{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T15:43:25Z","timestamp":1791474205872,"version":"4.3.4"},"reference-count":52,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2020,8,3]],"date-time":"2020-08-03T00:00:00Z","timestamp":1596412800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,11,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Elder abuse victimization is increasingly recognized as a pressing public health concern. However, few empirical studies have investigated whether early life course adversities and midlife sequelae heighten risks for abuse in late life. Guided by cumulative disadvantage theory, the current study examined whether compromised health in middle adulthood (physical, psychological, cognitive) mediates the association between child abuse and elder abuse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This secondary analysis was based on data from the Wisconsin Longitudinal Study, a population-based, multi-wave dataset. We analyzed responses from 5,968 participants (mean age = 71 years; 54% female) on adapted versions of standardized measures: elder abuse victimization (outcome variable), childhood adversities (independent variable), and midlife health (physical health, depressive symptoms, cognitive functioning; mediator variables). Serial multiple mediation models were conducted, controlling for background characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Rates for any elder abuse and child adversities were, respectively, 16.34% and 47.98%. Multivariate analyses supported the cumulative disadvantage hypothesis. Childhood adversities (0.11, p &amp;lt; .001) and midlife health (physical, \u22120.10, p &amp;lt; .05; depressive symptoms, 0.09, p &amp;lt; .001; cognitive functioning, 0.02, p &amp;lt; .05) had significant direct effects on elder abuse victimization. Childhood adversities also had an indirect effect on elder abuse through physical health (0.002, p &amp;lt; .05) and depressive symptoms (0.01, p &amp;lt; .001), both in serial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This innovative study advances our understanding mechanisms through which childhood trauma influences abuse in late life. Boosting health in middle adulthood could help prevent elder abuse. Other implications for clinical practice, treatment, and future research on elder abuse are discussed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/geronb\/gbaa095","type":"journal-article","created":{"date-parts":[[2020,8,2]],"date-time":"2020-08-02T23:13:21Z","timestamp":1596410001000},"page":"2086-2097","source":"Crossref","is-referenced-by-count":41,"title":["Childhood Adversities, Midlife Health, and Elder Abuse Victimization: A Longitudinal Analysis Based on Cumulative Disadvantage Theory"],"prefix":"10.1093","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0271-1781","authenticated-orcid":false,"given":"Scott D","family":"Easton","sequence":"first","affiliation":[{"name":"Boston College School of Social Work , Chestnut Hill, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5876-3551","authenticated-orcid":false,"given":"Jooyoung","family":"Kong","sequence":"additional","affiliation":[{"name":"Sandra Rosenbaum School of Social Work, University of Wisconsin , Madison"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,8,3]]},"reference":[{"issue":"2","key":"2026072000312888100_CIT0001","doi-asserted-by":"crossref","first-page":"292","DOI":"10.2105\/AJPH.2009.163089","article-title":"Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States: The National Elder Mistreatment Study","volume":"100","author":"Acierno","year":"2010","journal-title":"American Journal of Public Health,"},{"issue":"15","key":"2026072000312888100_CIT0002","doi-asserted-by":"crossref","first-page":"2947","DOI":"10.1177\/0886260510390959","article-title":"Prevalence and correlates of elder mistreatment in South Carolina: The South Carolina Elder Mistreatment Study","volume":"26","author":"Amstadter","year":"2011","journal-title":"Journal of Interpersonal Violence,"},{"issue":"5","key":"2026072000312888100_CIT0003","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1016\/j.amepre.2008.02.002","article-title":"Adverse childhood experiences and chronic obstructive pulmonary disease in adults","volume":"34","author":"Anda","year":"2008","journal-title":"American Journal of Preventive Medicine,"},{"issue":"9","key":"2026072000312888100_CIT0004","doi-asserted-by":"crossref","first-page":"1473","DOI":"10.1111\/j.1526-4610.2010.01756.x","article-title":"Adverse childhood experiences and frequent headaches in adults","volume":"50","author":"Anda","year":"2010","journal-title":"Headache: The Journal of Head and Face Pain,"},{"key":"2026072000312888100_CIT0005","volume-title":"The best start in life: How a woman\u2019s diet can protect her child from disease in later life.","author":"Barker","year":"2003"},{"issue":"2","key":"2026072000312888100_CIT0006","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1111\/j.1532-5415.2005.53111.x","article-title":"Risk factors for potentially harmful informal caregiver behavior","volume":"53","author":"Beach","year":"2005","journal-title":"Journal of the American Geriatrics Society,"},{"issue":"11","key":"2026072000312888100_CIT0007","doi-asserted-by":"crossref","first-page":"1407","DOI":"10.1080\/08870446.2011.621703","article-title":"Why does self-rated health predict mortality? 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