Abstract
Elder mistreatment is recognized as a pervasive public health problem with detrimental consequences for older adults and society. Although considerable research has examined elder mistreatment risk factors at the individual level, there is a growing call for the field to move beyond proximal causes and consider underlying structural factors that influence elder mistreatment. Illustrating this shift, organizations, advocacy groups and researchers have proposed a connection between ageism and elder mistreatment. However, despite the assertion that ageism is a causal factor for elder mistreatment, there is a scarcity of research to demonstrate this relationship. In this Perspective, we examine the proposed conceptual pathways and limited empirical research connecting ageism and elder mistreatment. After identifying critical gaps in current knowledge, we propose a model that links ageism and elder mistreatment and a research agenda to bring conceptual clarity and empirical evidence to the study of this topic.
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References
Pillemer, K., Burnes, D., Riffin, C. & Lachs, M. S. Elder abuse: global situation, risk factors, and prevention strategies. Gerontologist 56, S194–S205 (2016).
Lachs, M. S. & Pillemer, K. Elder abuse. N. Engl. J. Med. 373, 1947–1956 (2015).
Breckman, R. et al. When helping hurts: nonabusing family, friends, and neighbors in the lives of elder mistreatment victims. Gerontologist 58, 719–723 (2018).
World Health Organization. World Report on Ageing and Health (World Health Organization, 2015).
National Research Council. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America (National Academies Press, 2003).
Yon, Y., Mikton, C. R., Gassoumis, Z. D. & Wilber, K. H. Elder abuse prevalence in community settings: a systematic review and meta-analysis. Lancet Glob. Health 5, e147–e156 (2017).
Acierno, R., Hernandez-Tejada, M. A., Anetzberger, G. J., Loew, D. & Muzzy, W. The National Elder Mistreatment Study: an 8-year longitudinal study of outcomes. J. Elder Abuse Negl. 29, 254–269 (2017).
Yunus, R. M., Hairi, N. N. & Choo, W. Y. Consequences of elder abuse and neglect: a systematic review of observational studies. Trauma Violence Abuse 20, 197–213 (2019).
Easton, S. D. & Kong, J. Childhood adversities, midlife health, and elder abuse victimization: a longitudinal analysis based on cumulative disadvantage theory. J. Gerontol. B Psychol. Sci. Soc. Sci. https://doi.org/10.1093/geronb/gbaa095 (2020).
Stevens, M., Biggs, S., Dixon, J., Tinker, A. & Manthorpe, J. Interactional perspectives on the mistreatment of older and vulnerable people in long-term care settings. Br. J. Sociol. 64, 267–286 (2013).
World Health Organization. Elder Abuse (World Health Organization, 2020).
Officer, A. & de la Fuente-Núñez, V. A global campaign to combat ageism. Bull. World Health Organ. 96, 295–296 (2018).
Marques, S. et al. Determinants of ageism against older adults: a systematic review. Int. J. Environ. Res. Public Health 17, 2560–2582 (2020).
Bugental, D. B. & Hehman, J. A. Ageism: a review of research and policy implications. Soc. Issues Policy Rev. 1, 173–216 (2007).
Walsh, C. A., Olson, J. L., Ploeg, J., Lohfeld, L. & MacMillan, H. L. Elder abuse and oppression: voices of marginalized elders. J. Elder Abuse Negl. 23, 17–42 (2012).
Imbody, B. & Vandsburger, E. Elder abuse and neglect: assessment tools, interventions, and recommendations for effective services provision. Educ. Gerontol. 37, 634–650 (2011).
Harbison, J. Models of intervention for ‘elder abuse and neglect’: a Canadian perspective on ageism, participation, and empowerment. J. Elder Abuse Negl. 10, 1–17 (1999).
Phelan, A. & Ayalon, L. The intersection of ageism and elder abuse. in Advances in Elder Abuse Research Vol. 24 (Ed. Phelan, A.) 11–22 (Springer, 2020).
Phelan, A. Elder abuse, ageism, human rights, and citizenship: implications for nursing discourse. Nurs. Inq. 15, 320–329 (2008).
Dow, B. & Joosten, M. Understanding elder abuse: a social rights perspective. Int. Psychogeriatr. 24, 853–855 (2012).
Shepherd, B. F. & Brochu, P. M. How do stereotypes harm older adults? A theoretical explanation for the perpetration of elder abuse and its rise. Aggress. Violent Behav. https://doi.org/10.1016/j.avb.2020.101435 (2020).
Yon, Y. et al. Is ageism in university students associated with elder abuse? J. Intergen. Relationships 8, 386–402 (2010).
Yechezkel, R. & Ayalon, L. Social workers’ attitudes towards intimate partner abuse in younger vs. older women. J. Fam. Violence 28, 381–391 (2013).
Erlingsson, C. L., Carlson, S. L. & Saveman, B. I. Perceptions of elder abuse: voices of professionals and volunteers in Sweden—an exploratory study. Scand. J. Caring Sci. 20, 151–159 (2006).
Bužgová, R. & Ivanová, K. Elder abuse and mistreatment in residential settings. Nurs. Ethics 16, 110–126 (2009).
Drennan, J. et al. Older People in Residential Care Settings: Results of a National Survey of Staff–Resident Interactions and Conflicts (National Centre for the Protection of Older People, University College Dublin, 2012).
Pillemer, K. & Moore, D. W. Abuse of patients in nursing homes: findings from a survey of staff. Gerontologist 29, 314–320 (1989).
Capaldi, D. M., Knoble, N. B., Shortt, J. W. & Kim, H. K. A systematic review of risk factors for intimate partner violence. Partner Abuse 3, 231–280 (2012).
Stith, A. M., Smith, D. B., Penn, C. E., Ward, D. B. & Tritt, D. Intimate partner physical abuse perpetration and victimization risk factors: a meta-analytic review. Aggress. Violent Behav. 10, 65–98 (2004).
Ateah, C. A. & Durrant, J. E. Maternal use of physical punishment in response to child misbehavior: implications of child abuse prevention. Child Abuse Negl. 29, 169–185 (2005).
Rodriguez, C. M., Bower-Russa, M. B. & Harmon, N. Assessing abuse risk beyond self-report: analog task of acceptability of parent–child aggression. Child Abuse Negl. 35, 199–209 (2011).
Vittrup, B., Holden, G. W. & Buck, J. Attitudes predict the use of physical punishment: a prospective study of the emergence of disciplinary practices. Pediatrics 117, 2055–2064 (2006).
Gracia, E., Rodriguez, C. M., Martín-Fernández, M. & Lila, M. Acceptability of family violence: underlying ties between intimate partner violence and child abuse. J. Interpers. Violence 35, 3217–3236 (2017).
Durrant, J., Rose-Krasnor, L. & Brobeg, A. G. Physical punishment and maternal beliefs in Sweden and Canada. J. Comp. Fam. Stud. 34, 3217–3236 (2003).
Lansford, J. E., Deater-Deckard, K., Bornstein, M., Putnick, D. L. & Bradley, R. H. Attitudes justifying domestic violence predict endorsement of corporal punishment and physical and psychological aggression towards children: a study in 24 low- and middle-income countries. J. Pediatr. 164, 1208–1213 (2014).
Salari, S. M. & Rich, M. Social and environmental infantilization of aged persons: observations in two adult day care centers. Int. J. Aging Hum. Dev. 52, 115–134 (2001).
Jongsma, K. & Schweda, M. Return to childhood? Against the infantilization of people with dementia. Bioethics 32, 414–420 (2018).
Burnes, D., Lachs, M. S. & Pillemer, K. Addressing the measurement challenge in elder abuse interventions: need for a severity framework. J. Elder Abuse Negl. 30, 402–407 (2018).
Seddig, D., Maskileyson, D. & Davidov, E. The comparability of measures in the ageism module of the fourth round of the European social survey, 2008–2009. Surv. Res. Methods 14, 351–364 (2020).
Kim, J.-H., Song, A., Chung, S., Kwak, K. B. & Lee, Y. The comparative macro-level ageism index: an international comparison. J. Aging Soc. Policy https://doi.org/10.1080/08959420.2020.1750540 (2020).
Lahey, J. N. International comparison of age discrimination laws. Res. Aging 32, 679–697 (2010).
Officer, A., Thiyagarajan, J. A., Schneiders, M. L., Nash, P. & de la Fuente-Núñez, V. Ageism, healthy life expectancy, and population ageing: how are they related. Int. J. Environ. Res. Public Health 17, 3159 (2020).
Wolf, L. E. et al. Certificates of Confidentiality: protecting human subject research data in law and practice. J. Law Med. Ethics 43, 594–609 (2015).
Storey, J. E. Risk factors for elder abuse and neglect: a review of the literature. Aggress. Violent Behav. 50, 101339 (2020).
Pillemer, K., Connolly, M. T., Breckman, R., Spreng, N. & Lachs, M. S. Elder mistreatment: priorities for consideration by the White House Conference on Aging. Gerontologist 55, 320–327 (2015).
Burnes, D. et al. Interventions to reduce ageism against older adults: a systematic review and meta-analysis. Am. J. Public Health 109, e1–e9 (2019).
Acknowledgements
We thank D. Hancock for helpful comments on this article. K.P. acknowledges support from an Edward R. Roybal Center Grant from the National Institute on Aging (P30AG022845). D.B. acknowledges support from the National Institute on Aging (R01AG060080-0).
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K.P. led manuscript writing and collaborated on manuscript conceptualization, editing and revisions; D.B. collaborated on manuscript conceptualization, writing, editing and revisions; and A.M. collaborated on manuscript conceptualization, writing, editing and revisions.
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Peer review information Nature Aging thanks Briony Dow, Gill Livingston and the other, anonymous, reviewer(s) for their contribution to the peer review of this work.
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Pillemer, K., Burnes, D. & MacNeil, A. Investigating the connection between ageism and elder mistreatment. Nat Aging 1, 159–164 (2021). https://doi.org/10.1038/s43587-021-00032-8
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DOI: https://doi.org/10.1038/s43587-021-00032-8
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