{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T10:37:37Z","timestamp":1783766257375,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,5,4]],"date-time":"2021-05-04T00:00:00Z","timestamp":1620086400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2021,8]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Physical elder abuse affects a substantial number of older adults, leaving victims at increased risk for negative health outcomes. Improved detection of abuse\u2010related injuries may increase victim access to professional support, but providers report difficulties distinguishing between accidental and abuse\u2010related injuries, due in part to victims' pre\u2010existing health conditions and medication use.<\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n To describe the spectrum and characteristics of injuries among physically abused older adults and identify injury characteristics associated with abuse.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Case\u2013control study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Physically abused adult protective services clients were interviewed in their home; non\u2010abused comparison group participants were interviewed in an outpatient geriatrics clinic.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n Sample included 156 community\u2010dwelling adults aged 65 and older, including 57 physically abused and 99 non\u2010abused individuals. Self\u2010reported abuse history was confirmed through independent case assessment by a LEAD (Longitudinal, Expert All\u2010Data) panel of clinicians with family violence expertise.<\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n Full\u2010body assessments were conducted, documenting injury incidence, diagnosis, and location. We also collected sociodemographic characteristics, level of social support, functional ability, medical history, and medication use.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Physically abused older adults were more likely to be injured upon assessment (79.0% vs 63.6%;\n p<\/jats:italic>\n \u2009<\u20090.05) and have a greater number of injuries ( vs ,\n p<\/jats:italic>\n \u2009<\u20090.05). Injuries seen more often among abused individuals included: upper extremity ecchymoses (42.1% vs 26.3%;\n p<\/jats:italic>\n \u2009<\u20090.05), abrasions (31.6% vs 11.1%;\n p<\/jats:italic>\n \u2009<\u20090.01), and areas of tenderness (8.8% vs 0.0%;\n p<\/jats:italic>\n \u2009<\u20090.01); and head\/neck\/maxillofacial ecchymoses (15.8% vs 2.0%;\n p<\/jats:italic>\n \u2009<\u20090.01) and tenderness (15.8% vs 0.0%;\n p<\/jats:italic>\n \u2009<\u20090.001). Lower extremity abrasions (12.3%) were common but unrelated to abuse status.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n While physical abuse does not always result in physical injury, victims more commonly display head\/neck\/maxillofacial ecchymoses or tenderness and upper extremity abrasions, ecchymoses, or tenderness. Detection of these injuries among older adults warrants further interview and examination.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.17192","type":"journal-article","created":{"date-parts":[[2021,5,4]],"date-time":"2021-05-04T09:39:17Z","timestamp":1620121157000},"page":"2252-2261","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Improving forensics: Characterizing injuries among\n community\u2010dwelling<\/scp>\n physically abused older adults"],"prefix":"10.1111","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0926-0461","authenticated-orcid":false,"given":"Jeanine M. F.","family":"Yonashiro\u2010Cho","sequence":"first","affiliation":[{"name":"Keck School of Medicine of USC University of Southern California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary D.","family":"Gassoumis","sequence":"additional","affiliation":[{"name":"Keck School of Medicine of USC University of Southern California Los Angeles California USA"},{"name":"Leonard Davis School of Gerontology University of Southern California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen H.","family":"Wilber","sequence":"additional","affiliation":[{"name":"Leonard Davis School of Gerontology University of Southern California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana C.","family":"Homeier","sequence":"additional","affiliation":[{"name":"Keck School of Medicine of USC University of Southern California Los Angeles California 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