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Life Course Violence: Child Maltreatment, IPV, and Elder Abuse Phenotypes in a US Chinese Population
Author(s) -
Wang Bei,
Dong XinQi
Publication year - 2019
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/jgs.16096
Subject(s) - medicine , domestic violence , sexual abuse , neglect , poison control , population , physical abuse , elder abuse , psychological abuse , odds ratio , injury prevention , suicide prevention , psychiatry , medical emergency , environmental health
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.