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PA 18-3-0681 Prevalence, pattern and risk factors for elder abuse in urban and rural areas of lagos state, nigeria
  1. Modupe Onigbogi1,
  2. Kofoworola Odeyemi2,
  3. Olanrewaju Onigbogi2
  1. 1University of Texas Health Science at Houston, Texas, USA
  2. 2College of Medicine, University of Lagos, Nigeria


Elder abuse is gradually emerging as a significant public health and social problem in developing countries. Changing family and community support structures, economic environments, urbanization and shifts in values are influencing the way elders are treated in the society. This study was conducted to determine and compare the prevalence, pattern, determinants and effects of elder abuse among the elderly in an urban and a rural Local Government Area (LGA) of Lagos State.

Using a multistage sampling technique, 500 elderly respondents were selected from Surulere and Ikorodu LGA. Data was collected through quantitative methods. Data was analyzed with IBM SPSS 20 and summarized using frequencies and proportions. Chi-square was used to test for associations between variables and independent t-test was used for comparison of means with p-value assumed to be significant at p≤0.05. Logistic regression was used to predict the outcome of dependent variables.

The prevalence of elder abuse was 22.8% in the last 12 months. The prevalence of elder abuse was higher among the urban (29.6%) than the rural respondents (16%), p<0.001. Psychological abuse was the most prevalent form of elder abuse and its prevalence was higher among the urban (25.6%) than the rural respondents (8.8%), p<0.001. The prevalence of financial and physical abuse in this study was 7.0% and 3.4% in both locations. Sexual abuse and neglect were the least reported forms of elder abuse. The predictors of elder abuse among urban respondents include presence of financial dependents {OR: 2.19 (95% CI: 1.21 to 3.94) and lack of satisfaction with level of involvement in social activities {OR: 2.15 (95% CI: 1.20 to 3.84)} and reduced social support. The predictor of elder abuse among rural respondents was the absence of financial support {OR: 2.88 (95% CI: 1.04 to 7.97)}.

Recommendations include creating social interaction opportunities, establishing welfare programs and improving community attitudes towards the elderly through awareness creation.

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