11/19/2021
Barriers to Help Seeking among Victims of Elder Abuse: A Scoping Review and Implications for Public Health Policy in Canada
In an article written by Jessica K. Gill (2021), common barriers to seeking help among victims of elder abuse were examined. The issue of elder abuse has become increasingly pressing, as the population in Canada is aging quite quickly, with citizens aged 65+ will comprise about 25% of the Canadian population by the year 2050 (Gill, 2021). In fact, the current prevalence rates of elder abuse sit at about 8.2% for those living in care facilities, however, only about 4-15% of elder abuse victims actually report the abuse. As such, elder abuse is considered a serious public health problem that needs immediate intervention, not only due to the growing affected population, but because of the associated health consequences (Gill, 2021).
One of the main concerns regarding elder abuse, is the lack of reporting, and in this article, there were 3 main reporting barriers that exist for older adults: Individual-focused barriers, abuser and family-focused barriers, and structural, community, and cultural barriers. Individual-focused barriers include the level of dependency on the abuser for care, as well as, financial dependency on abusive children or spouse. Fear and shame are also factors that fall into the individual-focused barriers category, specifically the fear of negative consequences as a result of disclosing the abuse, as well as, the potential embarrassment and stigma associated with being a victim of abuse.
Abuser and family-focused barriers refer to hesitancy to report due to the potential impact with the victim’s immediate social circle. One of the main barriers that fall into this category is the desire to protect one’s family or their abuser from negative consequences, specifically social service or legal system involvement, which could threaten core-family relationships.
The third type of barrier that exists is structural, community and cultural barriers, which are commonly related to religious and cultural beliefs, as well as the fear of losing one’s sense of community. Self-image, and one’s perspective on their family and community can greatly impact the likelihood of reporting abuse, as many older individuals, commonly seen in more collectivist cultures such as those in China and the Asian subcontinent, prioritize familial harmony and group goals over their own self-interest.
Gill, J. (2021). Barriers to Help Seeking among Victims of Elder Abuse: A Scoping Review and Implications for Public Health Policy in Canada. Canadian Journal on Aging / La R***e Canadienne Du Vieillissement, 1-16. doi:10.1017/S0714980821000295