Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, New Jersey.
J Am Geriatr Soc. 2019 Aug;67(S3):S486-S492. doi: 10.1111/jgs.16096.
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).
Cross-sectional data collected during 2011-2013.
US Chinese community in Chicago, Illinois.
A total of 3157 community-dwelling older adults (aged ≥60 y).
Cases of CM, IPV, and EA.
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.
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.
研究儿童虐待（CM）、亲密伴侣暴力（IPV）和老年虐待（EA）经历（包括表型（心理、身体/性虐待、经济剥削、照顾者忽视））之间的关联。
2011-2013 年期间收集的横断面数据。
伊利诺伊州芝加哥的美国华人社区。
共 3157 名社区居住的老年人（年龄≥60 岁）。
CM、IPV 和 EA 的病例数。
CM 的暴力发生率为 11.4%（身体/性虐待=10.2%；心理虐待=2.4%），IPV 为 6.5%（心理虐待=5.3%；身体/性虐待=2.8%），EA 为 15.2%（照顾者忽视=11.2%；心理虐待=9.8%；经济剥削=9.3%；身体/性虐待=1.2%）。在调整了潜在的混杂变量后，CM 心理虐待与 IPV 心理虐待（比值比[OR] = 7.60；95%置信区间[CI] = 4.29-13.45）、IPV 身体/性虐待（OR = 4.06；CI = 1.71-9.63）、EA 心理虐待（OR = 3.79；95% CI = 2.20-6.51）和 EA 经济剥削（OR = 2.07；95% CI = 1.12-3.81）的风险增加有关。CM 身体/性虐待与 IPV 身体/性虐待（OR = 1.86；95% CI = 1.02-3.38）、EA 心理虐待（OR = 1.70；95% CI = 1.20-2.42）和 EA 经济剥削（OR = 2.38；95% CI = 1.72-3.30）的风险增加有关。IPV 心理和身体/性虐待与 EA 心理虐待的风险增加 5 至 8 倍，与 EA 身体/性虐待的风险增加 6 至 9 倍，与 EA 经济剥削的风险增加 3 倍。
与老年人一起工作的医疗保健专业人员应该了解到，暴力史可能会使一个人更容易遭受不同类型的 EA。在为暴力受害者提供服务或护理时，还应考虑暴力的累积影响。J Am Geriatr Soc 67：S486-S492，2019 年。
