard S. Esquivel
S. Duke Han
Publication date
01-12-2022
Publisher
BioMed Central
Keyword
COVID-19
Published in
BMC Geriatrics / Issue 1/2022
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-022-03385-w

Other articles of this Issue 1/2022

BMC Geriatrics 1/2022 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine