The association between elder abuse and childhood adversity: A study of older adults in Malaysia.

<h4>Objectives</h4>Childhood adversity has been linked with later victimization of young and middle-aged adults, but few studies have shown persistence of this effect among elders, especially outside of North America. This research examined the association between adverse childhood exper...

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Autores principales:	Mohammad Asyraf, Michael P Dunne, Noran N Hairi, Farizah Mohd Hairi, Noraliza Radzali, Choo Wan Yuen
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b09e9bd838e44cb3bcd397bcc0108387
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spelling	oai:doaj.org-article:b09e9bd838e44cb3bcd397bcc01083872021-12-02T20:06:37ZThe association between elder abuse and childhood adversity: A study of older adults in Malaysia.1932-620310.1371/journal.pone.0254717https://doaj.org/article/b09e9bd838e44cb3bcd397bcc01083872021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254717https://doaj.org/toc/1932-6203<h4>Objectives</h4>Childhood adversity has been linked with later victimization of young and middle-aged adults, but few studies have shown persistence of this effect among elders, especially outside of North America. This research examined the association between adverse childhood experiences (ACEs) and elder abuse among older adults aged 60 years and over in Malaysia.<h4>Design</h4>Cross sectional data were collected via face-to-face interview from June to August 2019.<h4>Setting</h4>Eight government community health clinics in Kuala Pilah, a district in Negeri Sembilan state approximately 100km from Malaysian capital city Kuala Lumpur.<h4>Participants</h4>Older adults aged 60 years and above (N = 1984; Mean age 69.2, range 60-93 years) attending all eight government health clinics in the district were recruited for a face-to-face interview about health and well-being.<h4>Measurement</h4>The Adverse Childhood Experience International Questionnaire (ACE-IQ) and the Revised Conflict Tactics Scale (CTS) were utilized to estimate childhood adversity and elder abuse respectively.<h4>Results</h4>Multiple logistic regression analysis revealed a significant relationship between the number of cumulative ACEs and elder abuse. Compared to older adults with no self-reported adversity, those reporting three ACEs (OR 2.67, 95% CI 1.84,3.87) or four or more ACEs (OR 1.7, 95% CI 1.16, 2.48) had higher risk of any elder abuse occurrence since age 60 years. The effect was most prominent for financial and psychological elder abuse. The associations persisted in multivariate logistic regression models after adjusting for sociodemographic and health factors.<h4>Conclusion</h4>Early life adversities were significantly associated with victimization of older adults. Social and emotional support to address elder abuse should recognize that, for some men and women, there is a possibility that vulnerability to maltreatment persisted throughout their life course.Mohammad AsyrafMichael P DunneNoran N HairiFarizah Mohd HairiNoraliza RadzaliChoo Wan YuenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254717 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Mohammad Asyraf Michael P Dunne Noran N Hairi Farizah Mohd Hairi Noraliza Radzali Choo Wan Yuen The association between elder abuse and childhood adversity: A study of older adults in Malaysia.
description	<h4>Objectives</h4>Childhood adversity has been linked with later victimization of young and middle-aged adults, but few studies have shown persistence of this effect among elders, especially outside of North America. This research examined the association between adverse childhood experiences (ACEs) and elder abuse among older adults aged 60 years and over in Malaysia.<h4>Design</h4>Cross sectional data were collected via face-to-face interview from June to August 2019.<h4>Setting</h4>Eight government community health clinics in Kuala Pilah, a district in Negeri Sembilan state approximately 100km from Malaysian capital city Kuala Lumpur.<h4>Participants</h4>Older adults aged 60 years and above (N = 1984; Mean age 69.2, range 60-93 years) attending all eight government health clinics in the district were recruited for a face-to-face interview about health and well-being.<h4>Measurement</h4>The Adverse Childhood Experience International Questionnaire (ACE-IQ) and the Revised Conflict Tactics Scale (CTS) were utilized to estimate childhood adversity and elder abuse respectively.<h4>Results</h4>Multiple logistic regression analysis revealed a significant relationship between the number of cumulative ACEs and elder abuse. Compared to older adults with no self-reported adversity, those reporting three ACEs (OR 2.67, 95% CI 1.84,3.87) or four or more ACEs (OR 1.7, 95% CI 1.16, 2.48) had higher risk of any elder abuse occurrence since age 60 years. The effect was most prominent for financial and psychological elder abuse. The associations persisted in multivariate logistic regression models after adjusting for sociodemographic and health factors.<h4>Conclusion</h4>Early life adversities were significantly associated with victimization of older adults. Social and emotional support to address elder abuse should recognize that, for some men and women, there is a possibility that vulnerability to maltreatment persisted throughout their life course.
format	article
author	Mohammad Asyraf Michael P Dunne Noran N Hairi Farizah Mohd Hairi Noraliza Radzali Choo Wan Yuen
author_facet	Mohammad Asyraf Michael P Dunne Noran N Hairi Farizah Mohd Hairi Noraliza Radzali Choo Wan Yuen
author_sort	Mohammad Asyraf
title	The association between elder abuse and childhood adversity: A study of older adults in Malaysia.
title_short	The association between elder abuse and childhood adversity: A study of older adults in Malaysia.
title_full	The association between elder abuse and childhood adversity: A study of older adults in Malaysia.
title_fullStr	The association between elder abuse and childhood adversity: A study of older adults in Malaysia.
title_full_unstemmed	The association between elder abuse and childhood adversity: A study of older adults in Malaysia.
title_sort	association between elder abuse and childhood adversity: a study of older adults in malaysia.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/b09e9bd838e44cb3bcd397bcc0108387
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The association between elder abuse and childhood adversity: A study of older adults in Malaysia.

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