Washington State University, Vancouver, USA.
Virginia Tech, Blacksburg, USA.
Prev Sci. 2023 Jul;24(5):911-925. doi: 10.1007/s11121-022-01470-5. Epub 2023 May 5.
Elder maltreatment (EM) has been understood as a worldwide major public health threat for decades, yet it remains a form of victimization receiving limited attention, resources, and research. EM, which includes caregiver neglect and self-neglect, has far-reaching and long-lasting impacts on older adults, their families, and communities. Rigorous prevention and intervention research has significantly lagged in proportion to the magnitude of this problem. With rapidly growing population aging, the coming decade will be transformative: by 2030, one in six people worldwide will be aged 60 or older, and approximately 16% will experience at least one form of maltreatment (World Health Organization, 2021). The goal of this paper is to raise awareness of the context and complexities of EM, provide an overview of current intervention strategies based on a scoping review, and discuss opportunities for further prevention research, practice, and policy within an ecological model applicable to EM.
虐待老年人(EM)几十年来一直被认为是全球主要的公共卫生威胁,但它仍然是一种受到关注、资源和研究有限的受害形式。包括照顾者忽视和自我忽视在内的 EM 对老年人、他们的家庭和社区都有着深远而持久的影响。严格的预防和干预研究与这一问题的严重程度相比严重滞后。随着人口老龄化的迅速增长,未来十年将发生重大变化:到 2030 年,全球每六个人中就有一人年龄在 60 岁或以上,大约 16%的人将至少经历一种形式的虐待(世界卫生组织,2021 年)。本文的目的是提高对 EM 背景和复杂性的认识,概述基于范围综述的当前干预策略,并讨论在适用于 EM 的生态模型框架内进一步开展预防研究、实践和政策的机会。