title: Five-year all-cause mortality rates across five categories of substantiated elder abuse occurring in the community.
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.
authors.affiliation: a Medical School-Geriatric and Palliative Medicine , UTHealth Houston , Houston , Texas , USA.|b Texas Elder Abuse and Mistreatment Institute , Houston , Texas , USA.|c Department of Biostatistics, School of Public Health , UTHealth Houston , Houston , Texas , USA.|d Department of Health Promotion and Behavioral Sciences, School of Public Health , UTHealth Houston , Houston , Texas , USA.|e Consortium on Aging , UTHealth Houston , Houston , Texas , USA.
authors.forename: Jason
authors.initials: J
authors.lastname: Burnett
authors.affiliation: f Institute of Law, Psychiatry and Public Policy , University of Virginia , Charlottesville , Virginia , USA.
authors.forename: Shelly L
authors.initials: SL
authors.lastname: Jackson
authors.affiliation: c Department of Biostatistics, School of Public Health , UTHealth Houston , Houston , Texas , USA.
authors.forename: Arup K
authors.initials: AK
authors.lastname: Sinha
authors.affiliation: c Department of Biostatistics, School of Public Health , UTHealth Houston , Houston , Texas , USA.
authors.forename: Andrew R
authors.initials: AR
authors.lastname: Aschenbrenner
authors.affiliation: a Medical School-Geriatric and Palliative Medicine , UTHealth Houston , Houston , Texas , USA.|b Texas Elder Abuse and Mistreatment Institute , Houston , Texas , USA.|e Consortium on Aging , UTHealth Houston , Houston , Texas , USA.
authors.forename: Kathleen Pace
authors.initials: KP
authors.lastname: Murphy
authors.affiliation: a Medical School-Geriatric and Palliative Medicine , UTHealth Houston , Houston , Texas , USA.|b Texas Elder Abuse and Mistreatment Institute , Houston , Texas , USA.
authors.forename: Rui
authors.initials: R
authors.lastname: Xia
authors.affiliation: b Texas Elder Abuse and Mistreatment Institute , Houston , Texas , USA.|c Department of Biostatistics, School of Public Health , UTHealth Houston , Houston , Texas , USA.|d Department of Health Promotion and Behavioral Sciences, School of Public Health , UTHealth Houston , Houston , Texas , USA.|e Consortium on Aging , UTHealth Houston , Houston , Texas , USA.
authors.forename: Pamela M
authors.initials: PM
authors.lastname: Diamond
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D004552:Elder Abuse / Q000145:classification / Q000401:mortality* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D013781:Texas / Q000453:epidemiology
keywords: Caregiver neglect; elder abuse; financial exploitation; mortality; polyvictimization