The Journal of Adult Protection

Qin, Nan; Yan, Elsie

2014 The Journal of Adult Protection

doi: 10.1108/JAP-12-2013-0048

Purpose– The purpose of this paper is to examine the prevalence and psychosocial correlates of fear of crime in older Chinese. Attempt was made to test a theoretical model which integrated the vulnerability model, “broken windows” theory, victimization theory and risk interpretation model. Design/methodology/approach– A cross-sectional survey was conducted with 453 older adults from a representative sample recruited from Kunming using stratified sampling methods. Findings– More than half of the participants (n=258, 57.0 percent) reported fear of one or more types of depicted common crime. By comparison, a smaller percentage (n=57, 12.6 percent) reported fear of domestic violence (FDV). Correlational analysis indicated different correlates for fear of common crime (FCC) and FDV. Female gender, a younger age, poor financial and health statuses, perception of greater social instability and neighborhood disorder, direct and/or indirect victimization and perception of a higher risk of victimization were significantly associated with higher levels of FCC. Limited social networks, perception of greater neighborhood disorder, direct and/or indirect victimization and perception of a higher risk of victimization were salient correlates of FDV. The results of hierarchical regression analyses showed that the integrated model explained 37 and 43 percent of the variance in FCC and FDV, respectively. Originality/value– This study found diverse patterns in terms of the prevalence and risk factors for FCC and FDV. The findings have important implications for policy, practice and research.

Chow, Celia; Tiwari, Agnes

2014 The Journal of Adult Protection

doi: 10.1108/JAP-03-2014-0007

Purpose– The purpose of this paper is to explore the following questions. First, what are the experiences of family caregivers in caring for community-dwelling stroke survivors? Second, what services help or do not help the caregivers in managing their caregiving role? Design/methodology/approach– A qualitative study was conducted with a total of six focus group interviews with 29 stroke caregivers selected using convenience sampling in a local community centre. All interviews were recorded and transcribed for content analysis. Findings– The results pointed to three main themes working together to facilitate desirable outcomes in caregiving and prevent elder abuse: factors contributing to caregiver stress and factors that have a buffering effect on caregiver stress and unmet needs identified from caregivers’ experiences. Research limitations/implications– The authors found that there were a number of factors contributing to caregiver stress. The findings matched with the concept that caregiver stress should not be considered as the primary cause of elder abuse. Findings provided information for further research to investigate positive coping and adjustment for stroke survivors, caregivers and their families. Practical implications– Policy makers and service providers may consider specific policies and tailor-made services to enhance the effectiveness of current practice. The themes emerging from the study could be further reviewed in a longitudinal way to explore the cost-effectiveness, the outcomes and trajectory of interventional programmes. Social implications– Education would be essential to let the public understand caregivers’ difficulties and needs. Prevention of elder abuse may be approached with a range of risk factors for both perpetrating and being elder abuse victim. Originality/value– From the findings of the study, the authors found that there were service gaps within policy and interventions. Concrete suggestions for improving the public's attitude and public facilities/transport for the disabled were captured in the study. In addition to personal resilience, caregivers had a strong wish for a supportive environment and services that would facilitate a better caregiving outcome.

C.K. Tam, Derrick; W.Y. Yu, Eilo; M.S. Wu, Anise

2014 The Journal of Adult Protection

doi: 10.1108/JAP-12-2013-0047

Purpose– Elder mistreatment is a neglected issue in the Macao elder policy. The purpose of this paper is to review the current elder policy as well as legislation on the prevention and management of elder mistreatment in Macao and providing practical suggestions to improve the situation. Design/methodology/approach– This paper reviews government documents and statistics on elder services and policy of Macao Special Administrative Region (MSAR) government. The authors interviewed frontline social workers for the phenomenon of elder mistreatment in Macao as well as the issues and problems in handling abuse cases. Findings– This paper argues that the MSAR government has paid attention to financial aid to its senior citizens. In terms of elder care services, the government outsources various elder care services to nonprofit organizations and other private bodies. However, this public-private partnership approach cannot adequately coordinate service providers to prevent and manage elder mistreatment. Furthermore, Macao-mainland integration has encouraged more and more elders to stay in mainland China. Stronger government initiatives are needed to collaborate with Macao society, as well as mainland authorities, regarding the mistreatment of Macao elders. Research limitations/implications– It is only a review on elder mistreatment in Macao. Further research is needed to survey the extent of mistreatment of elder people in Macao (quantitatively and qualitatively). Besides, more effort has to be paid on the problem and difficulty of frontline social workers handling elder mistreatment. Practical implications– This paper suggests practical methods and measures to Macao government to manage and prevent elder mistreatment which is a neglect issue in the society. Social implications– There are very few studies on elder mistreatment in Macao. This paper aims to draw the attention of Macao government and public as well as academic to the issue. Originality/value– Many scholars and academics studying Macao elders have been directing to the government focus and keep their eye on the pension system and social security for the elderly. Very limited studies have examined the elder care and mistreatment. This paper is a breakthrough of Macao elder studies that serving as a pilot study of elder mistreatment and hence shifting public attention to the intangible need of Macao elder.

Dong, XinQi; Chang, E-Shien; Wong, Esther; A. Simon, Melissa

2014 The Journal of Adult Protection

doi: 10.1108/JAP-12-2013-0046

Purpose– The purpose of this paper is to explore US Chinese older adults’ views regarding elder abuse interventions in order to understand barriers and facilitators of help-seeking behaviors. Design/methodology/approach– The study design was qualitative, using a grounded theory approach to data collection and analysis. Community-based participatory research approach was implemented to partner with the Chicago Chinese community. A total of 37 community-dwelling Chinese older adults (age 60+) participated in focus group discussions. Findings– Participants viewed many benefits of intervention programs. Perceived barriers were categorized under cultural, social, and structural barriers. Facilitators to implement interventions included increasing education and public health awareness, integrating social support with existing community social services, as well as setting an interdisciplinary team. Perpetrators intervention strategies were also discussed. Originality/value– This study has wide policy and practice implications for designing and deploying interventions with respect to elder abuse outcome. Modifying the cultural, social, and structural barriers that affect health behavior of Chinese older adults contribute to the salience of elder abuse interventions in this under-served.

W.L. Lai, Daniel; D. Daoust, Gabrielle; Li, Lun

2014 The Journal of Adult Protection

doi: 10.1108/JAP-03-2014-0006

Purpose– The purpose of this paper is to review and discuss existing literature and available research findings related to understanding elder abuse and neglect in culturally diverse communities, particularly the Chinese immigrant community in Canada. The conceptual understandings of elder abuse are examined, based upon the socio-cultural context and challenges faced by aging Chinese immigrants. Design/methodology/approach– Previous literature and research publications related to elder abuse and neglect related to Chinese in Canada were reviewed and synthesized. Statistical information and research findings were summarized to illustrate the socio-cultural context that defines elder abuse and neglect experienced by aging Chinese immigrants in Canada. Findings– From a culturally diverse perspective, influence of race, ethnicity, immigrant status, and cultural norms on the recognition, identification, prevention and intervention of elder abuse and neglect are important to consider. A key message for professionals working with the aging population, particularly older immigrants from ethno-cultural minority background, is that understanding the social cultural context in which elder abuse or neglect emerges is critical. For many of the aging Chinese immigrants in Canada, the socio-cultural circumstances that they have experienced, their social environment, and various barriers and challenges further prevent them from being aware of this emerging concern. Cultural norms and practices have played a critical role in their access to preventive and intervention services. Research limitations/implications– Although this paper is not based upon a particularly empirical research study, the research and literature synthesized are both empirically and conceptually based. As indicated in the review of previous research publications on the subjective matter of elder abuse and neglect in aging Chinese immigrants in Canada is limited. Research on various issues related to elder abuse and neglect in ethno-cultural minority communities is also relatively scant. Evaluation research on prevention and intervention programs is desperately needed so as to facilitate the further establishment of best practice prevention and intervention models that are culturally appropriate and effective. While research engagement with minority groups such as the aging Chinese immigrants who do not speak English or are not familiar with the research culture in the western civilization could be challenging, academic researchers and service providers in both the mainstream and ethno-cultural minority communities should further align themselves in practice-research partnership endeavors to ensure the safety and wellbeing of the aging vulnerable individuals could be better maintained. Practical implications– In order to provide culturally competent services, service providers should be aware of cultural differences in attitudes towards elder mistreatment, including the ways in which specific types of abuse (e.g. financial abuse) are defined within ethno-cultural communities, and the cultural values and experiences that shape these understandings and determine attitudes or barriers towards reporting, intervention, and service use. Originality/value– This paper is a first attempt in the research community to synthesize a few critical issues related to elder abuse and neglect in the aging Chinese immigrant community in Canada. The paper has connected previous empirical findings related to Chinese older adults as well as other culturally diverse aging populations to the conceptualization of elder abuse and neglect by considering the unique socio-cultural context faced by the ethnocultural older adults.