000			03082nab a22003497a 4500
999			_c7971 _d7971
005			20250625151629.0
008			230120s2021 xxu||||| |||| 00| 0 eng d
040			_aAFVC
100			_aChang, E-Shien _911556
245			_aHigh prevalence of elder abuse during the COVID-19 pandemic : _brisk and resilience factors _cE-Shien Chang and Becca R. Levy
260			_bThe American Journal of Geriatric Psychiatry, _c2021
500			_aThe American Journal of Geriatric Psychiatry, 2021, 29(11): 1152-1159
520			_bObjective: Before the COVID-19 pandemic, elder abuse affected one in 10 American older adults annually. It has been assumed that the pandemic has brought with it a surge in elder abuse due to individuals ordered to stay at home combined with increased interpersonal stressors. However, empirical evidence is lacking. This study aims to estimate the prevalence of, and risk and resilience factors of elder abuse during the pandemic. Methods: The survey was conducted via two online platforms during April 23 and May 5, 2020, when all states had stay-at-home orders. The final cohort consisted of a sociodemographically diverse sample of 897 older persons in the United States. The prevalence of elder abuse was evaluated by a validated measure previously used in a population-based study of elder abuse. Pandemic-related factors were examined at the community, relational, and individual contexts. We conducted multivariate logistic regression analyses to examine determinants of elder abuse. Results: One in five older persons in the study sample (n = 191; 21.3%) reported elder abuse, an increase of 83.6% from prevalence estimates before the pandemic. In the final models, sense of community emerged as a persistent protective factor for elder abuse (odds ratio [OR]: 0.89, 95% confidence interval [CI]: 0.85–0.93). At the relational level, physical distancing was associated with reduced risk of elder abuse (OR: 0.94, 95% CI: 0.90–0.98). At the individual level, financial strain was associated with increased risk of abuse (OR: 1.08, 95% CI: 1.02–1.14). Conclusion: Health care professionals and policy makers must be prepared to address the increase in elder abuse associated with the evolving pandemic. (Authors' abstract). Record #7971
650			_aELDER ABUSE _9220
650			_aCOVID-19 _98949
650			_aFINANCIAL ABUSE _92968
650			_aOLDER PEOPLE _9414
650			_aPANDEMICS _98950
650			_aPHYSICAL ABUSE _9439
650			_aPROTECTIVE FACTORS _94270
650		4	_aPSYCHOLOGICAL ABUSE _9472
650			_aPREVALENCE _9457
650			_aRISK FACTORS _9505
650			_aSURVEYS _9592
651			_aINTERNATIONAL _93624
651		4	_aUNITED STATES _92646
700			_aLevy, Becca R. _911557
773	0		_tThe American Journal of Geriatric Psychiatry, 2021, 29(11): 1152-1159
830			_aThe American Journal of Geriatric Psychiatry _911558
856			_uhttps://doi.org/10.1016/j.jagp.2021.01.007 _zDOI: 10.1016/j.jagp.2021.01.007 (Open access)
942			_2ddc _cARTICLE _hnews117