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.
from Wiley: Journal of the American Geriatrics Society: Table of Contents https://ift.tt/2yVt0kw
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