Elder Mistreatment Among Chinese American Families

Do Acculturation and Traditionalism Matter?

Xiang Gao, Fei Sun, David Hodge

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: This study examined the effect of acculturation and Chinese traditionalism on elder mistreatment (EM) among Chinese American older adults. METHOD: We used a mixed method design in this 2-phase cross-sectional exploratory study conducted in the Phoenix metropolitan area. In Phase I, we conducted four focus groups to develop a culturally relevant EM assessment tool. In Phase II, we administered a survey incorporating this tool to 266 community-dwelling Chinese American older adults aged 60 and older. Acculturation was measured using the Marin acculturation scale. Traditionalism was measured with questions drawn from the Traditionality-Modernity subscale of the Chinese Personality Assessment Inventory (CPAI-2). RESULTS: The prevalence rates of elder abuse and elder neglect are 8.3% and 5.3%, respectively. Higher levels of acculturation and depression are positively associated with the occurrence of elder abuse (odds ratio [OR] = 1.06). Traditionalism is not significantly related to elder abuse or elder neglect. DISCUSSION: The results suggest that promoting traditional Chinese beliefs may not necessarily prevent EM among members of this population. Rather, EM prevention efforts might focus on building "bi-cultural" identities among both older adults and their adult children. Future research could explore the effect of intergenerational acculturation discrepancies on EM among members of this population.

Original languageEnglish (US)
Pages (from-to)465-473
Number of pages9
JournalThe journals of gerontology. Series B, Psychological sciences and social sciences
Volume74
Issue number3
DOIs
StatePublished - Feb 15 2019

Fingerprint

Elder Abuse
Acculturation
Asian Americans
conservatism
acculturation
abuse
neglect
Personality Assessment
Independent Living
Personality Inventory
Adult Children
Focus Groups
cultural identity
cross-sectional study
Population
modernity
agglomeration area
personality
Cross-Sectional Studies
Odds Ratio

Keywords

  • Acculturation
  • Elder abuse
  • Elder neglect
  • Traditionalism

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Clinical Psychology
  • Sociology and Political Science
  • Gerontology
  • Geriatrics and Gerontology
  • Life-span and Life-course Studies

Cite this

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title = "Elder Mistreatment Among Chinese American Families: Do Acculturation and Traditionalism Matter?",
abstract = "OBJECTIVES: This study examined the effect of acculturation and Chinese traditionalism on elder mistreatment (EM) among Chinese American older adults. METHOD: We used a mixed method design in this 2-phase cross-sectional exploratory study conducted in the Phoenix metropolitan area. In Phase I, we conducted four focus groups to develop a culturally relevant EM assessment tool. In Phase II, we administered a survey incorporating this tool to 266 community-dwelling Chinese American older adults aged 60 and older. Acculturation was measured using the Marin acculturation scale. Traditionalism was measured with questions drawn from the Traditionality-Modernity subscale of the Chinese Personality Assessment Inventory (CPAI-2). RESULTS: The prevalence rates of elder abuse and elder neglect are 8.3{\%} and 5.3{\%}, respectively. Higher levels of acculturation and depression are positively associated with the occurrence of elder abuse (odds ratio [OR] = 1.06). Traditionalism is not significantly related to elder abuse or elder neglect. DISCUSSION: The results suggest that promoting traditional Chinese beliefs may not necessarily prevent EM among members of this population. Rather, EM prevention efforts might focus on building {"}bi-cultural{"} identities among both older adults and their adult children. Future research could explore the effect of intergenerational acculturation discrepancies on EM among members of this population.",
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N2 - OBJECTIVES: This study examined the effect of acculturation and Chinese traditionalism on elder mistreatment (EM) among Chinese American older adults. METHOD: We used a mixed method design in this 2-phase cross-sectional exploratory study conducted in the Phoenix metropolitan area. In Phase I, we conducted four focus groups to develop a culturally relevant EM assessment tool. In Phase II, we administered a survey incorporating this tool to 266 community-dwelling Chinese American older adults aged 60 and older. Acculturation was measured using the Marin acculturation scale. Traditionalism was measured with questions drawn from the Traditionality-Modernity subscale of the Chinese Personality Assessment Inventory (CPAI-2). RESULTS: The prevalence rates of elder abuse and elder neglect are 8.3% and 5.3%, respectively. Higher levels of acculturation and depression are positively associated with the occurrence of elder abuse (odds ratio [OR] = 1.06). Traditionalism is not significantly related to elder abuse or elder neglect. DISCUSSION: The results suggest that promoting traditional Chinese beliefs may not necessarily prevent EM among members of this population. Rather, EM prevention efforts might focus on building "bi-cultural" identities among both older adults and their adult children. Future research could explore the effect of intergenerational acculturation discrepancies on EM among members of this population.

AB - OBJECTIVES: This study examined the effect of acculturation and Chinese traditionalism on elder mistreatment (EM) among Chinese American older adults. METHOD: We used a mixed method design in this 2-phase cross-sectional exploratory study conducted in the Phoenix metropolitan area. In Phase I, we conducted four focus groups to develop a culturally relevant EM assessment tool. In Phase II, we administered a survey incorporating this tool to 266 community-dwelling Chinese American older adults aged 60 and older. Acculturation was measured using the Marin acculturation scale. Traditionalism was measured with questions drawn from the Traditionality-Modernity subscale of the Chinese Personality Assessment Inventory (CPAI-2). RESULTS: The prevalence rates of elder abuse and elder neglect are 8.3% and 5.3%, respectively. Higher levels of acculturation and depression are positively associated with the occurrence of elder abuse (odds ratio [OR] = 1.06). Traditionalism is not significantly related to elder abuse or elder neglect. DISCUSSION: The results suggest that promoting traditional Chinese beliefs may not necessarily prevent EM among members of this population. Rather, EM prevention efforts might focus on building "bi-cultural" identities among both older adults and their adult children. Future research could explore the effect of intergenerational acculturation discrepancies on EM among members of this population.

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