title: Prevalence and correlates of abuse screening items among community-dwelling Hong Kong Chinese older adults.
abstract: OBJECTIVE
  The present study aims to describe the prevalence of potential elder abuse, and to examine correlates of abuse screening items among Chinese community-dwelling older adults.
  
  
  METHODS
  We analyzed the data of 3435 older persons aged ≥60 years who had first applied for the long-term care services in Hong Kong and completed the screening tool (Minimum Data Set-Home Care) in 2006. For each of the five abuse screening items ("fearful of a family member/caregiver," "unexplained injuries/broken bones/burns," "physically restrained," "unusually poor hygiene" and "neglected/abused/mistreated"), we examined its relationship with four types of factors: older person, perpetrator, relationship and environment.
  
  
  RESULTS
  The rates of individual abuse screening items ranged from 3.9% for physically restrained to 0.03% for unexplained injures/broken bones/burns. Physically restrained was positively associated with activities of daily living impairments, instrumental activities of daily living impairments, perceived poor health, physically abusive behavior and caregiver mental health. Unusually poor hygiene was positively associated with socially inappropriate behavior and actively resisted care. "Fearful of a family member/caregiver" was positively associated with perceived poor health, conflicting relationship and mental health, and negatively with care activities. Neglected/abused/mistreated was positively associated with age and informal care, and negatively with care activities.
  
  
  CONCLUSIONS
  We identified a number of associated factors of different abuse screening items among older adults. Our findings could inform healthcare practitioners in identifying those older persons who might be at higher risk of abuse, and provide a knowledge base on which to develop effective preventive measures in the Chinese population. Geriatr Gerontol Int 2017; 17: 150-160.
authors.affiliation: The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong.
authors.forename: Doris Yp
authors.initials: DY
authors.lastname: Leung
authors.affiliation: School of Nursing, The Hong Kong Polytechnic University, Hong Kong.
authors.forename: Shirley Kl
authors.initials: SK
authors.lastname: Lo
authors.affiliation: School of Nursing & Sau Po Center on Aging, The University of Hong Kong, Hong Kong.
authors.forename: Angela Ym
authors.initials: AY
authors.lastname: Leung
authors.affiliation: Department of Social Work & Social Administration, & Sau Po Center on Aging, The University of Hong Kong, Hong Kong.
authors.forename: Vivian Wq
authors.initials: VW
authors.lastname: Lou
authors.affiliation: Department of Applied Social Sciences, City University of Hong Kong, Hong Kong.
authors.forename: Alice Ml
authors.initials: AM
authors.lastname: Chong
authors.affiliation: Department of Medicine, The University of Hong Kong, Hong Kong.
authors.forename: Joseph Sk
authors.initials: JS
authors.lastname: Kwan
authors.affiliation: Department of Social Work, The Chinese University of Hong Kong, Hong Kong.
authors.forename: Wallace Ch
authors.initials: WC
authors.lastname: Chan
authors.affiliation: School of Social Work, University of Southern California, Los Angeles, California, USA.
authors.forename: Iris
authors.initials: I
authors.lastname: Chi
mesh_terms: D000203:Activities of Daily Living; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D044466:Asian People / Q000706:statistics & numerical data*; D004552:Elder Abuse / Q000175:diagnosis* / Q000208:ethnology*; D005260:Female; D006723:Hong Kong / Q000453:epidemiology; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D015995:Prevalence; D012111:Residence Characteristics; D012307:Risk Factors
keywords: Chinese; aged; community-dwelling; elder abuse; screening item