{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T06:17:38Z","timestamp":1774592258213,"version":"3.50.1"},"reference-count":54,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T00:00:00Z","timestamp":1774051200000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100016270","name":"Global Challenges Research Fund","doi-asserted-by":"publisher","award":["ES\/P010938\/1"],"award-info":[{"award-number":["ES\/P010938\/1"]}],"id":[{"id":"10.13039\/100016270","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Elder abuse is under\u2010researched in low\u2010and middle\u2010income countries (LMICs) where culture and context shape detection and reporting. This study estimated the prevalence, perpetrators and predictors of self\u2010reported elder abuse in South Africa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data were collected in 2021 from 490 households in the STRIDE community\u2010based survey across the Western Cape and Limpopo provinces. Each household included an older adult (\u2265\u00a065\u00a0years) and an informant (\u2265\u00a018\u00a0years). The adapted EAST assessed physical, emotional, sexual and financial abuse and neglect. Other measures included functional impairment (WHODAS 2.0), dementia caseness (10\/66 algorithm), dementia severity (DSRS), neuropsychiatric symptoms (NPI\u2010Q), social engagement (LSNS\u20106), and a novel\n                      <jats:italic>insight into memory impairment<\/jats:italic>\n                      variable comparing informant and self\u2010ratings of memory. Logistic regression models examined demographic and health\u2010related predictors of self\u2010reported elder abuse.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One in ten (10.4%) older adults screened positive for abuse, with most perpetrators being either a non\u2010family member where there is a personal relationship, or family member. Financial (78%) and emotional (50%) abuse were dominant, while neglect, physical and sexual abuse were less frequent (&lt;\u00a06%). Functional impairment was associated with elder abuse (OR\u00a0=\u00a01.05,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01). Recall ability was not associated with reporting abuse, highlighting that cognitive limitations within the present sample did not influence disclosure.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Elder abuse in South Africa is prevalent and closely linked to functional dependence and financial exploitation. This is one of the first studies to examine the relationship between dementia, functional impairment and elder abuse at community level, providing critical evidence to inform prevention and support strategies in LMICs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/gps.70200","type":"journal-article","created":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T11:48:33Z","timestamp":1774093713000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Elder Abuse in South Africa: A Community\u2010Based Study of Its Prevalence, Perpetrators, and Predictors"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0922-1286","authenticated-orcid":false,"given":"Roxanne","family":"Jacobs","sequence":"first","affiliation":[{"name":"Alan J. Flisher Centre for Public Mental Health University of Cape Town  Cape Town South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0635-2547","authenticated-orcid":false,"given":"Nicolas","family":"Farina","sequence":"additional","affiliation":[{"name":"Community and Primary Care Research Group University of Plymouth  Plymouth UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1223-1266","authenticated-orcid":false,"given":"Marguerite","family":"Schneider","sequence":"additional","affiliation":[{"name":"Alan J. Flisher Centre for Public Mental Health University of Cape Town  Cape Town South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,21]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0040259"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gny166"},{"key":"e_1_2_13_4_1","volume-title":"Older Persons Act (No.13 of 2006) (No.13 of 2006; Vol. 13)","author":"Government Gazette","year":"2006"},{"key":"e_1_2_13_5_1","volume-title":"Elder Abuse: Key Facts","author":"WHO","year":"2018"},{"key":"e_1_2_13_6_1","volume-title":"Elder Abuse: The Health Sector Role in Prevention and Response","author":"WHO","year":"2016"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnw004"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13454"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/08946566.2018.1452656"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/08946566.2011.534707"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijlcj.2024.100672"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/08946566.2023.2176393"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2018.00358"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.11564\/28-1-500"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0025802416683610"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2013.1261"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afm194"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1159\/000502544"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-258X.275344"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0323713"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S360548"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0033857"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102024\u2010085172"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2023.76"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/dad2.12293"},{"key":"e_1_2_13_26_1","unstructured":"StatsSA. \u201cStatistical Release: Mid\u2010Year Population Estimates 2021 \u201d (2021): (Number July) http:\/\/www.statssa.gov.za\/publications\/P0302\/P03022021.pdf."},{"key":"e_1_2_13_27_1","unstructured":"StatsSA.Community Survey 2016 Statistical Release (2016) https:\/\/cs2016.statssa.gov.za\/wp\u2010content\/uploads\/2016\/07\/NT\u201030\u201006\u20102016\u2010RELEASE\u2010for\u2010CS\u20102016\u2010_Statistical\u2010releas_1\u2010July\u20102016.pdf."},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-94-007-0753-5_2269"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_13_30_1","unstructured":"NDOH. \u201cNational Department of Health: Elder Abuse Screening Tool (EAST) \u201d (2011) http:\/\/www.geronpta.org.za\/wp\u2010content\/uploads\/2012\/01\/9.1.b\u2010Elder\u2010Abuse\u2010Screening\u2010Tool\u2010EAST.pdf."},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.09.067231"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102015\u2010010712"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/46.4.503"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1176\/jnp.12.2.233"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002093\u2010199601010\u201000006"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291700057779"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1159\/000076354"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11165\u2010016\u20109602\u20102"},{"key":"e_1_2_13_39_1","unstructured":"National Institute on Aging. \u201cElder Abuse \u201d (2020) https:\/\/www.nia.nih.gov\/health\/elder\u2010abuse#types."},{"key":"e_1_2_13_40_1","volume-title":"IBM SPSS Statistics for Windows, Version 26.0","author":"IBM Corp","year":"2019"},{"issue":"12","key":"e_1_2_13_41_1","first-page":"567","article-title":"Elder Abuse: Under\u2010Recognised and Under\u2010Reported","volume":"41","author":"Pang W.","year":"2000","journal-title":"Singapore Medical Journal"},{"issue":"4","key":"e_1_2_13_42_1","first-page":"458","article-title":"Research Paper Prevalence and Gender Differences of Elder Abuse Among Community\u2010Dwelling Older Adults in Tabriz, Iran","volume":"15","author":"Hagh H. S.","year":"2021","journal-title":"Iranian Journal of Ageing"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16010100"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.1177\/02537176211021530"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214\u2010109X(17)30006\u20102"},{"key":"e_1_2_13_46_1","unstructured":"J. J. F.Soares H.Barros F.Torres\u2010Gonzales et\u00a0al. Among Elderly in Europe Among Elderly in Europe Abuse and Health Abuse and Health 2 (2010)."},{"key":"e_1_2_13_47_1","volume-title":"Abuse of Older People With Dementia: A Review","author":"Downes C.","year":"2013"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010020\u201001619\u20103"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524838016650185"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610213000501"},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.1177\/0306624X14554063"},{"key":"e_1_2_13_52_1","unstructured":"M.Peden K.McGee andE.Krug \u201cInjury: A Leading Cause of the Global Burden of Disease 2000 \u201d (2002) http:\/\/www.worldcat.org\/title\/injury\u2010a\u2010leading\u2010cause\u2010of\u2010the\u2010global\u2010burden\u2010of\u2010disease\u20102000\/oclc\/52416791?tab=details."},{"key":"e_1_2_13_53_1","volume-title":"South African Police Service Annual Report 2023\/2024","author":"SAPS","year":"2024"},{"key":"e_1_2_13_54_1","volume-title":"Dementia: Key Facts","author":"WHO","year":"2019"},{"key":"e_1_2_13_55_1","doi-asserted-by":"publisher","DOI":"10.1080\/08946566.2011.652923"}],"container-title":["International Journal of Geriatric Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/gps.70200","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/gps.70200","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/gps.70200","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T04:56:07Z","timestamp":1774587367000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/gps.70200"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":54,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1002\/gps.70200"],"URL":"https:\/\/doi.org\/10.1002\/gps.70200","archive":["Portico"],"relation":{},"ISSN":["0885-6230","1099-1166"],"issn-type":[{"value":"0885-6230","type":"print"},{"value":"1099-1166","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2025-10-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70200"}}