Mortality among elder abuse victims in rural Malaysia: A two-year population-based descriptive study

Our study aims at describing mortality among reported elder abuse experiences in rural Malaysia. This is a population-based cohort study with a multistage cluster sampling method. Older adults in Kuala Pilah (n = 1,927) were interviewed from November 2013 to May 2014. Mortality was traced after 2 ye...

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Bibliographic Details
Main Authors: Yunus, R.M., Hairi, N.N., Choo, W.Y., Hairi, Farizah Mohd, Sooryanarayana, R., Ahmad, S.N., Razak, I.A., Peramalah, D., Aziz, S.A., Mohammad, Z.L., Mohamad, R., Ali, Z.M., Bulgiba, A.
Format: Article
Published: Haworth Press 2017
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Online Access:http://eprints.um.edu.my/18887/
http://dx.doi.org/10.1080/08946566.2016.1260083
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Summary:Our study aims at describing mortality among reported elder abuse experiences in rural Malaysia. This is a population-based cohort study with a multistage cluster sampling method. Older adults in Kuala Pilah (n = 1,927) were interviewed from November 2013 to May 2014. Mortality was traced after 2 years using the National Registration Department database. Overall, 139 (7.2%) respondents died. Fifteen (9.6%) abuse victims died compared to 124 (7.0%) not abused. Mortality was highest with financial abuse (13%), followed by psychological abuse (10.8%). There was a dose-response relationship between mortality and clustering of abuse: 7%, 7.7%, and 14.0% for no abuse, one type, and two types or more, respectively. Among abuse victims, 40% of deaths had ill-defined causes, 33% were respiratory-related, and 27% had cardiovascular and metabolic origin. Results suggest a link between abuse and mortality. Death proportions varied according to abuse subtypes and gender.