Evidence map›Paper›PMID 33518464›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2021

High Prevalence of Elder Abuse During the COVID-19 Pandemic: Risk and Resilience Factors.

E-Shien Chang, Becca R Levy

Abstract read
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Review
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  10. Rural-Urban Differences in the Prevalence and Correlates of Elder Mistreatment.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
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  15. Improved outcomes for depressed elder abuse victims with video-delivered psychotherapy during COVID-19.Psychotherapy research : journal of the Society for Psychotherapy Research · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

E-Shien ChangDepartment of Social and Behavioral Sciences (ESC, BRL), Yale School of Public Health, New Haven, CT. Electronic address: E-Shien.Chang@yale.edu.
Becca R LevyDepartment of Social and Behavioral Sciences (ESC, BRL), Yale School of Public Health, New Haven, CT; Department of Psychology (BRL), Yale University, New Haven, CT.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Pilot CoreP30AG022845 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Manney Carrington Reid, ELAINE WETHINGTON · 2003 to 2026
$15.2M
Culture-Gene Relationship: A Novel Model of Aging Cognitive HealthU01AG032284 · NIA · YALE UNIVERSITY · PI LEVY, BECCA R · 2017 to 2020
$1.7M
NCATS NIH HHS UL1 TR001863NIA NIH HHS P30 AG022845NIA NIH HHS U01 AG032284
6 · The paper itself

Abstract

objectiveBefore 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.

methodsThe 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.

resultsOne 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).

conclusionHealth care professionals and policy makers must be prepared to address the increase in elder abuse associated with the evolving pandemic.

Indexed as

COVID-19Elder AbuseAgedAged, 80 and overHumansPandemicsPrevalenceProtective FactorsRisk FactorsSARS-CoV-2United StatesCOVID-19Elder abuseolder adultssocial determinants of health

Identifiers

PMID33518464
PMCPMC8286979

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.