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However, research specifically addressing abuse against older adult women is still limited, contributing to a significant gap in scientific knowledge. This study aimed to estimate the prevalence of overall abuse, and its different forms, experienced by older adult women (\u2265 60 years) in a specific area of Eastern Andalusia, Spain, over the past twelve months, and to identify associated risk factors. A community-based cross-sectional study was conducted with 209 non-institutionalised older adult women, using the Geriatric Mistreatment Scale and collecting sociodemographic and lifestyle data. A high prevalence of abuse was found, with 49.3% of participants reporting some type of abuse, with psychological abuse being the most common (36.4%), followed by physical (23.0%), economic (13.9%), sexual (11.0%) and neglect (7.7%). Factors such as age, marital status, self-perceived health status and feelings of loneliness were identified as significant risk factors. These findings highlight the need to strengthen detection, prevention and response strategies within community and household settings, particularly by equipping primary care, social services and other community-based professionals\u2014especially social workers\u2014with the skills to identify both overt and subtle forms of abuse experienced by older adult women living at home.<\/jats:p>","DOI":"10.1371\/journal.pone.0349515","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T17:30:32Z","timestamp":1778866232000},"page":"e0349515","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Prevalence and risk factors of abuse against older adult women: A cross-sectional community study in Eastern Andalusia, Spain"],"prefix":"10.1371","volume":"21","author":[{"given":"Yolanda Mar\u00eda","family":"de la Fuente-Robles","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7354-619X","authenticated-orcid":true,"given":"Adri\u00e1n Jes\u00fas","family":"Ricoy-Cano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Dolores","family":"Mu\u00f1oz-de-Dios","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8597-5549","authenticated-orcid":true,"given":"Marta","family":"Garc\u00eda-Domingo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,5,15]]},"reference":[{"issue":"28","key":"pone.0349515.ref001","doi-asserted-by":"crossref","first-page":"604","DOI":"10.46234\/ccdcw2021.160","article-title":"Major Trends in Population Growth Around the World","volume":"3","author":"D Gu","year":"2021","journal-title":"China CDC Wkly"},{"key":"pone.0349515.ref002","article-title":"World Population Prospects 2022: Summary of Results","author":"PD United Nations Department of Economic and Social Affairs","year":"2022","journal-title":"New York"},{"key":"pone.0349515.ref003","unstructured":"World Health Organization. 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