Peningkatan jumlah lansia disertai dengan peningkatan masalah kesehatan dan kesejahteraan seperti penyakit kronis dan abuse pada lansia. Penelitian ini bertujuan untuk mengetahui hubungan penyakit kronis dengan risiko abuse pada lansia. Desain penelitian ini berupa analisis deskriptif dengan metode cross sectional dan teknik cluster sampling pada 100 responden lansia dengan penyakit kronis di Matraman, Jakarta. Wawancara tatap muka, observasi fisik, dan pemeriksaan darah (tekanan darah, gula darah, asam urat) dilakukan dalam penelitian ini. Berdasarkan analisis univariat 50% lansia yang dicurigai berisiko abuse dengan variabel sosiodemografi yaitu perempuan (55,8%), tidak bekerja (54,4%), tidak berpenghasilan (55,3%), berpendidikan rendah (65,9%), duda/janda (58,3%), tinggal bersama keluarga besar (50,6%), dan memiliki lebih dari satu penyakit kronis (83%). Terdapat hubungan bermakna antara jumlah penyakit kronis dan risiko abuse dengan nilai p<0,05 (p=0,0001). Hal ini menunjukkan bahwa peningkatan jumlah penyakit kronis dapat meningkatkan risiko pada lansia. Penelitian ini menyarankan dikembangkannya sistem deteksi dini risiko abuse pada lansia di puskesmas.

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An increasing populations of elderly was accompanied with an increasing amount of health and welfare problems, such as chronic disease and abuse in elderly. This study aimed to determine the relationship between the chronic disease and the risk of abuse in elderly. This study used descriptive analysis with cross-sectional survey methode and cluster sampling which evaluated 100 respondents elderly with chronic disease at Matraman, Jakarta. A face-to-face interview, physical observation, and blood examination (blood pressure, blood glucose, uric acid) was carried out. Using univariat analysis, it was showed that there was 50% elderly who was suspected abuse with sociodemographic variables were female (55,8%), jobless (54,4%), no income (55,3%), low education (65,9%), widowhood (58,3%), living in extended family (50,6%), and multiple chronic disease (83%). This findings revealed that there was a significant relationship between a number of chronic disease and risk of abuse with p value 0,000 (p<0,05; 95% CI=0,01-0,91). These result indicated that the increasing number of chronic disease could increase risk of abuse in elderly. This study suggested to develop early detection system for fisk of elder abuse in primary heath care.