Dong XinQi, Li Ge, Simon Melissa A
Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, Illinois.
Department of Obstetrics/Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
J Gerontol A Biol Sci Med Sci. 2017 Jul 1;72(suppl_1):S69-S75. doi: 10.1093/gerona/glw205.
The previous researchers have postulated that an abused child may abuse his or her abuser parent when the parent is getting old, also known as the intergenerational transmission of violence. However, few studies use data to support this model, and it has yet to be examined in the U.S. Chinese community. This study aims to examine the association between childhood abuse and elder abuse reported by Chinese adult children in the United States.
Guided by a community-based participatory research approach, 548 Chinese adult children aged 21 years and older participated in this study. Childhood abuse was assessed by four-item Hurt-Insult-Threaten-Scream (HITS) scale. Elder abuse was assessed by a 10-item instrument derived from the Caregiver Abuse Screen (CASE). Logistic regression analysis was performed.
Childhood abuse was associated with caregiver abuse screen results (odds ratio = 1.92, 95% confidence interval = 1.24-2.95). Being physically hurt (r = .13, p < .01), insulted (r = .15, p < .001), threatened (r = .12, p < .01), and screamed at (r = .18, p < .001) as a child were significantly correlated with caregiver abuse screen results.
This study suggests that childhood abuse is associated with increased risk of elder abuse among Chinese adult children in the United States. Longitudinal research should be conducted to explore the mechanisms through which childhood abuse and its subtypes links with elder abuse.
先前的研究人员推测，受虐待的儿童在其虐待者父母年老时可能会虐待该父母，这也被称为暴力的代际传递。然而，很少有研究使用数据来支持这一模型，而且在美国华裔社区尚未对此进行过研究。本研究旨在探讨美国华裔成年子女报告的童年虐待与老年虐待之间的关联。
以社区参与式研究方法为指导，548名21岁及以上的华裔成年子女参与了本研究。童年虐待通过四项“伤害 - 侮辱 - 威胁 - 尖叫”（HITS）量表进行评估。老年虐待通过从照顾者虐待筛查量表（CASE）衍生而来的10项工具进行评估。进行了逻辑回归分析。
童年虐待与照顾者虐待筛查结果相关（比值比 = 1.92，95%置信区间 = 1.24 - 2.95）。儿童时期受到身体伤害（r = 0.13，p < 0.01）、侮辱（r = 0.15，p < 0.001）、威胁（r = 0.12，p < 0.01）和尖叫呵斥（r = 0.18，p < 0.001）与照顾者虐待筛查结果显著相关。
本研究表明，童年虐待与美国华裔成年子女中发生老年虐待的风险增加有关。应开展纵向研究以探索童年虐待及其亚型与老年虐待相关联的机制。
