Evidence map›Paper›PMID 36460947›Full record

ArticleBMC geriatrics2022

Elder abuse and life-course victimization in hospitalized older adults in Sweden: prevalence and associations with mental ill-health.

Nicolina Wiklund, Mikael Ludvigsson, Katarina Nägga, Johanna Simmons

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 3% of its field
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
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  11. Lifetime Abuse Victimization and Prospective Health Outcomes in Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
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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

4 authors at 2 institutions in 1 country.

Nicolina WiklundDepartment of Acute Internal Medicine and Geriatrics in Linköping and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Mikael LudvigssonDepartment of Acute Internal Medicine and Geriatrics in Linköping and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Katarina NäggaDepartment of Acute Internal Medicine and Geriatrics in Linköping and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Johanna SimmonsDepartment of Acute Internal Medicine and Geriatrics in Linköping and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden. Johanna.simmons@liu.se.
Linköping University · SEÖrebro University Hospital · SE

Funding

Region Östergötland RÖ-964271Swedish Crime Victim Fund 2944/2018Swedish Crime Victim Fund 3322/2017Swedish Crime Victim Fund 3384/2019
6 · The paper itself

Abstract

backgroundThe prevalence of elder abuse has only rarely been investigated in Sweden and never in a hospital setting. Therefore, the aims of this study were to: 1) Estimate the prevalence of elder abuse and life-course victimization among hospitalized older adults in Sweden, 2) Explore factors associated with elder abuse in the same sample, and 3) Explore the associations between life-course victimization and mental ill-health.

methodsThe study was conducted at a university hospital in Sweden. Adults over the age of 65 years admitted to a medical or geriatric acute care ward during spring 2018 were consecutively recruited. The participant rate was 44% (n = 135/306). Participants were assessed via a face-to-face interview about their experiences of elder abuse and abuse earlier in life. Mental ill-health was measured using a self-administered depression assessment (Patient Health Questionnaire-9), along with information about medications and diagnoses retrieved from medical records.

resultsAltogether, 40.7% (n = 55) of the participants reported some form of abusive experience during their life course. The prevalence of elder abuse was 17.8% (n = 24), and 58% (n = 14) of elder abuse victims also reported victimization earlier in life. Being abused before the age of 65 was the only background factor associated with elder abuse (OR = 5.4; 95% CI 1.9-15.7). Reporting abusive experiences both before and after the age of 65 was associated with current anti-depressant medication (OR = 6.6; 95% CI 1.1-39.2), a PHQ-9 result of 10 or more (OR = 10.4; 95% CI 2.1-51.0), and nine or more symptom diagnoses (OR = 4.0, 95% CI 1.0-16.1). Being abused only before or after the age of 65 was not significantly associated with any mental ill-health outcome measure.

conclusionsElder abuse and victimization earlier in life are highly prevalent among hospitalized older patients, and our findings underline the importance of a life-course perspective both in research on elder abuse and in clinical practice. Identifying and caring for older adults who have been subjected to abuse should be a priority in health care.

Indexed as

Crime VictimsElder AbuseAgedHospitals, UniversityHumansLife Change EventsPrevalenceSwedenCumulative inequalityInterpersonal violenceLife-course perspectivePolyvictimization

Identifiers

PMID36460947
PMCPMC9716666
OpenAlexW4311102203

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LicenceCC BY
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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.