{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T10:15:15Z","timestamp":1783937715202,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2020,12,28]],"date-time":"2020-12-28T00:00:00Z","timestamp":1609113600000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100013885","name":"Kementerian Kesihatan Malaysia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100013885","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Elder abuse is a significant public health problem. This study aims to estimate its prevalence and associated factors, using representative national Malaysian data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A nationwide population\u2010based survey involving 3977 community\u2010dwelling older persons aged \u226560\u2009years was conducted via face\u2010to\u2010face interview, of whom 3466 older persons were eligible for screening using a locally validated tool. Elder abuse was defined as any one occurrence of neglect, financial, psychological, physical or sexual abuse perpetrated by someone in a position of trust that was experienced in the past 12\u2009months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>About 9.0% of older persons in Malaysia have experienced elder abuse in the past 12\u2009months, with neglect being the commonest type experienced (7.5%; 95% confidence interval [CI]: 5.54, 10.07). There is no significant difference by age group and geographical location. Males (adjusted odds ratio [aOR] 1.7; 95% CI: 1.06, 2.60), poorer social support (aOR 5.0; 95% CI: 2.25, 11.22), dependency in activities of daily living (aOR 2.1; 95% CI: 1.23, 3.44) and a previous history of abuse (aOR 10.1; 95% CI: 4.50, 22.86) show higher odds of experiencing elder abuse. Almost 5% of abused older persons reported experiencing multiple types of abuse. Reporting is low at 19.3% with none reporting to healthcare personnel.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The prevalence of elder abuse in this study is lower than global estimates, but similar to local studies. Preventive measures and programs are crucial to overcoming elder abuse and need to be carried out at multiple levels \u2013 the individual, community, healthcare and other stakeholders. <jats:bold>Geriatr Gerontol Int 2020; 20: 85\u201391<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.13989","type":"journal-article","created":{"date-parts":[[2020,12,29]],"date-time":"2020-12-29T01:20:18Z","timestamp":1609204818000},"page":"85-91","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Elder abuse: Nationwide findings among <scp>community\u2010dwelling<\/scp> Malaysian older persons"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8927-4160","authenticated-orcid":false,"given":"Rajini","family":"Sooryanarayana","sequence":"first","affiliation":[{"name":"Institute for Public Health, National Institutes of Health Ministry of Health Malaysia  Selangor Malaysia"},{"name":"Family Health Development Division Ministry of Health Malaysia  Putrajaya Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0942-6617","authenticated-orcid":false,"given":"Shubash Shander","family":"Ganapathy","sequence":"additional","affiliation":[{"name":"Institute for Public Health, National Institutes of Health Ministry of Health Malaysia  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norazizah Ibrahim","family":"Wong","sequence":"additional","affiliation":[{"name":"Sector for Biostatistics and Data Repository, National Institutes of Health Ministry of Health Malaysia  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azriman","family":"Rosman","sequence":"additional","affiliation":[{"name":"Non\u2010Communicable Disease Division Ministry of Health Malaysia  Putrajaya Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wan Yuen","family":"Choo","sequence":"additional","affiliation":[{"name":"Centre for Epidemiology and Evidence\u2010Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine University of Malaya  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noran Naqiah","family":"Hairi","sequence":"additional","affiliation":[{"name":"Centre for Epidemiology and Evidence\u2010Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine University of Malaya  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/08946566.2016.1260083"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524838017692798"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(17)30006-2"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017025"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13217"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afr107"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)11133-0"},{"key":"e_1_2_9_9_1","unstructured":"Institute for Public Health. National Institutes of Health. Ministry of Health Malaysia.National Health and Morbidity survey 2018: Elderly Health. Volume One: Methodology and General Findings.2018 p. 132."},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1992.tb01454.x"},{"key":"e_1_2_9_11_1","unstructured":"TehEE HasanahCI. Validation of Malay Version of Geriatric Depression Scale among Elderly Inpatients.2004."},{"key":"e_1_2_9_12_1","unstructured":"Institute for Public Health. NaStional Institutes of Health. Ministry of Health Malaysia.National Health & Morbidity Survey2015(NHMS 2015). Vol 2: non\u2010communicable diseases Risk Factors & Other Health Problems:2015."},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/46.4.503"},{"key":"e_1_2_9_14_1","unstructured":"MahoneyFI BarthelDW. Functional Evaluation: the Barthel Index: a Simple Index of Independence Useful in Scoring Improvement in the Rehabilitation of the Chronically Ill.Maryland State Medical Journal.1965."},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/9.3_Part_1.179"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnw004"},{"key":"e_1_2_9_17_1","doi-asserted-by":"crossref","unstructured":"SchofieldMJ. 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