Financial Exploitation in the U.S.: National Elder Mistreatment Study

2009 ◽  
Author(s):  
Ron Acierno ◽  
Wendy Muzzy ◽  
Melba Hernandez
Keyword(s):  
Elder Mistreatment ◽  
Financial Exploitation ◽  
The U.S

scholarly journals ELDER MISTREATMENT AND DEPRESSIVE SYMPTOMS AMONG OLDER CHINESE AMERICANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S761-S761
Author(s):  
Ying-Yu Chao ◽  
Yu-Ping Chang ◽  
XinQi Dong
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Chinese Americans ◽  
Comprehensive Understanding ◽  
Elder Mistreatment ◽  
Chinese Older Adults ◽  
Financial Exploitation ◽  
Different Types ◽  
Older Chinese ◽  
Older Chinese Americans

Abstract This study aimed to examine the association between different types of elder mistreatment and depressive symptoms among U.S. Chinese older adults. Data were from the Population Study of Chinese Elderly in Chicago (PINE). Participants were 3,157 Chinese older adults who were 60 years and over (mean age = 72.8). Logistic regression analyses were performed. The results showed that participants with overall mistreatment (OR, 2.11; 95% CI, 1.83-2.43), psychological mistreatment (OR, 2.12; 95% CI, 1.78-2.51), physical mistreatment (OR, 1.82; 95% CI, 1.10-2.99), and financial exploitation (OR, 1.33; 95% CI, 1.11 – 1.60) were more likely to report more depressive symptoms. There was no significant association between sexual mistreatment and depressive symptoms (p = 0.07). Longitudinal studies are needed to obtain a more comprehensive understanding of the pathways between elder mistreatment and depressive symptoms.

scholarly journals Face-Saving and Help-Seeking Among U.S. Chinese Older Adults With Elder Mistreatment

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 428-428
Author(s):  
Dexia Kong ◽  
XinQi Dong ◽  
Ying-Yu Chao
Keyword(s):  
Older Adults ◽  
Help Seeking ◽  
Chinese Culture ◽  
Cultural Value ◽  
Elder Mistreatment ◽  
Help Seeking Behaviors ◽  
Chinese Older Adults ◽  
Cultural Constructs ◽  
Financial Exploitation ◽  
Face Saving

Abstract Chinese culture places a high value on saving face and not bringing shame to the family. This study aimed to examine the associations between face-saving and help-seeking among U.S. Chinese older adults who experienced elder mistreatment (EM). Data were retrieved from the PINE study. Regression analyses were performed. Most EM victims sought help from informal sources only (48.21%), followed by no help (26.79%), informal plus formal help (19.64%), and formal help only (5.36%). For EM screening, face-saving was associated with informal help-seeking intentions (p < .05). For EM subtypes, face-saving was associated with overall help-seeking intentions for financial exploitation (p < .05), but not on physical mistreatment, psychological mistreatment, and caregiver neglect. Face-saving was not associated with help-seeking behaviors. Study findings underscore the significance of a unique cultural value in understanding EM help-seeking intentions among Chinese older adults. Cultural constructs should be considered in future EM research in diverse populations.

scholarly journals Indicators of Elder Mistreatment: Correlates among Veterans Receiving Care in the Veterans Health Administration

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 884-884
Author(s):  
Jenefer Jedele ◽  
Cameron Griffin ◽  
Julie Weitlauf
Keyword(s):  
Mental Health ◽  
Military Service ◽  
Female Gender ◽  
Veterans Health Administration ◽  
Community Dwelling ◽  
Veterans Health ◽  
Health Administration ◽  
Elder Mistreatment ◽  
Financial Exploitation ◽  
Increased Risk

Abstract Among community-dwelling adults ages 65 and older, approximately 11% have experienced elder mistreatment (EM), including physical, emotional or sexual abuse, neglect, or financial exploitation. EM research typically focuses on this age group; however, Veterans receiving Veterans Health Administration (VHA) care have increased earlier morbidity, which may accelerate the impacts of EM. Using a cohort of all VHA Veterans 50 years and older with VHA use in 2018-2020, we examined correlates of EM. ICD-10 codes from clinical encounters identified Veterans with indications of EM (n=4,427). A 10% sample of Veterans without indications of EM was selected for comparison (n=530,535). Logistic regression compared EM+ Veterans to the comparison sample and assessed overall demographic and clinical differences as well as differences by age, i.e. 50-64 versus 65 and older. Overall, female gender (OR=5.3, 95% CI=4.3-6.5), non-white race/ethnicity (OR=1.7, CI=1.5-1.9), dementia (OR=3.0, CI=2.6-3.5), PTSD (OR=2.0, CI=1.6-2.5), anxiety (OR=1.3, CI=1.0-1.5), military service connected disability status (OR=1.3, CI=1.1-1.5), and higher Elixhauser medical morbidity scores (OR=1.1, CI=1.1-1.1) were associated with EM. Prior year ER visits (OR=28.0, CI=23.6-33.4), inpatient stays (OR=14.0, CI=11.5-17.0), and mental health visits (OR=26.1, CI=22.2-30.6) also predicted EM+ status. Forty-six percent of VHA Veterans with indicators of EM were aged 50-64. For these Veterans, female gender, PTSD, service connection, and mental health visits were associated with increased risk of EM compared to Veterans 65+. Findings highlight clinical correlates of EMs among Veterans in VHA care. Increased awareness of EM risk factors is warranted and may inform VHA efforts for EM prevention, detection and intervention.

scholarly journals ELDER MISTREATMENT SUBTYPES AND ANXIETY: DO DEFINITIONS MATTER?

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S761-S761
Author(s):  
Jieyang Zheng ◽  
Stephanie Bergren ◽  
XinQi Dong
Keyword(s):  
Older Adults ◽  
Longitudinal Data ◽  
Depression Scale ◽  
Anxiety Symptoms ◽  
Anxiety And Depression ◽  
Future Research ◽  
Hospital Anxiety ◽  
Elder Mistreatment ◽  
Chinese Older Adults ◽  
Financial Exploitation

Abstract Elder mistreatment (EM) and the magnitude of its relationship to anxiety may vary depending on definitional criteria. We leveraged data from the PINE Study, a study of 3,157 Chinese older adults in Chicago. EM was measured by 56 items on psychological, physical and sexual mistreatment, caregiver neglect and financial exploitation subtypes. Least restrictive, moderately restrictive, and most restrictive definitions of EM were constructed. Symptoms of anxiety were measured by the Hospital Anxiety and Depression Scale. Least restrictive (OR, 1.94; 95%CI, 1.57-2.40), moderately restrictive (OR, 1.56; 95%CI, 1.22-1.99), and most restrictive (OR, 1.39; 95%CI, 1.07-1.79) definitions of EM were all significantly associated with the likelihood of experiencing any anxiety symptoms. The magnitude of associations between EM and anxiety symptoms vary based on strictness of the EM definition. Future research should explore the potential causal relationships between EM and anxiety through longitudinal data.

Examining the Role of Substance Abuse in Elder Mistreatment: Results From Mistreatment Investigations

2016 ◽  
Vol 34 (2) ◽  
pp. 366-391 ◽  
Author(s):  
Kendon J. Conrad ◽  
Pi-Ju Liu ◽  
Madelyn Iris
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Physical Abuse ◽  
Emotional Abuse ◽  
Risk Identification ◽  
Elder Mistreatment ◽  
Cross Sectional ◽  
Substance Use Problems ◽  
Financial Exploitation

Substance abuse has long been identified as a risk factor for elder mistreatment, yet research on the topic remains sparse. This study tested hypotheses whether perpetrator and victim substance use problems were associated with financial exploitation, physical abuse, emotional abuse, and neglect versus no abuse. Cross-sectional data were collected on 948 cases with yes/no substantiation decisions where 357 cases had no abuse in elder mistreatment investigations. Hypotheses were tested using odds ratios, bivariate, and multiple linear regression analyses including a control for victim vulnerability. Of 948 alleged victims, 42 (4.4%) exhibited signs of substance use problems. Among the 323 alleged perpetrators, 87 (26.9%) were reported to have substance use problems. Substance use problems by alleged perpetrators were associated ( p < .01) with financial exploitation, physical abuse, and emotional abuse but not neglect. Substance use problems by alleged victims were associated with neglect, but not the other types. Alleged perpetrators with substance use problems tended to commit multiple forms of abuse, were male and not caregivers. Except for the findings on neglect, the associations with elder mistreatment were stronger for alleged perpetrators with substance use problems, than for alleged victims. Clarification of the role of perpetrator risk factors such as substance abuse should improve risk identification and subsequent intervention.

scholarly journals Elder Abuse Multidisciplinary Teams: Describing and Classifying a Key Collaborative Resource for APS Workers

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 696-696
Author(s):  
Zachary Gassoumis ◽  
Gerson Galdamez ◽  
Julia Rowan ◽  
Kathleen Wilber
Keyword(s):  
Social Service ◽  
Latent Class ◽  
Elder Abuse ◽  
Interdisciplinary Collaboration ◽  
Multidisciplinary Teams ◽  
Partial Similarity ◽  
Financial Exploitation ◽  
The U.S ◽  
Complex Cases

Abstract Elder abuse multidisciplinary teams (MDTs) are a key resource when APS workers address their most complex cases. MDTs promote coordination and information sharing, and provide access to highly specialized input and problem-solving from legal, health, social service, and financial fields. This paper characterizes the range of elder abuse MDTs across the U.S. We identified 324 MDTs in the U.S., which most frequently addressed cases of financial exploitation (90.8%), physical abuse (83.6%) and neglect (81.6%). Based on a follow-up survey, latent class analysis was used to determine closeness of a subset (n=91) to the elder abuse forensic center model, which has received much evaluation and policy attention. Twenty-six showed strong similarity to forensic centers, with 24 others showing partial similarity. Coupled with observations from site visits to 4 teams, findings can guide the development and evaluation of elder abuse MDTs to foster better interdisciplinary collaboration for APS workers. Part of a symposium sponsored by Abuse, Neglect and Exploitation of Elderly People Interest Group.

scholarly journals Measuring Utility of VASS Elder Mistreatment Screener Within Community Dwelling U.S. Chinese Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1047-1047
Author(s):  
Natalie Tuseth ◽  
Stephanie Bergren ◽  
XinQi Dong
Keyword(s):  
Older Adults ◽  
Sensitivity And Specificity ◽  
Community Dwelling ◽  
Minority Populations ◽  
Elder Mistreatment ◽  
Chinese Older Adults ◽  
Financial Exploitation ◽  
Sample Average ◽  
Chi Squared ◽  
Specificity Rate

Abstract Elder mistreatment (EM) is often underreported, making potential screening a valuable tool. There is limited literature on the screening utility, especially for minority populations. This abstract aims to study sensitivity and specificity of a commonly used 10-point EM screener compared to a detailed EM questionnaire among Chinese older adults. This study used data from a representative sample of 3,157 community-dwelling U.S. Chinese older adults 60+. Chi-squared test was conducted between VASS 10-questionare screener and EM measured by 56 items on psychological, physical and sexual mistreatment, caregiver neglect and financial exploitation subtypes. Sensitivity and specificity was calculated using the Bayes Theorem. In this sample, average age was 72 and 59% female. 637 (20.30%) reported any EM while 475 (15.14%) older adults screened positive for EM. Of participants reporting any EM, 365 (57.30%) did not screen positive for EM. The screener had a sensitivity of 42.70% and specificity of 91.88% for all EM subtypes. Gaps between reported EM and negative EM screener is smaller in psychological (sensitivity 72.85%, specificity 91.07%) and physical (sensitivity 63.64%, specificity 86.66%) EM subtypes, but much larger in financial exploitation (sensitivity 34.60%, specificity 86.85%) and neglect (sensitivity 14.11%, specificity 84.75%). The VASS screener demonstrates poor sensitivity but acceptable specificity rate for any EM. The screener showed better sensitivity and specificity for physical and psychological mistreatment, but performed worse for more common forms of mistreatment like financial exploitation and neglect. Modifying this screener may improve sensitivity and specificity in identifying EM.

scholarly journals Association Between Different Forms of Elder Mistreatment and Cognitive Change

2020 ◽  
pp. 089826432097677
Author(s):  
Mengting Li ◽  
XinQi Dong
Keyword(s):  
Cognitive Function ◽  
Mini Mental State Examination ◽  
Well Being ◽  
Cognitive Change ◽  
Elder Mistreatment ◽  
Cognitive Domains ◽  
Memory Processing ◽  
Financial Exploitation ◽  
Global Cognition ◽  
State Examination

Objectives: Elder mistreatment (EM) is associated with worse physical health and psychological well-being, but little is known regarding its cognitive consequences. Methods: Data were derived from the T1–T2 PINE ( n = 2713). EM was measured by psychological, physical, and sexual mistreatment; financial exploitation; and caregiver neglect. Cognitive function was evaluated by global cognition, episodic memory, working memory, processing speed, and Mini-Mental State Examination. Linear regression was used. Results: At baseline, physical mistreatment and caregiver neglect were associated with lower global cognition and cognitive domains, while psychological mistreatment was associated with higher cognitive function. Older adults with incident psychological mistreatment, physical mistreatment, and caregiver neglect had a faster decrease in global cognition and cognitive domains over 2 years. Discussion: This study is among the first to examine the association between different forms of EM and cognitive change. These findings provide a basis for engaging ethnic minorities with EM to maintain cognitive health.

Historical Introduction

1977 ◽  
Vol 35 ◽  
pp. 2-5
Author(s):  
R. D. Heidenreich
Keyword(s):  
Electron Emission ◽  
Secondary Electron ◽  
Secondary Electron Emission ◽  
50Th Anniversary ◽  
Secondary Emission ◽  
Wave Nature ◽  
Nobel Prize In Physics ◽  
Primary Electrons ◽  
The U.S ◽  
Mutual Agreement

This program has been organized by the EMSA to commensurate the 50th anniversary of the experimental verification of the wave nature of the electron. Davisson and Germer in the U.S. and Thomson and Reid in Britian accomplished this at about the same time. Their findings were published in Nature in 1927 by mutual agreement since their independent efforts had led to the same conclusion at about the same time. In 1937 Davisson and Thomson shared the Nobel Prize in physics for demonstrating the wave nature of the electron deduced in 1924 by Louis de Broglie.The Davisson experiments (1921-1927) were concerned with the angular distribution of secondary electron emission from nickel surfaces produced by 150 volt primary electrons. The motivation was the effect of secondary emission on the characteristics of vacuum tubes but significant deviations from the results expected for a corpuscular electron led to a diffraction interpretation suggested by Elasser in 1925.

Sign in / Sign up

Export Citation Format

Share Document