Factors associated with financial exploitation in older adults: A systematic review

Geriatr Nurs. 2025 Jan-Feb:61:662-671. doi: 10.1016/j.gerinurse.2024.10.028. Epub 2024 Nov 8.

Abstract

Objectives: This systematic review aimed to identify and analyze factors associated with financial exploitation in older adults.

Methods: A comprehensive search strategy was implemented in December 2023, across three major databases (PubMed, Web of Science, and Scopus), along with Google Scholar as a search engine, without restrictions on publication year. Quality assessment was conducted using the Newcastle-Ottawa Scale (NOS) and CONSORT tool.

Results: Among the initial 985 articles identified, 26 fulfilled the inclusion criteria. The majority of studies were conducted in the USA and had a cross-sectional design. Key factors identified included cognitive function, depression and emotional health, physical health, social support and interpersonal relationships, living arrangements, race, and personality traits.

Conclusion: This review highlights the complex factors linked to financial exploitation in older adults, with cognitive function, depression, and social support as key predictors. However, inconsistencies in age, marital status, and substance use call for further research. Targeted interventions are essential to reduce the risk of exploitation.

Keywords: Aged; Financial abuse; Financial exploitation; Risk factors.

Publication types

  • Systematic Review

MeSH terms

  • Aged
  • Cognition
  • Depression / psychology
  • Elder Abuse*
  • Humans
  • Social Support