“We’re talking about millions of older adults each year,” said lead
author David Burnes, a gerontologist, social worker and professor at
the University of Toronto in Canada. “What’s worse, it’s very likely
an underestimate.”
The report in the American Journal of Public Health estimates that
5.4 percent of older adults experience some form of fraud or scam
each year.
The estimate includes only seniors living on their own and excludes
those in institutional settings and most who are cognitively
impaired. Complicating the count, Burnes said in a Skype interview,
is the fact that victims tend to underreport the scams.
Burnes and his team divided financial exploitation of older adults
into two categories: financial fraud and scams perpetrated by
strangers or others outside of conventional positions of trust; and
financial abuse perpetrated by those in positions of trust,
generally friends and relatives.
They reviewed 12 studies involving nearly 42,000 community-dwelling
older adults and determined that in every five-year period, an
estimated 5.6 percent of older adults are a target of a financial
fraud, and 5.4 percent are targeted within one year.
The swindles run the gamut from online romance to counterfeit
prescription drug scams, Burnes said.
“Scammers will target and prey on older adults who are lonely,
socially isolated, and will develop an online relationship and over
time will ask them to send money over and over again,” he said.
Most of the studies defined older adults as being at least 65 years
old, but two included people as young as 50.
The studies covered scams pertaining to investments, products and
services, employment, prizes and identity theft.
Victims often are unable to detect differences between legitimate
email calls for help from relatives, for example, and scammers,
Burnes said. Victims frequently send money overseas, complicating
law-enforcement and recovery efforts across borders, he said.
The authors call on researchers and policymakers to explore ways to
prevent financial scams and for healthcare professionals to screen
elders for vulnerability to scams during wellness visits.
Dr. Eric Widera, a geriatrics specialist at the University of
California, San Francisco, who was not involved in the new study,
agrees that physicians should screen for vulnerability.
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“I do agree that physicians should play a role in helping patients
by recognizing the signs of possible impaired financial capacity and
recognizing elder abuse, because it’s more common than we often
think and because it impacts their health and wellbeing,” he said in
an email.
“Unfortunately, while there are a number of elder-abuse screening
instruments out there, not all screen for financial abuse, and very
little if any screen for scams and fraud,” he said.
Widera fears the new report failed to capture many instances of
financial fraud and scams, especially in the most vulnerable.
A previous recent study estimated the one-year prevalence of elder
financial abuse in relationships of trust as 4.5 percent. Given that
elders could be targeted for both financial abuse and financial
fraud or scams, the authors believe nearly 10 percent of older
Americans may be subject to some form of financial exploitation each
year.
Both doctors and consumers tend to overlook elders’ declining
ability to manage their own financial affairs, one of the most
common and devastating problems of aging, a 2015 report in the
Annals of Internal Medicine found.
The authors of that report, Dr. Mark Lachs of Weill Cornell Medical
College in New York and Duke Han of Rush University Medical Center
in Chicago, coined the term “age-associated financial vulnerability”
to encourage physicians to consider the issue with their patients.
Financial fraud victims may suffer serious health consequences,
including major depression, anxiety and premature mortality, the
authors of the new study write. Most victims also report feeling
anger, stress, betrayal, embarrassment, helplessness and shame.
In addition, victims of elder financial fraud and scams suffer
financial losses from which they may never be able to recover.
SOURCE: http://bit.ly/2tKgKSJ American Journal of Public Health,
online June 22, 2017.
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