A growing population of American citizens are an easy target for abuse.

Older adults, especially women with disabilities, rely on caregivers for their needs. But their trust is increasingly being betrayed.

According to WalletHub, elder abuse happens every day and takes many forms. By one estimate, elder abuse affects as many as 5 million people per year, and more than 95 percent of all cases go unreported.

Some states are doing more than others about the problem.

WalletHub compared the 50 states and the District of Columbia, using 14 key indicators of elder-abuse protection in three overall categories of metrics:

  • Prevalence: the number of elder-abuse, gross-neglect and exploitation complaints made to the state’s long-term care ombudsman, divided by the number of residents aged 65 or older. The metric was weighted at a total of 40 points out of 100.
  • Resources: the total of state expenditures and funding spent on services per resident aged 65 or older. The metric was weighted at a total of 30 points out of 100.
  • Protection: the legislative and institutional services and resources allocated to the prevention of elder abuse. The metric weighted at a total of 30 points out of 100.

In ascending order, these are the 10 states that WalletHub reported had the best elderly-abuse protections in 2018.

10. West Virginia – Total weighted score of 53.47

West Virginia ranked 18th out of 50 states and the District of Columbia in the weighted category of prevalence; 11th in funding and expenditures of resources per resident aged 65 or older; and 21st in legislative and institutional services and resources allocated to the prevention of elder abuse. The total weighted average put the Mountain State in 10th place overall.