Journal
JOURNAL OF ELDER ABUSE & NEGLECT
Volume 33, Issue 1, Pages 17-32Publisher
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/08946566.2020.1864696
Keywords
Elder self-neglect; self-efficacy; biopsychosocial factors of ESN; malaysia
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Funding
- Universiti Putra Malaysia under the graduate student research grant scheme (RUGS Project) [06/02/2012-2078Ru]
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This paper investigated the mediational role of self-efficacy in the relationship between selected biopsychosocial factors and elder self-neglect (ESN) among community-living older adults in Selangor, Malaysia. The results suggest that self-efficacy partially mediated the association between functional and cognitive abilities, emotional well-being, and social relationships with ESN, while fully mediating the association between neuroticism, life satisfaction, social network, and education with ESN. These findings contribute to a better understanding of ESN among older Malaysian adults and can inform the development of interventions for handling cases of elder self-neglect in the community.
Elder abuse and neglect have been reported as significant public health and societal problem in many different societies across the world. In Malaysia, older adults recorded a high prevalence of neglect compared to other types of elder abuse. There is a dearth of empirical work on elder self-neglect (ESN) among the older population in Malaysia. This paper aims to explore the mediational role of self-efficacy on the relationship between selected biopsychosocial factors and ESN among community-living older adults in Selangor, Malaysia. This study utilized a cross-sectional survey to gather data from a representative sample of 202 older adults from Selangor. A newly developed scale of 16-items of elder self-neglect (ESN) was used in this study. The results showed that self-efficacy partially mediated the association between ADL, IADL, depression, and capacity of self-care on ESN. Self-efficacy also fully mediated the association between neuroticism, life satisfaction, social network, and education on ESN. These findings provided a deeper understanding of the phenomenon of self-neglect among older Malaysian adults. The results will also serve as a useful reference for professionals and policymakers to develop uniform guidelines, protocols, or programs to handle cases of elder self-neglect in the community.
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