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Life course violence: child maltreatment, IPV, and elder abuse phenotypes in a US Chinese population Bei Wang and XinQi Dong

By: Wang, Bei.
Contributor(s): Dong, XinQi.
Material type: materialTypeLabelArticleSeries: Journal of the American Geriatrics Society.Publisher: American Geriatrics Society, 2019Subject(s): 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 STATESOnline resources: DOI: https://doi.org/10.1111/jgs.16096 (Open access) | Access the Special issue, JAGS, 67(S3) | Download elder abuse infographic from PINE Study report | PINE Study website | Read PINE Study report In: Journal of the American Geriatrics Society, 2019,67(S3): S486-S492Summary: 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
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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