Elder abuse and its medical outcomes in older Chinese people with cognitive and physical impairments

Boye Fang, Elsie Yan, Edward Ko Ling Chan, Partick Ip

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives: Elder abuse poses a major public health threat considering the ongoing rapid aging of the global population. This study investigates the association between elder abuse by family caregivers and medical outcomes among older Chinese patients with cognitive and physical impairments in the People's Republic of China. Methods: Using cross-sectional design, 1002 older patients (aged 55 y and older) and their family caregivers were recruited from 3 grade A hospitals in Guangdong Province. The major independent variable is caregiver-reported elder abuse, while outcome variables include cardiovascular disease, cerebrovascular disease, chronic obstructive pulmonary disease, peptic ulcer, digestive disorder, chronic hepatic disease, chronic renal disease, metabolic disease, acute inflammation, joint disease, tumor, and general injury. The prevalence of these medical conditions among patients who were abused and those who were not were compared using descriptive analyses and chi-square tests, and logistic regression was used to establish the relevant independent associations. Results: A total of 429 (42.8%) older persons have experienced physical or psychological abuse over the past 12 months. After adjusting for potential confounders, abused older persons were more susceptible to cardiovascular disease, chronic obstructive pulmonary disease, peptic ulcer, digestive disorder, metabolic disease, acute inflammation, tumor, and injuries. Conclusion: Elder abuse is associated with various major medical morbidities. Interdisciplinary cooperation is necessary to identify and reduce the adverse physiological consequences in victims.

Original languageEnglish
Pages (from-to)1038-1047
Number of pages10
JournalInternational Journal of Geriatric Psychiatry
Volume33
Issue number8
DOIs
Publication statusPublished - 2018 Aug 1

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Elder Abuse
Caregivers
Metabolic Diseases
Peptic Ulcer
Chronic Obstructive Pulmonary Disease
Cardiovascular Diseases
Inflammation
Cerebrovascular Disorders
Joint Diseases
Wounds and Injuries
Chi-Square Distribution
Chronic Renal Insufficiency
China
Neoplasms
Chronic Disease
Public Health
Logistic Models
Psychology
Morbidity
Cognitive Dysfunction

All Science Journal Classification (ASJC) codes

  • Geriatrics and Gerontology
  • Psychiatry and Mental health

Cite this

Fang, Boye ; Yan, Elsie ; Chan, Edward Ko Ling ; Ip, Partick. / Elder abuse and its medical outcomes in older Chinese people with cognitive and physical impairments. In: International Journal of Geriatric Psychiatry. 2018 ; Vol. 33, No. 8. pp. 1038-1047.
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abstract = "Objectives: Elder abuse poses a major public health threat considering the ongoing rapid aging of the global population. This study investigates the association between elder abuse by family caregivers and medical outcomes among older Chinese patients with cognitive and physical impairments in the People's Republic of China. Methods: Using cross-sectional design, 1002 older patients (aged 55 y and older) and their family caregivers were recruited from 3 grade A hospitals in Guangdong Province. The major independent variable is caregiver-reported elder abuse, while outcome variables include cardiovascular disease, cerebrovascular disease, chronic obstructive pulmonary disease, peptic ulcer, digestive disorder, chronic hepatic disease, chronic renal disease, metabolic disease, acute inflammation, joint disease, tumor, and general injury. The prevalence of these medical conditions among patients who were abused and those who were not were compared using descriptive analyses and chi-square tests, and logistic regression was used to establish the relevant independent associations. Results: A total of 429 (42.8{\%}) older persons have experienced physical or psychological abuse over the past 12 months. After adjusting for potential confounders, abused older persons were more susceptible to cardiovascular disease, chronic obstructive pulmonary disease, peptic ulcer, digestive disorder, metabolic disease, acute inflammation, tumor, and injuries. Conclusion: Elder abuse is associated with various major medical morbidities. Interdisciplinary cooperation is necessary to identify and reduce the adverse physiological consequences in victims.",
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Elder abuse and its medical outcomes in older Chinese people with cognitive and physical impairments. / Fang, Boye; Yan, Elsie; Chan, Edward Ko Ling; Ip, Partick.

In: International Journal of Geriatric Psychiatry, Vol. 33, No. 8, 01.08.2018, p. 1038-1047.

Research output: Contribution to journalArticle

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