The experience of loneliness is prevalent and detrimental. Personality may influence individual perceptions of loneliness, but the relationship has not been adequately examined among minority aging populations. In a representative sample of 3,157 Chinese older adults in Chicago, we examined the associations between two personality traits and loneliness. Independent variables were neuroticism and conscientiousness, and dependent variable was perceived loneliness. Logistic regressions were used to adjust for confounding factors. Both traits were significantly associated with loneliness. One unit increase in neuroticism was associated with a 1.15 times higher likelihood of feeling lonely (odds ratio [OR]: 1.15, 1.12-1.18), whereas a unit increase in conscientiousness was associated with 3% decrease in risk of loneliness (OR: 0.97, 0.96-0.99). Compared with a low level of neuroticism, individuals with middle and high levels were 1.51 and 3.59 times more likely to feel lonely (OR: 1.51, 1.17-1.95; OR: 3.59, 2.84-4.54). Participants with high conscientiousness had a 24% decreased risk of loneliness relative to those with a low level (OR: 0.76, 0.60-0.96). This study provides evidence supporting the close relationships between personality and loneliness among U.S. Chinese older adults. Rigorously designed longitudinal studies are needed to clarify different trajectories of loneliness over time and its associated factors.
OBJECTIVES: To examine the associations between violence experiences including phenotypes (psychological, physical/ sexual abuse, financial exploitation, caregiver neglect) of child maltreatment (CM), intimate partner violence (IPV), and elder abuse (EA). DESIGN: Cross-sectional data collected during 2011-2013. SETTING: US Chinese community in Chicago, Illinois. PARTICIPANTS: A total of 3157 community-dwelling older adults (aged ≥60 y). MEASUREMENTS: Cases of CM, IPV, and EA. RESULTS: Prevalence of violence was 11.4% for CM (physical/sexual = 10.2%; psychological = 2.4%), 6.5% for IPV (psychological = 5.3%; physical/sexual = 2.8%), and 15.2% for EA (caregiver neglect = 11.2%; psychological = 9.8%; financial exploitation = 9.3%; physical/sexual = 1.2%). After adjusting for potential confounding variables, CM psychological was associated with increased risks for IPV psychological (odds ratio [OR] = 7.60; 95% confidence interval [CI] = 4.29-13.45), IPV physical/sexual (OR = 4.06; CI = 1.71-9.63), EA psychological (OR = 3.79; 95% CI = 2.20-6.51), and EA financial exploitation (OR = 2.07; 95% CI = 1.12-3.81). CM physical/sexual was associated with increased risks for IPV physical/sexual (OR = 1.86; 95% CI = 1.02-3.38), EA psychological (OR = 1.70; 95% CI = 1.20-2.42), and EA financial exploitation (OR = 2.38; 95% CI = 1.72-3.30). IPV psychological and physical/sexual were associated with 5 to 8 times increased risks for EA psychological, 6 to 9 times increased risks for EA physical/sexual, and 3 times increased risks for EA financial exploitation. CONCLUSION: Healthcare professionals working with older adults should be informed that a history of violence might further predispose a person to different types of EA. The cumulative impact of violence should also be considered when providing services or care to violence victims. J Am Geriatr Soc 67:S486-S492, 2019. None 274 (9.0) 2782 (91.0) 30 (1.0) 3030 (99.0) 270 (8.8) 2784 (91.2) 132 (4.6) 2750 (95.4) S488 WANG AND DONG AUGUST 2019-VOL. 67, NO. S3 JAGS
BackgroundThe SF-6D and EQ-5D are widely used generic index measures as health-related quality of life. We assessed within-subject agreement between SF-6D and EQ-5D utilities with different preference weights, and their validities in measuring Chinese rural residents, before and after standardization scores.Methodology/Principal FindingsRural residents over 18 years old were interviewed using EQ-5D and SF-6D in Jiangsu Province, China. EQ-5D utility-scoring algorithms were used from three conversion tables from the United Kingdom, Japan, and the United States. Validities, Sensitivity and agreement between instruments were computed and compared. Factors affecting utility difference were explored with multiple liner regression models. Scores with standardization intervals of 0–1 in the two instruments were analyzed by the use of the above methods again. In 929 respondents, relative efficiency statistic and receiver operating characteristic curves analysis showed SF-6D to be the more efficient, followed by the EQ-5D model in Japan weights. Bland–Altman plot analysis showed paired SF-6D/EQ-5D in UK weights had better agreement. Though some risk factors were found, multiple liner regression demonstrated most coefficients were weaker than 0.2, and all R2 values were less than 0.06. Standardization did not significantly influence these results except scores' value.Conclusions/SignificanceSF-6D and next EQ-5D in Japan weights could be used for Chinese rural residents. Further research with larger sample size of population is needed to establish and determine the feasibility of standardization score.
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