Association between Elder Mistreatment and Suicidal Ideation among Community-Dwelling Chinese Older Adults in the USA

Xinqi Dong, Ruijia Chen, Bei Wu, Ning Jackie Zhang, Ada Chan Yuk Sim Mui, Iris Chi

Research output: Contribution to journalArticle

Abstract

Elder mistreatment and suicidal ideation are important public health concerns among aging populations. However, very few studies have been conducted to explore the association between elder mistreatment and suicidal ideation. Objectives: To examine the association between elder mistreatment and suicidal ideation among Chinese older adults in the USA. Methods: Guided by a community-based participatory research approach, in this study we conducted in-person interviews with Chinese older adults aged 60 years and older in the Greater Chicago area from 2011 to 2013. Elder mistreatment was assessed by a 10-item instrument derived from the Hwalek-Sengstock Elder Abuse Screening Test (H-S/EAST) and the Vulnerability to Abuse Screening Scale (VASS). Suicidal ideation was assessed by the ninth item of the Patient Health Questionnaire-9 (PHQ-9) and the Geriatric Mental State Examination-Version A (GMS-A). Results: Overall, 3,159 Chinese older adults participated in this study, and their mean age was 72.8 years. After controlling for age, gender, education, income, medical comorbidities, depressive symptoms, and social support, elder mistreatment was significantly associated with 2-week suicidal ideation (OR 2.46, 95% CI 1.52-4.01) and 12-month suicidal ideation (OR 2.46, 95% CI 1.62-3.73). With respect to gender differences, the study found that the association remained significant for older women but not for older men after adjusting for all confounding factors. Conclusion: As the largest epidemiological study conducted among Chinese older adults in the USA, this study suggests that elder mistreatment is significantly associated with 2-week and 12-month suicidal ideation in older women but not in older men. Longitudinal studies should be conducted to explore the mechanisms through which elder mistreatment links with suicidal ideation.

Original languageEnglish (US)
Pages (from-to)71-80
Number of pages10
JournalGerontology
Volume62
Issue number1
DOIs
StatePublished - Dec 1 2015

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Independent Living
Suicidal Ideation
Community-Based Participatory Research
Elder Abuse
Medical Education
Social Support
Geriatrics
Longitudinal Studies
Comorbidity
Epidemiologic Studies
Public Health
Interviews
Depression
Health

Keywords

  • Chinese
  • Elder mistreatment
  • Older adults
  • Suicidal ideation

ASJC Scopus subject areas

  • Aging
  • Geriatrics and Gerontology

Cite this

Association between Elder Mistreatment and Suicidal Ideation among Community-Dwelling Chinese Older Adults in the USA. / Dong, Xinqi; Chen, Ruijia; Wu, Bei; Zhang, Ning Jackie; Mui, Ada Chan Yuk Sim; Chi, Iris.

In: Gerontology, Vol. 62, No. 1, 01.12.2015, p. 71-80.

Research output: Contribution to journalArticle

Dong, Xinqi ; Chen, Ruijia ; Wu, Bei ; Zhang, Ning Jackie ; Mui, Ada Chan Yuk Sim ; Chi, Iris. / Association between Elder Mistreatment and Suicidal Ideation among Community-Dwelling Chinese Older Adults in the USA. In: Gerontology. 2015 ; Vol. 62, No. 1. pp. 71-80.
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abstract = "Elder mistreatment and suicidal ideation are important public health concerns among aging populations. However, very few studies have been conducted to explore the association between elder mistreatment and suicidal ideation. Objectives: To examine the association between elder mistreatment and suicidal ideation among Chinese older adults in the USA. Methods: Guided by a community-based participatory research approach, in this study we conducted in-person interviews with Chinese older adults aged 60 years and older in the Greater Chicago area from 2011 to 2013. Elder mistreatment was assessed by a 10-item instrument derived from the Hwalek-Sengstock Elder Abuse Screening Test (H-S/EAST) and the Vulnerability to Abuse Screening Scale (VASS). Suicidal ideation was assessed by the ninth item of the Patient Health Questionnaire-9 (PHQ-9) and the Geriatric Mental State Examination-Version A (GMS-A). Results: Overall, 3,159 Chinese older adults participated in this study, and their mean age was 72.8 years. After controlling for age, gender, education, income, medical comorbidities, depressive symptoms, and social support, elder mistreatment was significantly associated with 2-week suicidal ideation (OR 2.46, 95{\%} CI 1.52-4.01) and 12-month suicidal ideation (OR 2.46, 95{\%} CI 1.62-3.73). With respect to gender differences, the study found that the association remained significant for older women but not for older men after adjusting for all confounding factors. Conclusion: As the largest epidemiological study conducted among Chinese older adults in the USA, this study suggests that elder mistreatment is significantly associated with 2-week and 12-month suicidal ideation in older women but not in older men. Longitudinal studies should be conducted to explore the mechanisms through which elder mistreatment links with suicidal ideation.",
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