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The evolving evidence base for child protection in Chinese societies

Dunne MP, Chen JQ, Choo WY

Asia Pac J Public Health, 2008;20(4):267-76.
PMID: 19124321 DOI: 10.1177/1010539508325047

Child maltreatment is a substantial public health problem worldwide. Although extensively studied in Western countries, until recently little systematic research had been published about the situation in the world's most populous nation and ethnic diaspora. In this review, we examine trends from community-based research with Chinese young people and parents in mainland China, Hong Kong SAR, Taiwan, Singapore, and Malaysia. It is clear that many Chinese adolescents experience a substantial burden from various forms of maltreatment and the psychological and behavioral correlates are similar to those found in other cultures. However, the research reveals a large gap between this reality and Chinese adults' perceptions about emotional, physical, and sexual abuse. Comprehensive awareness programs are needed to close this information gap and thereby mobilize support for prevention and care initiatives.
Victimization experiences of adolescents in Malaysia

Choo WY, Dunne MP, Marret MJ, Fleming M, Wong YL

J Adolesc Health, 2011 Dec;49(6):627-34.
PMID: 22098774 DOI: 10.1016/j.jadohealth.2011.04.020

There has been little community-based research regarding multiple-type victimization experiences of young people in Asia, and none in Malaysia. This study aimed to estimate prevalence, explore gender differences, as well as describe typical perpetrators and family and social risk factors among Malaysian adolescents.
Violence Against Children in the Asia Pacific Region: The Situation Is Becoming Clearer

Dunne MP, Choo WY, Madrid B, Subrahmanian R, Rumble L, Blight S, et al.

Asia Pac J Public Health, 2015 Nov;27(8 Suppl):6S-8S.
PMID: 26307146 DOI: 10.1177/1010539515602184
Fulltext The association between elder abuse and childhood adversity: A study of older adults in Malaysia

Asyraf M, Dunne MP, Hairi NN, Mohd Hairi F, Radzali N, Wan Yuen C

PLoS One, 2021;16(7):e0254717.
PMID: 34292992 DOI: 10.1371/journal.pone.0254717

OBJECTIVES: Childhood adversity has been linked with later victimization of young and middle-aged adults, but few studies have shown persistence of this effect among elders, especially outside of North America. This research examined the association between adverse childhood experiences (ACEs) and elder abuse among older adults aged 60 years and over in Malaysia.
DESIGN: Cross sectional data were collected via face-to-face interview from June to August 2019.
SETTING: Eight government community health clinics in Kuala Pilah, a district in Negeri Sembilan state approximately 100km from Malaysian capital city Kuala Lumpur.
PARTICIPANTS: Older adults aged 60 years and above (N = 1984; Mean age 69.2, range 60-93 years) attending all eight government health clinics in the district were recruited for a face-to-face interview about health and well-being.
MEASUREMENT: The Adverse Childhood Experience International Questionnaire (ACE-IQ) and the Revised Conflict Tactics Scale (CTS) were utilized to estimate childhood adversity and elder abuse respectively.
RESULTS: Multiple logistic regression analysis revealed a significant relationship between the number of cumulative ACEs and elder abuse. Compared to older adults with no self-reported adversity, those reporting three ACEs (OR 2.67, 95% CI 1.84,3.87) or four or more ACEs (OR 1.7, 95% CI 1.16, 2.48) had higher risk of any elder abuse occurrence since age 60 years. The effect was most prominent for financial and psychological elder abuse. The associations persisted in multivariate logistic regression models after adjusting for sociodemographic and health factors.
CONCLUSION: Early life adversities were significantly associated with victimization of older adults. Social and emotional support to address elder abuse should recognize that, for some men and women, there is a possibility that vulnerability to maltreatment persisted throughout their life course.