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Sources and Variations in Social Support and Risk for Elder Mistreatment in a US Chinese Population.
J Am Geriatr Soc 2019; 67(S3):S499-S505JA

Abstract

OBJECTIVES

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.

DESIGN

Population-based cross-sectional study.

SETTING

Greater Chicago, IL, area.

PARTICIPANTS

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.

MEASUREMENTS

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.

RESULTS

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.

CONCLUSION

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.

Authors+Show Affiliations

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

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31403191

Citation

Zheng, Shenglin, et al. "Sources and Variations in Social Support and Risk for Elder Mistreatment in a US Chinese Population." Journal of the American Geriatrics Society, vol. 67, no. S3, 2019, pp. S499-S505.
Zheng S, Li M, Kong D, et al. Sources and Variations in Social Support and Risk for Elder Mistreatment in a US Chinese Population. J Am Geriatr Soc. 2019;67(S3):S499-S505.
Zheng, S., Li, M., Kong, D., & Dong, X. (2019). Sources and Variations in Social Support and Risk for Elder Mistreatment in a US Chinese Population. Journal of the American Geriatrics Society, 67(S3), pp. S499-S505. doi:10.1111/jgs.15789.
Zheng S, et al. Sources and Variations in Social Support and Risk for Elder Mistreatment in a US Chinese Population. J Am Geriatr Soc. 2019;67(S3):S499-S505. PubMed PMID: 31403191.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sources and Variations in Social Support and Risk for Elder Mistreatment in a US Chinese Population. AU - Zheng,Shenglin, AU - Li,Mengting, AU - Kong,Dexia, AU - Dong,XinQi, PY - 2018/08/31/received PY - 2018/11/30/revised PY - 2019/01/02/accepted PY - 2019/8/13/entrez KW - elder mistreatment KW - minority aging KW - negative social support KW - positive social support SP - S499 EP - S505 JF - Journal of the American Geriatrics Society JO - J Am Geriatr Soc VL - 67 IS - S3 N2 - OBJECTIVES: 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. DESIGN: Population-based cross-sectional study. SETTING: Greater Chicago, IL, area. PARTICIPANTS: 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. MEASUREMENTS: 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. RESULTS: 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. CONCLUSION: 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. SN - 1532-5415 UR - https://www.unboundmedicine.com/medline/citation/31403191/Sources_and_Variations_in_Social_Support_and_Risk_for_Elder_Mistreatment_in_a_US_Chinese_Population_ L2 - https://doi.org/10.1111/jgs.15789 DB - PRIME DP - Unbound Medicine ER -