scholarly journals SOURCES SOCIAL SUPPORT AND SUBTYPES OF ELDER MISTREATMENT AMONG CHINESE OLDER ADULTS: FINDINGS FROM THE PINE STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S760-S761
Author(s):  
Shenglin Zheng ◽  
Stephanie Bergren ◽  
XinQi Dong

Abstract To examine the relationships between positive social support (PSS) and negative social support (NSS) from different sources and subtypes of EM, we used the data from a representative sample of 3,157 Chinese older adults aged 60 years or older in Chicago. Subtypes of EM include psychological mistreatment, physical mistreatment, financial exploitation, and caregiver neglect. Higher PSS from spouse and family members were less associated with lower likelihood to experience any of four self-reported EA subtypes. Higher PSS from friends was associated with lower likelihood of caregiver neglect. Increased levels of NSS from spouse and family members were associated with higher likelihood of psychological mistreatment, financial exploitation, and caregiver neglect. A significant association was also found between NSS from friends and psychological mistreatment. This study demonstrates the positive and negative aspects of social contexts in relationship to EM. Future longitudinal studies are needed to examine causal relationships.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S978-S979
Author(s):  
Shuting Liang ◽  
Dexia Kong ◽  
XinQi Dong

Abstract This research will present the association between physical frailty and depressive symptoms among U.S. Chinese older adults, and the extent to which social support moderates the relationship. Cross-sectional data were obtained from the Population Study of Chinese Elderly in Chicago collected between 2011 and 2013 (N=3,157). Physical frailty was assessed by the Short Performance Physical Battery (range=0-15). A cut-off point of 6 was used to define physical frailty as suggested by prior research. Depressive symptoms were assessed by the nine-item Patient Health Questionnaire. Social support was measured by a scale assessing positive support and negative strain from spouse, family members, and friends. Logistic regression analyses with interaction terms were conducted. In our sample, 1,682 (54.3%) had depressive symptoms, and 16.1% had physical frailty. Having physical frailty was positively associated with depressive symptoms (Odds Ratio [OR] 1.15, 1.11-1.18). Additionally, female gender (OR 1.39, 1.20-1.61), education (OR 1.03, 1.01-1.04), and chronic conditions (OR 1.18, 1.12-1.25) were positively associated with depressive symptoms. Social support (OR 0.85, 0.83-0.87) and children (OR=0.92, 0.87-.97) were negatively associated with depressive symptoms. Furthermore, family members (OR 0.96, 0.94-0.98) and friends (OR 0.96, 0.94-0.98) has moderating effect on the relationship between physical frailty and depressive symptoms. However, the interaction between social support from spouse and physical frailty was not significant. The findings highlight the interconnections among physical frailty, social support, and depressive symptoms. Intervention strategies focusing on social support may have the potential to reduce depressive symptoms among frail U.S. Chinese older adults.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S761-S761
Author(s):  
Ying-Yu Chao ◽  
Yu-Ping Chang ◽  
XinQi Dong

Abstract This study aimed to examine the association between different types of elder mistreatment and depressive symptoms among U.S. Chinese older adults. Data were from the Population Study of Chinese Elderly in Chicago (PINE). Participants were 3,157 Chinese older adults who were 60 years and over (mean age = 72.8). Logistic regression analyses were performed. The results showed that participants with overall mistreatment (OR, 2.11; 95% CI, 1.83-2.43), psychological mistreatment (OR, 2.12; 95% CI, 1.78-2.51), physical mistreatment (OR, 1.82; 95% CI, 1.10-2.99), and financial exploitation (OR, 1.33; 95% CI, 1.11 – 1.60) were more likely to report more depressive symptoms. There was no significant association between sexual mistreatment and depressive symptoms (p = 0.07). Longitudinal studies are needed to obtain a more comprehensive understanding of the pathways between elder mistreatment and depressive symptoms.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S192-S192
Author(s):  
Scott R Beach ◽  
Sara J Czaja ◽  
Richard Schulz ◽  
David Loewenstein ◽  
Peter Lichtenberg

Abstract This paper presents study design and preliminary results from a new study funded by the National Institute on Aging that is examining financial exploitation (FE) among 720 White, African-American and Hispanic adults age 60+ (240 per group; 120 age 60-79; 120 age 80+). A conceptual model linking socio-demographics, physical health, social support / integration, cognitive function, financial skills / supports, and psychosocial factors to FE is being evaluated. Three assessments (baseline, 12; 24 mos.) include: a detailed cognitive battery, web-based banking simulation tasks, scam scenarios, and a standardized battery of self-report measures assessing socio-demographic and psychosocial variables. Preliminary baseline results from ~200 participants show support for the proposed model. Exposure to sales, remote purchasing behavior, and telemarketer receptivity (scam exposure); and scam vulnerability as measured by credibility ratings of “legitimate” and “fake” scam scenarios are positively associated with reports of both stranger-initiated and trusted other FE. Older adults with smaller social networks and less social support were more likely to report both exposure and vulnerability to scams. Higher general cognitive abilities, financial skills, and numeracy; and better performance on online banking tasks correlate with less scam exposure and vulnerability. Preliminary analyses of psychosocial factors also show that more depressed, impulsive, and trusting older adults report more exposure and scam vulnerability. The paper will present updated analyses of ~500 baseline participants. Understanding multiple pathways to FE is important to advance theory and for the development of interventions to minimize risk.


2016 ◽  
Vol 37 (8) ◽  
pp. 990-1011 ◽  
Author(s):  
Scott R. Beach ◽  
Richard Schulz ◽  
Rodlescia Sneed

Social support and social networks are important correlates of elder mistreatment. This study tests hypothesized associations between perceived social support, social network size, and financial exploitation (FE). A population-based survey of 903 older adults (60+) in Allegheny County (Pittsburgh, Pennsylvania) found that lower perceived social support and larger social networks were simultaneously associated with higher risk for FE since age 60, controlling for known risk factors. The same associations were found for FE in the last 6 months. Older adults with larger social networks combined with lower perceived social support were most likely to report FE. When it comes to the role of social relationships and risk for FE, “more may not always be better.” Encouragement to widen the social network by “making new friends” should be stressed less than making sure these new network members will truly be supportive of the older adult.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 428-428
Author(s):  
Dexia Kong ◽  
XinQi Dong ◽  
Ying-Yu Chao

Abstract Chinese culture places a high value on saving face and not bringing shame to the family. This study aimed to examine the associations between face-saving and help-seeking among U.S. Chinese older adults who experienced elder mistreatment (EM). Data were retrieved from the PINE study. Regression analyses were performed. Most EM victims sought help from informal sources only (48.21%), followed by no help (26.79%), informal plus formal help (19.64%), and formal help only (5.36%). For EM screening, face-saving was associated with informal help-seeking intentions (p < .05). For EM subtypes, face-saving was associated with overall help-seeking intentions for financial exploitation (p < .05), but not on physical mistreatment, psychological mistreatment, and caregiver neglect. Face-saving was not associated with help-seeking behaviors. Study findings underscore the significance of a unique cultural value in understanding EM help-seeking intentions among Chinese older adults. Cultural constructs should be considered in future EM research in diverse populations.


2021 ◽  
pp. 0192513X2110419
Author(s):  
Jing Zhang ◽  
Tineke Fokkema ◽  
Bruno Arpino

This study examines the influence of grandparenthood and grandparental childcare on loneliness among Chinese older adults. Using longitudinal data from a nationally representative sample of 9240 individuals from the China Health and Retirement Longitudinal Study (CHARLS), we applied logistic regression to examine the relationship between various grandparental statuses and loneliness with a focus on gender. The grandparental role is a protective factor for loneliness. Providing care to grandchildren was associated with a lower likelihood of feeling lonely for both genders. Among grandmothers, the benefit of providing childcare is less when it is occasional. Among grandfathers, the benefit is less when it is regular and intensive. Regarding transitions in grandparental status, gender differences were only observed among those who recently entered the caregiving role. Given the increasing reliance on grandparents for childcare in China, this engagement in active aging is beneficial for older adults in reducing loneliness.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S761-S761
Author(s):  
Jieyang Zheng ◽  
Stephanie Bergren ◽  
XinQi Dong

Abstract Elder mistreatment (EM) and the magnitude of its relationship to anxiety may vary depending on definitional criteria. We leveraged data from the PINE Study, a study of 3,157 Chinese older adults in Chicago. EM was measured by 56 items on psychological, physical and sexual mistreatment, caregiver neglect and financial exploitation subtypes. Least restrictive, moderately restrictive, and most restrictive definitions of EM were constructed. Symptoms of anxiety were measured by the Hospital Anxiety and Depression Scale. Least restrictive (OR, 1.94; 95%CI, 1.57-2.40), moderately restrictive (OR, 1.56; 95%CI, 1.22-1.99), and most restrictive (OR, 1.39; 95%CI, 1.07-1.79) definitions of EM were all significantly associated with the likelihood of experiencing any anxiety symptoms. The magnitude of associations between EM and anxiety symptoms vary based on strictness of the EM definition. Future research should explore the potential causal relationships between EM and anxiety through longitudinal data.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S753-S754
Author(s):  
Brittany M King

Abstract Driving cessation has been shown to be a potentially isolating transition in life, with important implications for mental health, social isolation, and social support. Older adults who live alone are vulnerable to social isolation in the context of driving cessation. Although some research has examined the association between driving cessation and certain kinds of social engagement activities, no research has specifically examined changes in social support, particularly among older adults most vulnerable to social isolation – those who live alone . The present study addresses this gap, using data drawn from the 2006-2014 waves of the Health and Retirement Study (HRS) to examine how social support changes in the context of driving cessation among older adults who live alone (N=412). This study specifically focuses on instrumental and emotional social support, and how different sources of the support (children, friends, and other family) are influenced by loss of driving. I use a series of ordinary least squares regression (OLS) to examine four-year changes in various forms of social support among those who live alone, comparing those who lose the ability to drive relative to their continuously driving counterparts. Preliminary results indicate that driving cessation is associated with decline in perceived instrumental support of friends (-0.984, p<01) for older adults who live alone. However, these effects did not extend to children or other family members. These results suggest that loss of driving may perpetuate vulnerabilities facing individuals who live alone by leading to lower levels of perceived support from non-family members.


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