Elder Abuse and Chronic Pain: Cross-Sectional and Longitudinal Results from the Preventing Elder Abuse and Neglect Initiative

Yunus, Raudah Mohd and Hairi, Noran Naqiah and Choo, Wan Yuen and Tan, Maw Pin and Hairi, Farizah Mohd and Sooryanarayana, Rajini and Ismail, Norliana and Kandiben, Shatanapriya and Peramalah, Devi and Ali, Zainudin Mohd and Ahmad, Sharifah Nor and Razak, Inayah Abdul and Othman, Sajaratulnisah and Mydin, Fadzilah Hanum Mohd and Chinna, Karuthan and Bulgiba, Awang (2018) Elder Abuse and Chronic Pain: Cross-Sectional and Longitudinal Results from the Preventing Elder Abuse and Neglect Initiative. Journal of the American Geriatrics Society, 66 (6). pp. 1165-1171. ISSN 0002-8614, DOI https://doi.org/10.1111/jgs.15370.

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Official URL: https://doi.org/10.1111/jgs.15370


Objectives: To examine the cross-sectional and longitudinal relationships between elder abuse and neglect (EAN) and chronic pain in rural older Malaysians. Design: Two-year prospective cohort study. Setting: Kuala Pilah, a district in Negeri Sembilan approximately 100 km from the capital city, Kuala Lumpur. Participants: Community-dwelling older adults aged 60 and older. Using a multistage cluster sampling strategy, 1,927 respondents were recruited and assessed at baseline, of whom 1,189 were re-assessed 2 years later. Measures: EAN was determined using the modified Conflict Tactic Scale, and chronic pain was assessed through self-report using validated questions. Results: The prevalence of chronic pain was 20.4%. Cross-sectional results revealed 8 variables significantly associated with chronic pain—age, education, income, comorbidities, self-rated health, depression, gait speed, and EAN. Abused elderly adults were 1.52 times as likely to have chronic pain (odds ratio=1.52, 95% confidence interval (CI)=1.03–2.27), although longitudinal analyses showed no relationship between EAN and risk of chronic pain (risk ratio=1.14, 95% CI=0.81–1.60). This lack of causal link was consistent when comparing analysis with complete cases with that of imputed data. Conclusion: Our findings indicate no temporal relationship between EAN and chronic pain but indicated cross-sectional associations between the two. This might indicate that, although EAN does not lead to chronic pain, individuals with greater physical limitations are more vulnerable to abuse. Our study also shows the importance of cohort design in determining causal relationships between EAN and potentially linked health outcomes.

Item Type: Article
Funders: Ministry of Higher Education High Impact Research Grant E000010– 20001, University of Malaya Grand Challenge on Preventing Elder Abuse and Neglect Initiative (GC001B-14 HTM), Population Studies Unit
Uncontrolled Keywords: chronic pain; elder abuse and neglect; elder mistreatment; elderly abuse; longitudinal study
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 30 Jan 2019 06:22
Last Modified: 30 Jan 2019 06:22
URI: http://eprints.um.edu.my/id/eprint/20241

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