<p>Financial abuse vulnerability (FAV) refers to a set of financial behaviors that pose a significant threat to an older people’s financial well-being and can be related to physical performance and declining mobility. <b>Objective</b>: To describe the prevalence of FAV in older people from different ageing sociodemographic profiles, and its associations with limitations in physical performance and mobility.&#xa0;A multicenter longitudinal study carried out between 2012 and 2016, with samples of older people of both sexes (aged 65–74) from five cities (Kingston, Saint-Hyacinthe, Tirana, Manizales and Natal). Information FAV socioeconomic status, health conditions, limitations of mobility and physical performance were collected. Multiple linear regression models and mediation analysis were used to assess the effect of FAV on objective and subjective measures of physical performance and decreased mobility.&#xa0;The prevalence of FAV were lowest in women of Saint-Hyacinthe (6.7%) and Kingston (4.2%); and highest in women in Natal (13.7%) and Tirana (20.3%). In the final model, FAV remained related to mobility limitation, even adjusted for age, sex, education level, study site, chronic conditions, and depressive symptomatology. In mediation analyses, the effects of FAV on the limitation in mobility and physical performance were mediated by chronic conditions and depressive symptoms.&#xa0;Financial abuse vulnerability contributes to negative outcomes such as decreased mobility and physical performance. The pathways that may explain this relationship are strongly related to exposure to adverse experiences throughout life, such as depressive symptoms, and to the physiological response to chronic stress.</p>

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Financial Abuse Vulnerability and Physical Performance/Mobility Limitation in Older People: Findings from the International Mobility in Aging Study-IMIAS

  • Jessica Fernandes Medeiros,
  • Cristiano dos Santos Gomes,
  • Nailton José Neto,
  • Ala Sami Aburub,
  • Carmen Lucia Curcio,
  • Dimitri Taurino Guedes,
  • Juliana Fernandes Barbosa,
  • Ricardo Oliveira Guerra

摘要

Financial abuse vulnerability (FAV) refers to a set of financial behaviors that pose a significant threat to an older people’s financial well-being and can be related to physical performance and declining mobility. Objective: To describe the prevalence of FAV in older people from different ageing sociodemographic profiles, and its associations with limitations in physical performance and mobility. A multicenter longitudinal study carried out between 2012 and 2016, with samples of older people of both sexes (aged 65–74) from five cities (Kingston, Saint-Hyacinthe, Tirana, Manizales and Natal). Information FAV socioeconomic status, health conditions, limitations of mobility and physical performance were collected. Multiple linear regression models and mediation analysis were used to assess the effect of FAV on objective and subjective measures of physical performance and decreased mobility. The prevalence of FAV were lowest in women of Saint-Hyacinthe (6.7%) and Kingston (4.2%); and highest in women in Natal (13.7%) and Tirana (20.3%). In the final model, FAV remained related to mobility limitation, even adjusted for age, sex, education level, study site, chronic conditions, and depressive symptomatology. In mediation analyses, the effects of FAV on the limitation in mobility and physical performance were mediated by chronic conditions and depressive symptoms. Financial abuse vulnerability contributes to negative outcomes such as decreased mobility and physical performance. The pathways that may explain this relationship are strongly related to exposure to adverse experiences throughout life, such as depressive symptoms, and to the physiological response to chronic stress.