TY - JOUR PY - 2019// TI - Life course violence: child maltreatment, IPV, and elder abuse phenotypes in a US Chinese population JO - Journal of the American Geriatrics Society A1 - Wang, Bei A1 - Dong, XinQi SP - S486 EP - S492 VL - 67 IS - S3 N2 - 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. J Am Geriatr Soc 67:S486-S492, 2019.

© 2019 The American Geriatrics Society.

Language: en

LA - en SN - 0002-8614 UR - http://dx.doi.org/10.1111/jgs.16096 ID - ref1 ER -