Elder abuse with multimorbidity and its relationship with quality of life





Objective: To estimate the prevalence of elder abuse and multimorbidity, as well as to analyze if elder abuse in the presence of multimorbidity is associated with self-perceived health-related quality of life in older adults from Xalapa, Veracruz.


Material and methods: Material and methods: This is a cross-sectional study based on data collected in a representative survey of older people (≥60 years) from Xalapa, Veracruz. The survey was conducted from September 2018 to January 2019 (n = 993). A questionnaire was used to collect demographic, socioeconomic, and health data. Elder abuse was assessed using the Geriatric Mistreatment Scale (GMS-22 items) and health-related quality of life using the short form 36 health survey questionnaire (SF-36). Descriptive analyzes were performed to estimate the prevalence and logistic regression models to analyze the association.


Results: The prevalence of elder abuse was 16.2%. The types of elder abuse were psychological (13.6%), economic (4.8%), physical (3.2%), neglect (2.3%) and sexual abuse (0.5%). The prevalence of multimorbidity was 43.2%. Older people with both elder abuse and multimorbidity presented lower health-related quality of life in the dimensions of physical role (OR 2,362 IC: 1,254-4,452), body pain (OR 2,278 IC: 1,277-4,065) and mental health (OR 2,94 IC: 1,499-5,766).


Conclusions: Elder abuse and multimorbidity are common problems in the older population in Xalapa, Veracruz, Mexico; the presence of these two events is associated with lower health-related quality of life. Future research should focus on improving understanding of the family relationships of older people with multimorbidity, and health care and social services should take these findings into account to address the elder abuse with multimorbidity before further adverse situations occur that impact their health-related quality of life.


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Author Biographies

Liliana Giraldo Rodríguez, National Institute of Geriatrics

Doctor of Science in Collective Health from the Autonomous Metropolitan University, Master in Demography from El Colegio de México. She completed a Specialty in Applied Statistics at the Institute for Research in Applied Mathematics and Systems of the National Autonomous University of Mexico. She is currently a researcher in Medical Sciences at the National Institute of Geriatrics.

Patricia Pavón-León, Veracruz University

PhD in Health Sciences from the Universidad Veracruzana, Master in Administration in Health Systems from the Universidad Veracruzana. She graduated in Medicine from the Universidad Veracruzana.



How to Cite

Giraldo Rodríguez, L., & Pavón León, P. (2023). Elder abuse with multimorbidity and its relationship with quality of life. Horizonte Sanitario, 22(3), 561-572. https://doi.org/10.19136/hs.a22n3.5634



Research article