Life course violence: child maltreatment, IPV, and elder abuse phenotypes in a US Chinese population
Wang, Bei
Life course violence: child maltreatment, IPV, and elder abuse phenotypes in a US Chinese population Bei Wang and XinQi Dong - American Geriatrics Society, 2019 - Journal of the American Geriatrics Society .
Journal of the American Geriatrics Society, 2019,67(S3): S486-S492
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. (Authors' abstract).
This article is published in the journal's Special Issue:Transforming Asian Health Equity: Findings from the PINE/PIETY Study. There are 3 further articles focusing on elder abuse. (Authors' abstract).
Access the PINE Study website to for the full report (written in English and and more journal articles on the impact of elder abuse on older Chinese people in Chicago.
Record #8206
ASIAN PEOPLES
CHILD ABUSE
CHINESE PEOPLE
ELDER ABUSE
ETHNIC COMMUNITIES
FINANCIAL ABUSE
INTIMATE PARTNER VIOLENCE
MIGRANTS
NEGLECT
OLDER PEOPLE
PHYSICAL ABUSE
PREVALENCE
PSYCHOLOGICAL ABUSE
RISK FACTORS
SEXUAL VIOLENCE
INTERNATIONAL
UNITED STATES
Life course violence: child maltreatment, IPV, and elder abuse phenotypes in a US Chinese population Bei Wang and XinQi Dong - American Geriatrics Society, 2019 - Journal of the American Geriatrics Society .
Journal of the American Geriatrics Society, 2019,67(S3): S486-S492
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. (Authors' abstract).
This article is published in the journal's Special Issue:Transforming Asian Health Equity: Findings from the PINE/PIETY Study. There are 3 further articles focusing on elder abuse. (Authors' abstract).
Access the PINE Study website to for the full report (written in English and and more journal articles on the impact of elder abuse on older Chinese people in Chicago.
Record #8206
ASIAN PEOPLES
CHILD ABUSE
CHINESE PEOPLE
ELDER ABUSE
ETHNIC COMMUNITIES
FINANCIAL ABUSE
INTIMATE PARTNER VIOLENCE
MIGRANTS
NEGLECT
OLDER PEOPLE
PHYSICAL ABUSE
PREVALENCE
PSYCHOLOGICAL ABUSE
RISK FACTORS
SEXUAL VIOLENCE
INTERNATIONAL
UNITED STATES