Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, New Brunswick, New Jersey.
School of Nursing, Rutgers, The State University of New Jersey, New Brunswick, New Jersey.
J Am Geriatr Soc. 2019 Aug;67(S3):S499-S505. doi: 10.1111/jgs.15789.
Research has examined the relationships between positive social support (PSS) and elder mistreatment (EM) but less is known regarding the negative aspect of social support (NSS), especially among minority groups in the United States. This study aimed to investigate the relationships between PSS/NSS from different sources and EM among US Chinese older adults.
Population-based cross-sectional study.
Greater Chicago, IL, area.
A representative sample of Chinese older adults aged 60 years or older (N = 3157) from the Population Study of ChINese Elderly in Chicago in 2011 to 2013.
We applied a 10-item widely used instrument to assess EM. PSS and NSS from spouse/family members/friends were measured by a 12-item scale. Multivariate logistic regression analyses were conducted to examine the relationships.
After adjusting for confounders, higher levels of overall PSS from all three sources, including spouse, family members, and friends (odds ratio [OR] = 0.88 [95% confidence interval {CI} = 0.85-0.91]), were associated with lower risk of EM. But participants with a higher level of overall NSS from all three sources (OR = 1.51 [95% CI = 1.41-1.61]) were more likely to experience EM. The results on the relationships between PSS from spouse (OR = 0.70 [95% CI = 0.64-0.76]), PSS from family members (OR = 0.73 [95% CI = 0.68-0.79]), and EM were similar to overall PSS. But PSS from friends had a nonsignificant association with EM. Greater levels of NSS from spouse (OR = 1.84 [95% CI = 1.64-2.07]), family members (OR = 2.36 [95% CI = 2.03-2.75]), and friends (OR = 1.69 [95% CI = 1.32-2.17]) were associated with increased risks of EM.
Higher levels of SS were not always associated with lower risks of EM among US Chinese older adults. NSS might have counter effects. Future qualitative or longitudinal research needs to explore detailed cultural explanations and casual relationships between SS and EM. J Am Geriatr Soc 67:S499-S505, 2019.
研究已经检验了积极社会支持（PSS）与老年虐待（EM）之间的关系，但对于社会支持的消极方面（NSS），尤其是在美国的少数群体中，人们了解较少。本研究旨在调查美国华裔老年人中来自不同来源的 PSS/NSS 与 EM 之间的关系。
基于人群的横断面研究。
伊利诺伊州芝加哥大都市区。
2011 年至 2013 年来自芝加哥华人老年人口研究的年龄在 60 岁或以上的代表性华裔老年人样本（N=3157）。
我们应用了一种广泛使用的 10 项工具来评估 EM。配偶/家庭成员/朋友的 PSS 和 NSS 通过 12 项量表进行测量。采用多变量逻辑回归分析来检验关系。
在调整混杂因素后，来自所有三个来源（配偶、家庭成员和朋友）的总体 PSS 水平较高（比值比[OR]=0.88[95%置信区间{CI}=0.85-0.91]）与 EM 的风险降低相关。但是，来自所有三个来源的总体 NSS 水平较高（OR=1.51[95% CI=1.41-1.61]）的参与者更有可能经历 EM。配偶的 PSS（OR=0.70[95% CI=0.64-0.76]）、家庭成员的 PSS（OR=0.73[95% CI=0.68-0.79]）与 EM 之间的 PSS 关系结果与总体 PSS 相似。但朋友的 PSS 与 EM 没有显著关联。来自配偶的 NSS 水平较高（OR=1.84[95% CI=1.64-2.07]）、家庭成员（OR=2.36[95% CI=2.03-2.75]）和朋友（OR=1.69[95% CI=1.32-2.17]）与 EM 的风险增加相关。
在美国华裔老年人中，较高水平的 SS 并不总是与 EM 风险降低相关。NSS 可能有相反的作用。未来的定性或纵向研究需要探索 SS 和 EM 之间的详细文化解释和因果关系。美国老年学会杂志 67：S499-S505，2019。
