The association between elder abuse and childhood adversity: A study of older adults in Malaysia
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 a...
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| Veröffentlicht in: | PloS one 2021-07, Vol.16 (7), p.e0254717-e0254717 |
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| creator | Asyraf, Mohammad Dunne, Michael P Hairi, Noran N Mohd Hairi, Farizah Radzali, Noraliza Wan Yuen, Choo |
| description | 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.
Cross sectional data were collected via face-to-face interview from June to August 2019.
Eight government community health clinics in Kuala Pilah, a district in Negeri Sembilan state approximately 100km from Malaysian capital city Kuala Lumpur.
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.
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.
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.
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. |
| doi_str_mv | 10.1371/journal.pone.0254717 |
| format | Article |
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Cross sectional data were collected via face-to-face interview from June to August 2019.
Eight government community health clinics in Kuala Pilah, a district in Negeri Sembilan state approximately 100km from Malaysian capital city Kuala Lumpur.
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.
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.
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.
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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0254717</identifier><identifier>PMID: 34292992</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Abuse ; Abuse of ; Adult abuse & neglect ; Adult Survivors of Child Abuse - psychology ; Adults ; Adverse childhood experiences ; Adverse Childhood Experiences - psychology ; Aged ; Aged, 80 and over ; Biology and Life Sciences ; Child abuse & neglect ; Child development ; Childhood ; Childhood factors ; Children ; Clinics ; Cost control ; Cross-Sectional Studies ; Elder Abuse - psychology ; Emotional abuse ; Emotional support ; Epidemiology ; Evidence-based practice ; Female ; GDP ; Gross Domestic Product ; Health ; Health care ; Health risks ; Households ; Humans ; Influence ; Malaysia ; Male ; Medicine and Health Sciences ; Men ; Middle Aged ; Older people ; People and Places ; Preventive medicine ; Psychic trauma in children ; Psychological aspects ; Questionnaires ; Regression analysis ; Regression models ; Self Report ; Sex crimes ; Social Sciences ; Substance use disorder ; Tactics ; Validity ; Victimization ; Violence ; Well being ; Young adults</subject><ispartof>PloS one, 2021-07, Vol.16 (7), p.e0254717-e0254717</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Asyraf et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Asyraf et al 2021 Asyraf et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c758t-fbc4638386f8887d4b71d511ee0696715151214b31e968ec152ff9c4e449eb823</citedby><cites>FETCH-LOGICAL-c758t-fbc4638386f8887d4b71d511ee0696715151214b31e968ec152ff9c4e449eb823</cites><orcidid>0000-0001-9575-0207</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297753/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297753/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27321,27901,27902,33751,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34292992$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Klengel, Torsten</contributor><creatorcontrib>Asyraf, Mohammad</creatorcontrib><creatorcontrib>Dunne, Michael P</creatorcontrib><creatorcontrib>Hairi, Noran N</creatorcontrib><creatorcontrib>Mohd Hairi, Farizah</creatorcontrib><creatorcontrib>Radzali, Noraliza</creatorcontrib><creatorcontrib>Wan Yuen, Choo</creatorcontrib><title>The association between elder abuse and childhood adversity: A study of older adults in Malaysia</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>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.
Cross sectional data were collected via face-to-face interview from June to August 2019.
Eight government community health clinics in Kuala Pilah, a district in Negeri Sembilan state approximately 100km from Malaysian capital city Kuala Lumpur.
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.
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.
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.
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.</description><subject>Abuse</subject><subject>Abuse of</subject><subject>Adult abuse & neglect</subject><subject>Adult Survivors of Child Abuse - psychology</subject><subject>Adults</subject><subject>Adverse childhood experiences</subject><subject>Adverse Childhood Experiences - psychology</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biology and Life Sciences</subject><subject>Child abuse & neglect</subject><subject>Child development</subject><subject>Childhood</subject><subject>Childhood factors</subject><subject>Children</subject><subject>Clinics</subject><subject>Cost control</subject><subject>Cross-Sectional Studies</subject><subject>Elder Abuse - psychology</subject><subject>Emotional abuse</subject><subject>Emotional 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association between elder abuse and childhood adversity: A study of older adults in Malaysia</title><author>Asyraf, Mohammad ; Dunne, Michael P ; Hairi, Noran N ; Mohd Hairi, Farizah ; Radzali, Noraliza ; Wan Yuen, Choo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c758t-fbc4638386f8887d4b71d511ee0696715151214b31e968ec152ff9c4e449eb823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abuse</topic><topic>Abuse of</topic><topic>Adult abuse & neglect</topic><topic>Adult Survivors of Child Abuse - psychology</topic><topic>Adults</topic><topic>Adverse childhood experiences</topic><topic>Adverse Childhood Experiences - psychology</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biology and Life Sciences</topic><topic>Child abuse & neglect</topic><topic>Child development</topic><topic>Childhood</topic><topic>Childhood 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One</addtitle><date>2021-07-22</date><risdate>2021</risdate><volume>16</volume><issue>7</issue><spage>e0254717</spage><epage>e0254717</epage><pages>e0254717-e0254717</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>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.
Cross sectional data were collected via face-to-face interview from June to August 2019.
Eight government community health clinics in Kuala Pilah, a district in Negeri Sembilan state approximately 100km from Malaysian capital city Kuala Lumpur.
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.
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.
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.
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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34292992</pmid><doi>10.1371/journal.pone.0254717</doi><tpages>e0254717</tpages><orcidid>https://orcid.org/0000-0001-9575-0207</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2021-07, Vol.16 (7), p.e0254717-e0254717 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2554337319 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Sociological Abstracts; Public Library of Science (PLoS) |
| subjects | Abuse Abuse of Adult abuse & neglect Adult Survivors of Child Abuse - psychology Adults Adverse childhood experiences Adverse Childhood Experiences - psychology Aged Aged, 80 and over Biology and Life Sciences Child abuse & neglect Child development Childhood Childhood factors Children Clinics Cost control Cross-Sectional Studies Elder Abuse - psychology Emotional abuse Emotional support Epidemiology Evidence-based practice Female GDP Gross Domestic Product Health Health care Health risks Households Humans Influence Malaysia Male Medicine and Health Sciences Men Middle Aged Older people People and Places Preventive medicine Psychic trauma in children Psychological aspects Questionnaires Regression analysis Regression models Self Report Sex crimes Social Sciences Substance use disorder Tactics Validity Victimization Violence Well being Young adults |
| title | The association between elder abuse and childhood adversity: A study of older adults in Malaysia |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-30T18%3A50%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20association%20between%20elder%20abuse%20and%20childhood%20adversity:%20A%20study%20of%20older%20adults%20in%20Malaysia&rft.jtitle=PloS%20one&rft.au=Asyraf,%20Mohammad&rft.date=2021-07-22&rft.volume=16&rft.issue=7&rft.spage=e0254717&rft.epage=e0254717&rft.pages=e0254717-e0254717&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0254717&rft_dat=%3Cgale_plos_%3EA669333917%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2554337319&rft_id=info:pmid/34292992&rft_galeid=A669333917&rft_doaj_id=oai_doaj_org_article_b09e9bd838e44cb3bcd397bcc0108387&rfr_iscdi=true |