Dong Xinqi
Rush University Medical Center, Chicago, Illinois.
J Gerontol A Biol Sci Med Sci. 2017 Jul 1;72(suppl_1):S90-S94. doi: 10.1093/gerona/glw238.
Physical function (PF) impairment and elder mistreatment (EM) are alarming public health issues facing by many older adults. Prior studies have not generated uniform findings on the associations between PF and EM. This study aimed to address the research gap of this association among U.S. Chinese aging population.
Three thousand one hundred fifty-eight community-dwelling Chinese older adults in the Greater Chicago Area were surveyed. Independent variables included both self-reported and performance-based PF measurements. Dependent variable was EM, assessed by a 10-item instrument that has been widely used in social studies.
The mean age of study participants was 76.3 years (SD ± 8.4) and 58.0% were female. After adjusting for potential covariates, higher scores of activities of daily living (odds ratio [OR] = 0.85, 95% confidence interval [CI] = 0.73-0.98), instrumental activities of daily living (OR = 0.87, 0.82-0.92), and Rosow-Breslau reversely coded (OR = 0.85, 0.75-0.96) were associated with lower risk of EM. Also, lower scores of observed PF performance measurements, including tandem stand (OR = 0.78, 0.70-0.88), measured walk (OR = 0.84, 0.77-0.91), and the overall measurement (OR = 0.93, 0.89-0.97) have significant associations with lower risk of EM.
Findings from this study suggested that greater levels of PF impairment were associated with lower risk of EM among U.S. Chinese older adults in the Greater Chicago Area. Longitudinal studies are needed to obtain a more comprehensive understanding of the pathways between PF and EM and its subtypes among Chinese aging populations.
身体功能（PF）受损和老年人受虐（EM）是许多老年人面临的令人担忧的公共卫生问题。先前的研究在PF与EM之间的关联上并未得出一致的结果。本研究旨在填补美国华裔老年人群中这一关联的研究空白。
对大芝加哥地区3158名居住在社区的华裔老年人进行了调查。自变量包括自我报告的和基于表现的PF测量。因变量是EM，通过社会研究中广泛使用的一个10项量表进行评估。
研究参与者的平均年龄为76.3岁（标准差±8.4），58.0%为女性。在调整潜在协变量后，日常生活活动能力得分较高（比值比[OR]=0.85，95%置信区间[CI]=0.73 - 0.98）、工具性日常生活活动能力得分较高（OR = 0.87，0.82 - 0.92）以及罗索-布雷斯劳反向编码得分较高（OR = 0.85，0.75 - 0.96）与较低的EM风险相关。此外，观察到的PF表现测量得分较低，包括串联站立（OR = 0.78，0.70 - 0.88）、测量步行（OR = 0.84，0.77 - 0.91）以及总体测量得分较低（OR = 0.93，0.89 - 0.97）与较低的EM风险有显著关联。
本研究结果表明，在大芝加哥地区的美国华裔老年人中，较高水平的PF受损与较低的EM风险相关。需要进行纵向研究，以更全面地了解PF与EM及其在中国老年人群中的亚型之间的途径。
