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Comment & Response
March 2017

Perspectives on Care for the Elderly in China—Reply

Author Affiliations
  • 1Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, Illinois
JAMA Intern Med. 2017;177(3):444-445. doi:10.1001/jamainternmed.2016.9141

In Reply About 25 million older adults in China suffer from elder abuse in domestic settings.1The Progress in China’s Human Rights in 2014 report2 highlighted the rights and interests of older adults. A study in Nanjing3 found that the prevalence of elder abuse in urban Chinese older adults was 35%. Older adults who are abused and who live in rural areas may have lower levels of social support and higher levels of psychological burdens than comparable older adults who live in urban areas.4 I am not aware, however, of any systematic direct comparative data supporting the assumption of prevalence differences of elder abuse and neglect in rural vs urban areas.