Associations between the differential definitions of elder mistreatment and suicidal ideation outcomes in U.S. Chinese older adults: Do the definitions matter?

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Abstract

Background: Elder mistreatment (EM) prevalence varies greatly according to definitional criteria. However, little is known regarding the significance of different EM definitions with respect to health outcome. This paper explores the association between different definitions of EM and their subtypes and suicidal ideation (SI) in an U.S. Chinese aging population. Methods: The Population Study of ChINese Elderly in Chicago Study was conducted from 2011 to 2013 of 3157 community-dwelling Chinese older adults aged 60 years. Psychological, physical mistreatment (PM), caregiver neglect (CN), financial exploitation (FE), and overall EM were measured by different definitional approaches varying in the strictness. SI in the past 2 weeks and 12 months were assessed. Results: After adjusting for confounders, the least restrictive EM definition (odds ratio [OR], 2.10 [1.34–3.28]; OR, 2.43 [1.66–3.55]), moderately restrictive EM definition (OR, 2.87 [1.80–4.56]; OR, 2.71 [1.82–4.04]), and most restrictive EM definition (OR, 2.24 [1.36–3.66]; OR, 2.34 [1.54–3.56]) were associated with increased risk for 2-week and 12-month SI. For subtypes of EM, psychological mistreatment (the least and most restrictive definitions, 2-week SI: OR, 2.83 [1.71–4.68]; OR, 3.13 [1.10–8.91]; 12-month SI: OR, 2.43 [1.56–3.78]; OR, 2.88 [1.10–7.54]), PM (2-week SI: OR, 5.12 [1.83–14.29]; 12-month SI: OR, 3.45 [1.30–9.13]), and FE was not associated with 2-week SI, only the broadly defined FE (OR, 1.73 [1.01–2.96]) was associated with higher odds of reporting 12-month SI. CN was only associated with higher odds of reporting 12-month SI (OR, 2.17 [1.19–3.96]; OR, 1.94 [1.24–3.04]) but not 2-week SI. Conclusion: EM and its subtypes were significantly associated with SI; some associations varied by definitions and subtypes.

Original languageEnglish (US)
Pages (from-to)S82-S89
JournalJournals of Gerontology - Series A Biological Sciences and Medical Sciences
Volume72
DOIs
StatePublished - Jul 1 2017
Externally publishedYes

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Suicidal Ideation
Odds Ratio
Caregivers
Psychology
Independent Living

All Science Journal Classification (ASJC) codes

  • Aging
  • Geriatrics and Gerontology

Cite this

@article{685dcada47d5468a8bf41f708751492d,
title = "Associations between the differential definitions of elder mistreatment and suicidal ideation outcomes in U.S. Chinese older adults: Do the definitions matter?",
abstract = "Background: Elder mistreatment (EM) prevalence varies greatly according to definitional criteria. However, little is known regarding the significance of different EM definitions with respect to health outcome. This paper explores the association between different definitions of EM and their subtypes and suicidal ideation (SI) in an U.S. Chinese aging population. Methods: The Population Study of ChINese Elderly in Chicago Study was conducted from 2011 to 2013 of 3157 community-dwelling Chinese older adults aged 60 years. Psychological, physical mistreatment (PM), caregiver neglect (CN), financial exploitation (FE), and overall EM were measured by different definitional approaches varying in the strictness. SI in the past 2 weeks and 12 months were assessed. Results: After adjusting for confounders, the least restrictive EM definition (odds ratio [OR], 2.10 [1.34–3.28]; OR, 2.43 [1.66–3.55]), moderately restrictive EM definition (OR, 2.87 [1.80–4.56]; OR, 2.71 [1.82–4.04]), and most restrictive EM definition (OR, 2.24 [1.36–3.66]; OR, 2.34 [1.54–3.56]) were associated with increased risk for 2-week and 12-month SI. For subtypes of EM, psychological mistreatment (the least and most restrictive definitions, 2-week SI: OR, 2.83 [1.71–4.68]; OR, 3.13 [1.10–8.91]; 12-month SI: OR, 2.43 [1.56–3.78]; OR, 2.88 [1.10–7.54]), PM (2-week SI: OR, 5.12 [1.83–14.29]; 12-month SI: OR, 3.45 [1.30–9.13]), and FE was not associated with 2-week SI, only the broadly defined FE (OR, 1.73 [1.01–2.96]) was associated with higher odds of reporting 12-month SI. CN was only associated with higher odds of reporting 12-month SI (OR, 2.17 [1.19–3.96]; OR, 1.94 [1.24–3.04]) but not 2-week SI. Conclusion: EM and its subtypes were significantly associated with SI; some associations varied by definitions and subtypes.",
author = "Xinqi Dong",
year = "2017",
month = "7",
day = "1",
doi = "10.1093/gerona/glx006",
language = "English (US)",
volume = "72",
pages = "S82--S89",
journal = "Journals of Gerontology - Series A Biological Sciences and Medical Sciences",
issn = "1079-5006",
publisher = "Oxford University Press",

}

TY - JOUR

T1 - Associations between the differential definitions of elder mistreatment and suicidal ideation outcomes in U.S. Chinese older adults

T2 - Do the definitions matter?

AU - Dong, Xinqi

PY - 2017/7/1

Y1 - 2017/7/1

N2 - Background: Elder mistreatment (EM) prevalence varies greatly according to definitional criteria. However, little is known regarding the significance of different EM definitions with respect to health outcome. This paper explores the association between different definitions of EM and their subtypes and suicidal ideation (SI) in an U.S. Chinese aging population. Methods: The Population Study of ChINese Elderly in Chicago Study was conducted from 2011 to 2013 of 3157 community-dwelling Chinese older adults aged 60 years. Psychological, physical mistreatment (PM), caregiver neglect (CN), financial exploitation (FE), and overall EM were measured by different definitional approaches varying in the strictness. SI in the past 2 weeks and 12 months were assessed. Results: After adjusting for confounders, the least restrictive EM definition (odds ratio [OR], 2.10 [1.34–3.28]; OR, 2.43 [1.66–3.55]), moderately restrictive EM definition (OR, 2.87 [1.80–4.56]; OR, 2.71 [1.82–4.04]), and most restrictive EM definition (OR, 2.24 [1.36–3.66]; OR, 2.34 [1.54–3.56]) were associated with increased risk for 2-week and 12-month SI. For subtypes of EM, psychological mistreatment (the least and most restrictive definitions, 2-week SI: OR, 2.83 [1.71–4.68]; OR, 3.13 [1.10–8.91]; 12-month SI: OR, 2.43 [1.56–3.78]; OR, 2.88 [1.10–7.54]), PM (2-week SI: OR, 5.12 [1.83–14.29]; 12-month SI: OR, 3.45 [1.30–9.13]), and FE was not associated with 2-week SI, only the broadly defined FE (OR, 1.73 [1.01–2.96]) was associated with higher odds of reporting 12-month SI. CN was only associated with higher odds of reporting 12-month SI (OR, 2.17 [1.19–3.96]; OR, 1.94 [1.24–3.04]) but not 2-week SI. Conclusion: EM and its subtypes were significantly associated with SI; some associations varied by definitions and subtypes.

AB - Background: Elder mistreatment (EM) prevalence varies greatly according to definitional criteria. However, little is known regarding the significance of different EM definitions with respect to health outcome. This paper explores the association between different definitions of EM and their subtypes and suicidal ideation (SI) in an U.S. Chinese aging population. Methods: The Population Study of ChINese Elderly in Chicago Study was conducted from 2011 to 2013 of 3157 community-dwelling Chinese older adults aged 60 years. Psychological, physical mistreatment (PM), caregiver neglect (CN), financial exploitation (FE), and overall EM were measured by different definitional approaches varying in the strictness. SI in the past 2 weeks and 12 months were assessed. Results: After adjusting for confounders, the least restrictive EM definition (odds ratio [OR], 2.10 [1.34–3.28]; OR, 2.43 [1.66–3.55]), moderately restrictive EM definition (OR, 2.87 [1.80–4.56]; OR, 2.71 [1.82–4.04]), and most restrictive EM definition (OR, 2.24 [1.36–3.66]; OR, 2.34 [1.54–3.56]) were associated with increased risk for 2-week and 12-month SI. For subtypes of EM, psychological mistreatment (the least and most restrictive definitions, 2-week SI: OR, 2.83 [1.71–4.68]; OR, 3.13 [1.10–8.91]; 12-month SI: OR, 2.43 [1.56–3.78]; OR, 2.88 [1.10–7.54]), PM (2-week SI: OR, 5.12 [1.83–14.29]; 12-month SI: OR, 3.45 [1.30–9.13]), and FE was not associated with 2-week SI, only the broadly defined FE (OR, 1.73 [1.01–2.96]) was associated with higher odds of reporting 12-month SI. CN was only associated with higher odds of reporting 12-month SI (OR, 2.17 [1.19–3.96]; OR, 1.94 [1.24–3.04]) but not 2-week SI. Conclusion: EM and its subtypes were significantly associated with SI; some associations varied by definitions and subtypes.

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U2 - 10.1093/gerona/glx006

DO - 10.1093/gerona/glx006

M3 - Article

C2 - 28575267

AN - SCOPUS:85028003865

VL - 72

SP - S82-S89

JO - Journals of Gerontology - Series A Biological Sciences and Medical Sciences

JF - Journals of Gerontology - Series A Biological Sciences and Medical Sciences

SN - 1079-5006

ER -