SOURCES SOCIAL SUPPORT AND SUBTYPES OF ELDER MISTREATMENT AMONG CHINESE OLDER ADULTS: FINDINGS FROM THE PINE STUDY

Abstract To examine the relationships between positive social support (PSS) and negative social support (NSS) from different sources and subtypes of EM, we used the data from a representative sample of 3,157 Chinese older adults aged 60 years or older in Chicago. Subtypes of EM include psychological mistreatment, physical mistreatment, financial exploitation, and caregiver neglect. Higher PSS from spouse and family members were less associated with lower likelihood to experience any of four self-reported EA subtypes. Higher PSS from friends was associated with lower likelihood of caregiver neglect. Increased levels of NSS from spouse and family members were associated with higher likelihood of psychological mistreatment, financial exploitation, and caregiver neglect. A significant association was also found between NSS from friends and psychological mistreatment. This study demonstrates the positive and negative aspects of social contexts in relationship to EM. Future longitudinal studies are needed to examine causal relationships.

examined among older populations. The present study used cross-sectional data among 3,157 U.S. Chinese older adults in Chicago, Illinois. Multiple logistic regression analyses were used to examine the relationships among subtypes (psychological, physical/sexual, financial exploitation, caregiver neglect) of child maltreatment (CM), intimate partner violence (IPV), and EM. Violence experiences were positively associated. CM psychological was positively associated with IPV psychological (OR 7.60,) and EM psychological (OR 3.79, 95% CI 2.20-6.51). CM physical/ sexual was positively associated with IPV physical/sexual (OR 1.86, 95% CI 1.02-3.38) and IPV physical/sexual was positively associated with EM physical/sexual (OR 8.54,95% CI 3.53,20.64). EM financial exploitation was positively associated with all types of CM and IPV, whereas EM caregiver neglect has no significant association with any CM or IPV. Clinical and policy implications of the findings will be discussed. Early research on family relationship and Elder Mistreatment (EM) often focused on one or two indicators of relations. A typology approach that capture the complexity and variation of relations is a useful tool to understand the association between multifaceted family relationship and EM. EM was measured by a modified Vulnerability to Abuse Screening Scale. Latent Class Analysis was used to construct family typologies, evaluating structural, associational, functional, affectual, and normative aspects of family relationship. Logistic regression was used. Unobligated ambivalent (OR, 1.90; 95%CI, 1.54-2.34) and detached (OR, 1.78; 95%CI, 1.32-2.42) typologies were associated with greater risk of EM, while tight-knit (OR, 0.34; 95%CI, 0.27-0.44) typology was associated with lower risk of EM. Unobligated ambivalent typology, featured by high intergenerational closeness and conflict, was prevalent among US Chinese immigrants, and associated with greater likelihood of EM. Culturally customized social services were suggested to reduce intergenerational ambivalence and prevent EM for immigrants.

SOURCES SOCIAL SUPPORT AND SUBTYPES OF ELDER MISTREATMENT AMONG CHINESE OLDER ADULTS: FINDINGS FROM THE PINE STUDY
Shenglin Zheng, 1 Stephanie Bergren, 1 and XinQi Dong 1 ,

Rutgers University, New Brunswick, New Jersey, United States
To examine the relationships between positive social support (PSS) and negative social support (NSS) from different sources and subtypes of EM, we used the data from a representative sample of 3,157 Chinese older adults aged 60 years or older in Chicago. Subtypes of EM include psychological mistreatment, physical mistreatment, financial exploitation, and caregiver neglect. Higher PSS from spouse and family members were less associated with lower likelihood to experience any of four self-reported EA subtypes. Higher PSS from friends was associated with lower likelihood of caregiver neglect. Increased levels of NSS from spouse and family members were associated with higher likelihood of psychological mistreatment, financial exploitation, and caregiver neglect. A significant association was also found between NSS from friends and psychological mistreatment. This study demonstrates the positive and negative aspects of social contexts in relationship to EM. Future longitudinal studies are needed to examine causal relationships.

Rutgers University, New brunswick, New Jersey, United States
Elder mistreatment (EM) and the magnitude of its relationship to anxiety may vary depending on definitional criteria. We leveraged data from the PINE Study, a study of 3,157 Chinese older adults in Chicago. EM was measured by 56 items on psychological, physical and sexual mistreatment, caregiver neglect and financial exploitation subtypes. Least restrictive, moderately restrictive, and most restrictive definitions of EM were constructed. Symptoms of anxiety were measured by the Hospital Anxiety and Depression Scale. Least restrictive (OR, 1.94; 95%CI, 1.57-2.40), moderately restrictive (OR, 1.56; 95%CI, 1.22-1.99), and most restrictive (OR, 1.39; 95%CI, 1.07-1.79) definitions of EM were all significantly associated with the likelihood of experiencing any anxiety symptoms. The magnitude of associations between EM and anxiety symptoms vary based on strictness of the EM definition. Future research should explore the potential causal relationships between EM and anxiety through longitudinal data.

ELDER MISTREATMENT AND DEPRESSIVE SYMPTOMS AMONG OLDER CHINESE AMERICANS
Ying-Yu Chao, 1 Yu-Ping Chang, 2 and XinQi Dong 3 , 1. Rutgers School of Nursing,Newark,United States,2. The State University of New York,University at Buffalo,Buffalo,New York,United States,3. Rutgers University,New Brunswick,New Jersey,United States This study aimed to examine the association between different types of elder mistreatment and depressive symptoms among U.S. Chinese older adults. Data were from the Population Study of Chinese Elderly in Chicago (PINE). Participants were 3,157 Chinese older adults who were 60 years and over (mean age = 72.8). Logistic regression analyses were performed. The results showed that participants with overall mistreatment (OR, 2.11; 95% CI, 1.83-2.43), psychological mistreatment (OR, 2.12; 95% CI, 1.78-2.51), physical mistreatment (OR, 1.82; 95% CI, 1.10-2.99), and financial exploitation (OR, 1.33; 95% CI, 1.11 -1.60) were more likely to report more depressive symptoms. There was no significant association between sexual mistreatment and depressive symptoms (p = 0.07). Longitudinal studies are needed to obtain a more comprehensive understanding of the pathways between elder mistreatment and depressive symptoms.

CAPTURING IMPACT ON STUDENTS PARTICIPATING IN AGING IN PLACE: A PROGRAM TO ENHANCE GERIATRIC EDUCATION
Stephen T. Smilowitz, 1 Elizabeth O'Toole, 2 Diana L. Morris, 3 Todd Fennimore, 4 Cynthia Booth-Lord, 1 Elizabeth Smilovich-Fine, 1 David M. Rosenberg, 1 and Patricia A. Thomas 1 , 1. Case Western Reserve University School of Medicine,Cleveland,Ohio,United States,2. MetroHealth/Case Western Reserve University School of Medicine,Cleveland,United States,3. Case Western Reserve University Frances Payne Bolton School of Nursing,Cleveland,United States,4. Case Western Reserve University,Cleveland,Ohio,United States Curricula to enhance healthcare students' geriatric training has been lacking. Therefore, we developed AIP, an interprofessional (IP) community-based curriculum, in which IP student teams visit community-dwelling older adults. Using established instruments did not capture personal and professional changes experienced by students. Thus, an additional method using qualitative analyses of students' six post-visit reflections over 15 weeks was employed to evaluate students 'experiential learning. A grounded theory approach was used to describe students' growth in geriatric proficiencies related to participation in the January-April 2017 AIP program . By program completion, 21 students had submitted 111 reflective essays. An interdisciplinary panel reviewed a sample of reflections and developed an initial coding system, which was then systematically applied to the whole via QSR-NVivo. Seventy-three distinct codes across 111 student essays generated 2515 occurrences. Prevalent themes, revealed by frequency analysis, and themes with remarkable trendlines yielded fifteen central themes. Students became attuned to their client's life-world (n=185) as demonstrated by four central themes: 1) isolation, loneliness, and depression (n=44); 2) risks of fall (n=19); 3) loss of function/control (n=98); and, 4) importance of socializing in care (n=24). This attunement informed interactional intentionality (n=284), which shaped interactions with their client (n=207). From these authentic encounters, students described learning about 1) myself; 2) current and future practice; 3) team dynamics; and 4) my client as an older person. Systematic analysis of student reflections revealed student growth attributable to AIP. This evaluation approach should be further assessed in geriatric curricula.