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.

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 Prevalence and Gender Differences of Elder Abuse among Community-dwelling Older Adults in Tabriz, Iran

Salmand ◽  
2021 ◽  
Vol 15 (4) ◽  
pp. 458-471
Author(s):  
Habibeh Seutodan Hagh ◽  
◽  
Hassan Rezaeipandari ◽  
Saeed Mousavi ◽  
Hamid Allahverdipour ◽  
...  
Keyword(s):  
Older Adults ◽  
Gender Differences ◽  
Older Women ◽  
Elder Abuse ◽  
Older Men ◽  
Common Type ◽  
Community Dwelling ◽  
Financial Abuse ◽  
And Gender ◽  
Community Dwelling Older Adults

Objectives: Elder abuse is a phenomenon that has become more apparent with the increase in aging population, but there are insufficient evidences about the prevalence of elder abuse and gender differences in this area. Therefore, this study aims to investigate the prevalence of elder abuse and its gender differences among community-dwelling older adults in Tabriz, Iran. Methods & Materials: In this cross-sectional study, 414 older adults aged ≥60 years were recruited from health complexes and centers in Tabriz, Iran in 2018 by using random sampling method. Data collection tools were a demographic form and the Domestic Elder Abuse Questionnaire which were completed through interview. The collected data were analyzed in SPSS V. 22 software. Results: It was reported that 52.6% had experienced abuse by family members. Emotional neglect was the most common type of elder abuse (26.6%) followed by financial abuse (17.6%). Physical abuse was the least common type of elder abuse. Except for financial abuse, older women had experienced more abuse than older men. Of those who were abused, only 31.7% recognized it as elder abuse. Conclusion: Most of older adults experience emotional neglect and financial abuse from family members and perceive them as their normal behaviors. Older women experience more abuse than older men. It is necessary to prevent elder abuse and familiarize older adults with different types of elder abuse.

scholarly journals The prevalence and correlates of elder abuse and neglect in a rural community of Negeri Sembilan state: baseline findings from The Malaysian Elder Mistreatment Project (MAESTRO), a population-based survey

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e017025 ◽  
Author(s):  
Rajini Sooryanarayana ◽  
Wan Yuen Choo ◽  
Noran N Hairi ◽  
Karuthan Chinna ◽  
Farizah Hairi ◽  
...  
Keyword(s):  
Older Adults ◽  
Elder Abuse ◽  
Depressive Symptomatology ◽  
Community Dwelling ◽  
Local Context ◽  
Secondary Outcome ◽  
Prior History ◽  
Elder Mistreatment ◽  
Physical Neglect ◽  
Community Dwelling Older Adults

BackgroundAs Malaysia is fast becoming an ageing nation, the health, safety and welfare of elders are major societal concerns. Elder abuse is a phenomenon recognised abroad but less so locally. This paper presents the baseline findings from the Malaysian Elder Mistreatment Project (MAESTRO) study, the first community-based study on elder abuse in Malaysia.DesignCross-sectional study, analysing baseline findings of a cohort of older adults.SettingKuala Pilah district, Negeri Sembilan state, Malaysia.ObjectivesTo determine the prevalence of elder abuse among community dwelling older adults and its associated factors.ParticipantsA total of 2112 community dwelling older adults aged 60 years and above were recruited employing a multistage sampling using the national census.Primary and secondary outcome measuresElder abuse, measured using a validated instrument derived from previous literature and the modified Conflict Tactic Scales, similar to the Irish national prevalence survey on elder abuse with modification to local context. Factors associated with abuse and profiles of respondents were also examined.ResultsThe prevalence of overall abuse was reported to be 4.5% in the past 12 months. Psychological abuse was most common, followed by financial, physical, neglect and sexual abuse. Two or more occurrences of abusive acts were common, while clustering of various types of abuse was experienced by one-third of abused elders. Being male (adjusted OR (aOR) 2.15, 95% CI 1.23 to 3.78), being at risk of social isolation (aOR 1.96, 95% CI 1.07 to 3.58), a prior history of abuse (aOR 3.28, 95% CI 1.40 to 7.68) and depressive symptomatology (aOR 7.83, 95% CI 2.88 to 21.27) were independently associated with overall abuse.ConclusionElder abuse occurred among one in every 20 elders. The findings on elder abuse indicate the need to enhance elder protection in Malaysia, with both screening of and interventions for elder abuse.

scholarly journals Sarco-Osteoporosis: Prevalence and Association with Frailty in Chinese Community-Dwelling Older Adults

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Yan-Jiao Wang ◽  
Yi Wang ◽  
Jun-Kun Zhan ◽  
Zhi-Yong Tang ◽  
Jie-Yu He ◽  
...  
Keyword(s):  
Older Adults ◽  
Regression Analysis ◽  
Older People ◽  
Older Women ◽  
Older Men ◽  
Lower Proportion ◽  
Community Dwelling ◽  
Chinese Older People ◽  
Osteoporosis Prevalence ◽  
Community Dwelling Older Adults

The aim was to apply AWGS criteria to estimate the prevalence of sarco-osteoporosis and investigate its relationship with frailty, in a sample of 316 community-dwelling Chinese older people. Regression analysis was performed using frailty as the dependent variable. The results showed that the prevalence rate of sarco-osteoporosis was 10.4% in older men and 15.1% in older women. ≧80 years old (OR 4.8; 95% CI, 3.05–10.76;P=0.027), women (OR 2.6; 95% CI, 1.18–2.76;P=0.036), and higher level of comorbidity (OR 3.71; 95% CI, 1.61–10.43;P=0.021) were independently associated with the likelihood of being sarco-osteoporosis. In the frail group, sarco-osteoporosis occurred in 26.3% of men, in 38.5% of women, and in lower proportion in the prefrail (13.6% of men; 16.2% of women) and nonfrail group (1.6% of men; 1.9% of women) (P<0.05, resp.). Furthermore, the likelihood of being frail/prefrail was substantially higher in the presence of sarco-osteoporosis (OR 4.16; 95% CI, 2.17–17.65;P=0.019in men; and OR 4.67; 95% CI, 2.42–18.86;P=0.007in women). The results indicate that patients with sarco-osteoporosis are more likely to be ≧80 yrs with higher burden of comorbidities and to have frailty/prefrailty, especially for women.

Prevalence and Correlates of Elder Mistreatment in a Community-Dwelling Population of U.S. Chinese Older Adults

2014 ◽  
Vol 26 (7) ◽  
pp. 1209-1224 ◽  
Author(s):  
XinQi Dong ◽  
Ruijia Chen ◽  
Terry Fulmer ◽  
Melissa A. Simon
Keyword(s):  
Older Adults ◽  
Community Dwelling ◽  
Elder Mistreatment ◽  
Chinese Older Adults

scholarly journals ELDER MISTREATMENT AND ANXIETY SYMPTOMS AMONG U.S. CHINESE OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S271-S271
Author(s):  
Ying-Yu Chao ◽  
Yu-Ping Chang ◽  
XinQi Dong
Keyword(s):  
Older Adults ◽  
Elder Abuse ◽  
Depression Scale ◽  
Community Based Participatory Research ◽  
Chinese Americans ◽  
Anxiety Symptoms ◽  
Public Health Issue ◽  
Cultural Backgrounds ◽  
Elder Mistreatment ◽  
Chinese Older Adults

Abstract Purpose: Elder mistreatment is a critical public health issue across all cultural backgrounds. However, we have limited understanding of the mental health outcomes of elder mistreatment among older Chinese Americans. This study aimed to examine the association between different types of elder mistreatment and anxiety symptoms among U.S. Chinese older adults. Methods: Data were from the Population Study of Chinese Elderly in Chicago (PINE), a community-based participatory research study of 3,157 Chinese older adults in the Greater Chicago area. Elder abuse was assessed with the overall abuse screening test and Modified Conflict Tactic Scale. Anxiety symptoms were assessed by the Hospital Anxiety and Depression Scale (HADS-A). Multivariate logistic regression analyses were performed. Results: Participants had a mean age of 72.8 ± 8.3 years old (range 60-105). After controlling for potential covariates, participants with overall abuse (OR = 1.76, 95% CI: 1.57-1.98, p &lt; .001), psychological abuse (OR = 1.76, 95% CI: 1.53-2.02, p &lt; .001), physical abuse (OR = 1.56, 95% CI: 1.03-2.36, p &lt; .05), and financial exploitation (OR = 1.24, 95% CI: 1.06 – 1.44, p &lt; .001) were more likely to have anxiety symptoms. However, sexual abuse was not significantly associated with anxiety symptoms (p = 0.83). Conclusion & Implications: Our findings indicate that elder mistreatment may result in anxiety symptoms among Chinese older adults. Further studies can examine whether Chinese cultural traits (e.g., face, harmony) influence the relationships between elder mistreatment and anxiety symptoms.

scholarly journals Amount of Protein Required to Improve Muscle Mass in Older Adults

Nutrients ◽  
2020 ◽  
Vol 12 (6) ◽  
pp. 1700
Author(s):  
Doyeon Kim ◽  
Yongsoon Park
Keyword(s):  
Older Adults ◽  
Older Women ◽  
Muscle Mass ◽  
Gait Speed ◽  
Protein Intake ◽  
Older Men ◽  
Community Dwelling ◽  
Age Related ◽  
And Function ◽  
Habitual Protein Intake

Increased protein intake has been suggested as an effective strategy to treat age-related loss of muscle mass and function, but the amount of protein required to improve muscle and function without exercise in older adults remains unclear. Thus, this secondary data analysis aimed to assess what amount of protein from habitual protein intake was positively associated with changes in muscle mass and gait speed in older women and men. Ninety-six community-dwelling older adults consumed 0.8, 1.2, or 1.5 g/kg/day of protein and maintained their usual physical activity for 12 weeks. Increased protein intake of >0.54 g/kg/day was positively associated with changes in appendicular skeletal muscle mass (ASM)/weight (B = 0.591, p = 0.026), ASM/body mass index (B = 0.615, p = 0.023), and ASM:fat ratio (B = 0.509, p = 0.030) in older men. However, change in protein intake was not associated with change in muscle mass in older women. Additionally, change in protein intake was not associated with change in gait speed in older women and men. The present study suggested that an increased absolute protein amount of >0.54 g/kg/day from habitual protein intake was positively associated with change in muscle mass in older men.

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