Perceived barriers and facilitators to implement elder abuse intervention for victims and perpetrators: views from US Chinese older adults

2014 ◽  
Vol 16 (5) ◽  
pp. 307-321 ◽  
Author(s):  
XinQi Dong ◽  
E-Shien Chang ◽  
Esther Wong ◽  
Melissa A. Simon
Keyword(s):  
Older Adults ◽  
Elder Abuse ◽  
Community Dwelling ◽  
Perceived Barriers ◽  
Barriers And Facilitators ◽  
Research Approach ◽  
Theory Approach ◽  
Structural Barriers ◽  
Content Type ◽  
Chinese Older Adults

Purpose – The purpose of this paper is to explore US Chinese older adults’ views regarding elder abuse interventions in order to understand barriers and facilitators of help-seeking behaviors. Design/methodology/approach – The study design was qualitative, using a grounded theory approach to data collection and analysis. Community-based participatory research approach was implemented to partner with the Chicago Chinese community. A total of 37 community-dwelling Chinese older adults (age 60+) participated in focus group discussions. Findings – Participants viewed many benefits of intervention programs. Perceived barriers were categorized under cultural, social, and structural barriers. Facilitators to implement interventions included increasing education and public health awareness, integrating social support with existing community social services, as well as setting an interdisciplinary team. Perpetrators intervention strategies were also discussed. Originality/value – This study has wide policy and practice implications for designing and deploying interventions with respect to elder abuse outcome. Modifying the cultural, social, and structural barriers that affect health behavior of Chinese older adults contribute to the salience of elder abuse interventions in this under-served.

scholarly journals Association between Elder Mistreatment and Suicidal Ideation among Community-Dwelling Chinese Older Adults in the USA

Gerontology ◽  
2015 ◽  
Vol 62 (1) ◽  
pp. 71-80 ◽  
Author(s):  
XinQi Dong ◽  
Ruijia Chen ◽  
Bei Wu ◽  
Ning Jackie Zhang ◽  
Ada Chan Yuk-Sim Mui ◽  
...  
Keyword(s):  
Older Adults ◽  
Suicidal Ideation ◽  
Older Women ◽  
Elder Abuse ◽  
Older Men ◽  
Community Dwelling ◽  
Research Approach ◽  
Elder Mistreatment ◽  
Chinese Older Adults ◽  
The Usa

Background: Elder mistreatment and suicidal ideation are important public health concerns among aging populations. However, very few studies have been conducted to explore the association between elder mistreatment and suicidal ideation. Objectives: To examine the association between elder mistreatment and suicidal ideation among Chinese older adults in the USA. Methods: Guided by a community-based participatory research approach, in this study we conducted in-person interviews with Chinese older adults aged 60 years and older in the Greater Chicago area from 2011 to 2013. Elder mistreatment was assessed by a 10-item instrument derived from the Hwalek-Sengstock Elder Abuse Screening Test (H-S/EAST) and the Vulnerability to Abuse Screening Scale (VASS). Suicidal ideation was assessed by the ninth item of the Patient Health Questionnaire-9 (PHQ-9) and the Geriatric Mental State Examination-Version A (GMS-A). Results: Overall, 3,159 Chinese older adults participated in this study, and their mean age was 72.8 years. After controlling for age, gender, education, income, medical comorbidities, depressive symptoms, and social support, elder mistreatment was significantly associated with 2-week suicidal ideation (OR 2.46, 95% CI 1.52-4.01) and 12-month suicidal ideation (OR 2.46, 95% CI 1.62-3.73). With respect to gender differences, the study found that the association remained significant for older women but not for older men after adjusting for all confounding factors. Conclusion: As the largest epidemiological study conducted among Chinese older adults in the USA, this study suggests that elder mistreatment is significantly associated with 2-week and 12-month suicidal ideation in older women but not in older men. Longitudinal studies should be conducted to explore the mechanisms through which elder mistreatment links with suicidal ideation.

The prevalence of suicide attempts among community-dwelling US Chinese older adults – findings from the PINE study

2014 ◽  
Vol 7 (1) ◽  
pp. 23-35 ◽  
Author(s):  
XinQi Dong ◽  
Ruijia Chen ◽  
E-Shien Chang ◽  
Melissa A. Simon
Keyword(s):  
Older Adults ◽  
Epidemiological Study ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Population Based ◽  
Intervention Strategies ◽  
Community Dwelling ◽  
Prevention And Intervention ◽  
Content Type ◽  
Chinese Older Adults

Purpose – The purpose of this paper is to examine the prevalence of suicide attempts and explore the suicide methods among community-dwelling Chinese older adults. Design/methodology/approach – Data were drawn from the Population Study of Chinese Elderly in Chicago (PINE) study, a population-based epidemiological study of Chinese older adults aged 60 years and above in the greater Chicago area. Guided by the community-based participatory research (CBPR) approach, the study enrolled 3,159 community-dwelling Chinese older adults from 2011 to 2013. Findings – The lifetime prevalence of suicide attempts is 791 per 100,000 and the past 12-month prevalence of suicide attempts is 285 per 100,000. Medication overdose is the most common suicide method both in the group of lifetime suicide attempts and 12-month suicide attempts. Lower income is positively correlated with lifetime suicide attempts and 12-month suicide attempts. Living with fewer household members is positively correlated with lifetime suicide attempts but not with 12-month suicide attempts. Research limitations/implications – The findings emphasize the needs for improved understanding of suicidal behavior among minority older adults and to develop culturally and linguistically sensitive prevention and intervention strategies. Practical implications – Community stakeholders should improve the accessibility and availability of culturally sensitive mental health services and extend timely and effective suicide interventions in the Chinese community. Originality/value – This study represents the first and largest population-based epidemiological study to investigate the suicide attempts and methods among US Chinese older adults. In addition, the implementation of the CBPR approach allows us to minimize the cultural barriers associated with suicide investigation. The study emphasizes the need for improved understanding on suicidal behavior among minority older adults to inform culturally and linguistically sensitive prevention and intervention strategies.

Patterns of occupational engagement among community-dwelling older adults in Singapore: An exploratory mixed method study

2021 ◽  
pp. 030802262110080
Author(s):  
Wei Qi Koh ◽  
Yuan Lin Chia ◽  
Wen Xu Ng ◽  
Fiona Y Q Lim ◽  
Therma W C Cheung
Keyword(s):  
Older Adults ◽  
Mixed Method ◽  
Community Dwelling ◽  
Perceived Barriers ◽  
Barriers And Facilitators ◽  
Mixed Method Study ◽  
Social Activities ◽  
Occupational Engagement ◽  
Card Sort ◽  
Community Dwelling Older Adults

Introduction The aim of this study is to understand the patterns of occupations among community-dwelling older adults in Singapore. The objectives are to describe their occupational engagement using the Activity Card Sort Singapore, understand their occupational preferences and perceived barriers and facilitators to engagement. Methods A convergent parallel mixed-method study was conducted over a 5-month period in 2018. Purposive and snowball sampling were used to recruit the participants. Individual 1-h interviews were conducted at participants’ homes. Quantitative data collected include demographic information, Modified Barthel Index scores and activity engagement based on the Activity Card Sort Singapore. Qualitative data was collected using semi-structured interviews. Results 105 participants were enrolled in the study. Overall, older adults engaged mostly in instrumental and social activities. However, leisure and social activities were most preferred. Gender, educational level and age were found to influence occupational engagement. Overall, six main themes relating to perceived barriers and facilitators to occupational engagement were identified: cognition and physical status, self-efficacy, resources, affect and meaningfulness, social influence and environmental factors. Conclusion The findings from this study provided insights into the occupational patterns of community-dwelling older adults in Singapore and their perceived barriers and facilitators to engagement. Recommendations for practice were identified.

scholarly journals Perceptions from Latino and African American Older Adults about Biological Markers in Research

2015 ◽  
Vol 25 (3) ◽  
pp. 355 ◽  
Author(s):  
Gerardo Moreno, MD, MSHS ◽  
Carol M. Mangione, MD, MSPH ◽  
Carlos E. Meza, BS ◽  
Ivy Kwon, MPH ◽  
Teresa Seeman, PhD ◽  
...  
Keyword(s):  
Older Adults ◽  
African American ◽  
African Americans ◽  
Focus Group ◽  
Biological Markers ◽  
Community Dwelling ◽  
Barriers And Facilitators ◽  
Research Approach ◽  
Structured Interviews ◽  
And Storage

<p>Although older adult minorities face disparities in health and health care, they continue to be underrepresented in health research. Studies with biological markers of health often lack representation of older minority adults. The purpose of this study was to describe perceptions of biomarkers among ethnic minority seniors who might participate in studies of biological markers of health and to document barriers and facilitators to acceptance of biomarkers. Six focus groups (3 of Spanish-speaking Latinos and 3 of African Americans) were con­ducted in three community senior service organizations (two senior centers and one church). Ten semi-structured interviews were conducted to support and augment focus group data. Seventy-two community-dwelling minority older adults aged 62 years and older and 10 community stakeholders participated. A community-based partnered research approach was used and two com­munity partners participated in the analysis and interpretation of results. Standard quali­tative content-analysis methods were used to identify and organize themes in domains. Focus group participants were 49% Latino and 51% African American. Results included barriers: 1) mistrust, 2) fear of specimen collection/storage, 3) perceived harms, 4) competing demands, and 5) costs. Older Latinos cited issues of language as barriers to awareness and acceptance of biomarkers. African Americans had concerns over per­ceived harms of biomarkers. Facilitators to acceptance of biomarkers were community engagement through church and communi­ty leaders. Older Latino and African Ameri­cans identified many barriers and facilitators to the collection and storage of biomarkers. Participants identified community-partnered recommendations to overcome barriers to the acceptance, collection, and storage of biomarkers. <em>Ethn Dis.</em>2015;25(3):355-362.</p>

scholarly journals Perceived Effectiveness of Elder Abuse Interventions in Psychological Distress and the Design of Culturally Adapted Interventions: A Qualitative Study in the Chinese Community in Chicago

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
XinQi Dong ◽  
E-Shien Chang ◽  
Esther Wong ◽  
Melissa Simon
Keyword(s):  
Older Adults ◽  
Psychological Distress ◽  
Qualitative Study ◽  
Elder Abuse ◽  
Well Being ◽  
Community Dwelling ◽  
Perceived Effectiveness ◽  
Chinese Community ◽  
Community Based ◽  
Chinese Older Adults

This qualitative study examines US Chinese older adults’ views on the perceived effectiveness, challenges, and cultural adaptations of elder abuse interventions to psychological distress in the Chinese community in Chicago. A community-based participatory research approach was implemented to partner with the Chinese community. A total of 37 community-dwelling Chinese older adults (age 60+) participated in focus group discussions. Data analysis was based on grounded theory framework. Our findings suggest that older adults perceived social support, empowerment, and community-based interventions design as most effective to promote psychological well-being of victims. The perceived preferences were similar between elder abuse victims and non-victims. Strategies to culturally adapt evidence-based interventions were proposed with respect to nurturing filial piety values, familial integrations, and increased independence. Research and educational outreach initiatives were also discussed. This study has wide policy and practice implications for designing and deploying interventions to reduce psychological distress with respect to elder abuse outcome. Cultural relevancy of health interventions is important in the context of the Chinese communities. Collective federal, state, and community efforts are needed to support the culturally appropriate design and implementation of interventions suitable for the needs of the Chinese older adults.

scholarly journals Presence and Levels of Resilience and Its Sociodemographic Correlates in Older Chinese Americans

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 389-389
Author(s):  
Jieyang Zheng ◽  
Dexia Kong ◽  
Mengting Li ◽  
XinQi Dong
Keyword(s):  
Older Adults ◽  
Longitudinal Research ◽  
Rank Order ◽  
Chinese Americans ◽  
Research Approach ◽  
Protective Effects ◽  
Chinese Older Adults ◽  
Sociodemographic Correlates ◽  
Older Chinese ◽  
Older Chinese Americans

Abstract Resilience is defined as a personal quality that enables growth in knowledge, understanding and self-actualization in the face of adversity and life disruptions. Low levels of resilience can dispose older adults to higher risks for negative health outcomes in the aftermath of traumatic events. However, we have limited knowledge of resilience among minority aging populations. This study aims to examine the presence and levels of resilience and its sociodemographic correlates among U.S. Chinese older adults. Data were drawn from the Population Study of Chinese Elderly, an epidemiology study of U.S. Chinese older adults in the Greater Chicago area. Guided by a community-based participatory research approach, a total of 3,036 Chinese older adults aged 60 and above participated in face-to-face interviews from 2015 to 2017. Spearman’s rank-order coefficient was utilized to test correlation. A 10-item validated Chinese version of the Connor-Davidson resilience scale was used to assess resilience. In our sample, 59.7% were female, and the average age was 75. The mean resilience score was 26.9, ranging from 1 to 40. U.S. Chinese older adults who were younger, male, married, had higher education and income, fewer children, better health status and quality of life, and improved health and have lived fewer years in the U.S. reported higher levels of resilience. Future longitudinal research is needed to investigate the protective effects of resilience among older Chinese Americans against mental and physical distress.

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