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

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dc.contributor.authorRaudah M Yunus
dc.contributor.authorNoran N Hairi
dc.contributor.authorWan Y Choo
dc.contributor.authorMaw P Tan
dc.contributor.authorFarizah Hairi
dc.contributor.authorRajini Sooryanarayana
dc.contributor.authorNorliana Ismail
dc.contributor.authorShatanapriya Kandiben
dc.contributor.authorDevi Peramalah
dc.contributor.authorZainudin M Ali
dc.contributor.authorSharifah N Ahmad
dc.contributor.authorInayah A Razak
dc.contributor.authorSajaratulnisah Othman
dc.contributor.authorFadzilah HM Mydin
dc.contributor.authorKaruthan Chinna
dc.contributor.authorAwang Bulgiba
dc.date.accessioned2024-08-01T08:52:24Z
dc.date.available2024-08-01T08:52:24Z
dc.date.issued2018
dc.description.abstractOBJECTIVES: 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 ratio51.52, 95% confidence interval (CI)51.03–2.27), although longitudinal analyses showed no relationship between EAN and risk of chronic pain (risk ratio51.14, 95% CI50.81– 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 out comes. J Am Geriatr Soc 2018.
dc.identifier.doi10.1111/jgs.15370
dc.identifier.urihttps://repository.nih.gov.my/handle/123456789/799
dc.language.isoen
dc.relation.ispartofJournal of the American Geriatrics Society
dc.subjectElder abuse and neglect
dc.subjectElder mistreatment
dc.subjectElderly abuse
dc.subjectChronic pain
dc.subjectLongitudinal study
dc.titleElder Abuse and Chronic Pain: Cross‐Sectional and Longitudinal Results from the Preventing Elder Abuse and Neglect Initiative
dc.typejournal-article
dspace.entity.typePublication
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