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美国华裔老年人中的虐待老人现象与认知功能

Elder mistreatment and cognitive functioning among Chinese older adults in the U.S.

作者信息

Tang Fengyan, Jin Guoping, Da Wendi, Zhu Yuyang, Jiang Yanping

机构信息

School of Social Work, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA.

出版信息

J Elder Abuse Negl. 2025 Jan-Feb;37(1):50-59. doi: 10.1080/08946566.2024.2413498. Epub 2024 Oct 6.

Abstract

Elder mistreatment disproportionately affects racial and ethnic minority older adults, particularly Chinese older adults in the U.S. who face increased risks due to cultural disparities, intergenerational conflicts, and socioeconomic disparities. This study investigated the longitudinal association of elder mistreatment with cognitive functioning among Chinese older adults in the Greater Chicago area ( = 2,811). Self-reported elder mistreatment and cognitive performance were assessed across four waves of the study. Latent growth curve modeling analysis showed that respondents reporting previous mistreatment instances at baseline exhibited better initial functioning status ( = 0.07, < .05); however, those reporting mistreatment incidents at three follow-ups showed a faster cognitive decline compared to those without such reports ( = -0.04, < .05). Recent and potentially cumulative experiences of elder mistreatment have a negative effect on cognitive decline. Sociocultural contexts need to be considered when addressing elder mistreatment issues within the Chinese minority community.

摘要

虐待老年人对少数族裔老年人的影响尤为严重,尤其是在美国的华裔老年人,他们因文化差异、代际冲突和社会经济差距而面临更高的风险。本研究调查了大芝加哥地区2811名华裔老年人中虐待老年人与认知功能之间的纵向关联。在研究的四个阶段评估了自我报告的虐待老年人情况和认知表现。潜在增长曲线模型分析表明,在基线时报告曾遭受虐待事件的受访者表现出更好的初始功能状态(β = 0.07,p <.05);然而,在三次随访中报告有虐待事件的受访者与未报告此类事件的受访者相比,认知能力下降得更快(β = -0.04,p <.05)。近期及可能累积的虐待老年人经历对认知能力下降有负面影响。在解决华裔少数族裔社区内的虐待老年人问题时,需要考虑社会文化背景。

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Elder mistreatment and cognitive functioning among Chinese older adults in the U.S.美国华裔老年人中的虐待老人现象与认知功能
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Association Between Different Forms of Elder Mistreatment and Cognitive Change.不同形式的老年虐待与认知变化的关系。
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