Associations Between the Differential Definitions of Elder Mistreatment and Suicidal Ideation Outcomes in U.S. Chinese Older Adults: Do the Definitions Matter?

2019

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OBJECTIVES: To examine the associations between violence experiences including phenotypes (psychological, physical/ sexual abuse, financial exploitation, caregiver neglect) of child maltreatment (CM), intimate partner violence (IPV), and elder abuse (EA). DESIGN: Cross-sectional data collected during 2011-2013. SETTING: US Chinese community in Chicago, Illinois. PARTICIPANTS: A total of 3157 community-dwelling older adults (aged ≥60 y). MEASUREMENTS: Cases of CM, IPV, and EA. RESULTS: Prevalence of violence was 11.4% for CM (physical/sexual = 10.2%; psychological = 2.4%), 6.5% for IPV (psychological = 5.3%; physical/sexual = 2.8%), and 15.2% for EA (caregiver neglect = 11.2%; psychological = 9.8%; financial exploitation = 9.3%; physical/sexual = 1.2%). After adjusting for potential confounding variables, CM psychological was associated with increased risks for IPV psychological (odds ratio [OR] = 7.60; 95% confidence interval [CI] = 4.29-13.45), IPV physical/sexual (OR = 4.06; CI = 1.71-9.63), EA psychological (OR = 3.79; 95% CI = 2.20-6.51), and EA financial exploitation (OR = 2.07; 95% CI = 1.12-3.81). CM physical/sexual was associated with increased risks for IPV physical/sexual (OR = 1.86; 95% CI = 1.02-3.38), EA psychological (OR = 1.70; 95% CI = 1.20-2.42), and EA financial exploitation (OR = 2.38; 95% CI = 1.72-3.30). IPV psychological and physical/sexual were associated with 5 to 8 times increased risks for EA psychological, 6 to 9 times increased risks for EA physical/sexual, and 3 times increased risks for EA financial exploitation. CONCLUSION: Healthcare professionals working with older adults should be informed that a history of violence might further predispose a person to different types of EA. The cumulative impact of violence should also be considered when providing services or care to violence victims. J Am Geriatr Soc 67:S486-S492, 2019. None 274 (9.0) 2782 (91.0) 30 (1.0) 3030 (99.0) 270 (8.8) 2784 (91.2) 132 (4.6) 2750 (95.4) S488 WANG AND DONG AUGUST 2019-VOL. 67, NO. S3 JAGS

Section: Methodsmentioning

confidence: 99%

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confidence: 99%

Life Course Violence: Child Maltreatment, IPV, and Elder Abuse Phenotypes in a US Chinese Population

Bei

2019

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“…According to the different operational definitions of EM subtypes, 3 overall EM definitions were constructed: strictly defined EM (EM severe): Psych‐5, physical, sexual, Neglect‐2, and Financial‐2; moderately defined EM (EM moderate): Psych‐2, physical, sexual, Neglect‐2, and Financial‐1; and broadly defined EM (EM broad): Psych‐1, physical, sexual, Neglect‐1, and Financial‐1 …”

Section: Methodsmentioning

confidence: 99%

“…Estimates of the prevalence of EM have varied because of inconsistent screening tools and different operational definitions of EM . Prior research has shown that different screening modalities and definitions of EM will yield different prevalence findings and different effects on consequences of mistreatment . This is also relevant to specific subtypes of EM, which include psychological, physical, and sexual mistreatment; caregiver neglect; and Financial exploitation.…”

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confidence: 99%

Different Definitions of Elder Mistreatment and Mortality: A Prospective Cohort Study From 2011 to 2017

Liang

2019

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OBJECTIVES: To investigate the relationship between different definitions and subtypes of elder mistreatment (EM) and yearly mortality. DESIGN: Population-based epidemiological study. SETTING: Greater Chicago area. PARTICIPANTS: Chinese Americans aged 60 and older (N=3,157). MEASUREMENTS: Data were collected from 2011 to 2017, with mortality data collected over the subsequent 4 years. Face-to-face in-home interviews were conducted. EM was measured using a brief screening tool (10 items) and a detailed assessment (56 items) and defined using different criteria for overall and specific subtypes of EM. Mortality was ascertained during follow-up. Cox proportional hazards models were used. RESULTS: Four hundred seventy-five (15.2%) participants reported EM. Severe and moderate EM were associated with greater risk of 1-year (hazard ratio (HR)=2.51, 95% confidence interval (CI)=1.04-6.03; HR=2.55, 95% CI=1.08-6.03), 2-year (HR=1.68, 95% CI=1.01-2.78; HR=1.69, 95% CI=1.04-2.74), 3-year (HR=1.73, 95% CI=1.17-2.55; HR=1.73, 95% CI=1.19-2.51) and 4-year (HR=1.51, 95% CI=1.08-2.10; HR=1.48, 95% CI=1.08-2.04) mortality. A broad definition of EM was associated with greater risk of 3-year and 4-year mortality. With respect to subtypes of EM, psychological mistreatment and caregiver neglect were associated with greater mortality risk, whereas the relationships between psychological mistreatment, caregiver neglect and mortality risk varied according to definitional criteria. DISCUSSION: Different definitions and subtypes of EM had different associations with mortality in Chinese-American older adults. This study challenges assumptions about consequences of EM and calls for customized interventions for EM in minority populations. J Am Geriatr Soc 67:S506-S512, 2019.

“…Given this technological platform, PINE has been able to successfully recruit and retain participants: the original cohort of 3157 Chinese older adults who were first interviewed between 2011 and 2013 and has since had a follow‐up rate of 89.4% for time 2 and 90.4% for time 3. This platform may have been especially useful in maintaining high rates of follow‐up while examining sensitive issues, such as psychological well‐being, family relationships, and life course violence in PINE . The aims of this article are to outline the development, implementation, operations, and future capacities of a novel data collection platform that has been used in collection for PINE since 2011.…”

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confidence: 99%

Leveraging Technology to Improve Health Disparity Research: Trilingual Data Collection Using Tablets

Kong

Mendhe

et al. 2019

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Survey research is an essential component of epidemiological research to understand the health of older adults. However, there are several limitations to conventional data collection methods that may serve as barriers for recruitment and retention of research participants, especially from minority populations. With recent technological advancements, our research team developed an innovative data collection and management system to address linguistic and cultural barriers, data quality, data security, and data preparation issues. This platform has been utilized in the Population Study of Chinese Elderly in Chicago since 2011. Future use and improvement of this system will facilitate research among minority older adults and increase research participation and representativeness to ultimately understand and improve the health and well-being of diverse populations. J Am Geriatr Soc 67:S479-S485, 2019.