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Elder abuse, sometime called elder mistreatment or elder maltreatment, includes psychological, physical, and sexual abuse, neglect (caregiver neglect and self-neglect), and financial exploitation. Evidence suggests that 1 out of 10 older adult experiences some form of elder abuse, and only 1 of out 25 cases are actually reported to social services agencies. At the same time, elder abuse is associated with significant morbidity and premature mortality. Despite these findings, there is a great paucity in research, practice, and policy dealing with the pervasive issues of elder abuse. Through my experiences as a American Political Sciences Association Congressional Policy Fellow/Health and Aging Policy Fellow working with Administration on Community Living (ACL) (Previously known at Administration on Aging (AoA)) for the last two years, I will describe the major functions of the ACL; and highlight on two major pieces of federal legislation: The Older Americans Act (OAA) and the Elder Justice Act (EJA). Moreover, I will highlight major research gaps and future policy relevant research directions for the field of elder abuse.

<p><strong>Background: </strong>Filial piety is a fundamental virtue that defines children's care-giving obligation to older parents in Chinese families. This study aims to evaluate whether gender difference exists in the expectation and receipt of filial piety among U.S Chinese older adults. <strong>Methods: </strong>Data were drawn from the PINE study, a population-based study of U.S. Chinese older adults aged 60 and above in the greater Chicago area. Guided by a community-based participatory research approach, a total of 3,159 Chinese older adults aged 60 and above were surveyed. Filial piety was examined in six domains, including care, respect, greeting, happiness, obedience, and financial support.<strong> </strong>Socio-demographic correlates with expectations and receipt of filial piety were examined. Multivariate regression analyses were conducted.<strong> Results: </strong>Female older adults were 1.02 points higher than male older adults in their perceived receipt of filial piety (PE=1.02, p&lt;0.001) adjusted for the socio-demographics. Older women received more respect (p&lt;0.001), greetings (p&lt;0.001), happiness (p&lt;0.01), and obedience (p&lt;0.05). Women with an older age (r = 0.06, p&lt;0.05) and a lower educational level (r = -0.11, p&lt;0.01) received more filial piety while similar trends were not discovered among men. Being married was correlated with a higher level of filial piety receipt among men (r = 0.07. p&lt;0.05) while the correlation was not significant among women.</p><p><strong>Discussion: </strong>This study provides insights to understand how the gender of the older parents influences their expectation and receipt of filial piety. Our findings have important implications to guide elder care practices with cultural and gender sensitivity.</p>

The strength of community-engaged research has been well documented in public health literature. It is recognised as a useful approach for eliminating health disparities by linking research and practice. While the framework of community-engaged research encompasses a broad range of research collaborations, community-based participatory research (CBPR) places most emphasis on involving the community as a full, equitable partner throughout the collaboration. Despite growing interest in and demand for community-university partnerships, less attention is given to the issue of partnership sustainability. The purpose of this article is to present the challenges faced in sustaining a community-university partnership when conducting a CBPR project with an elderly Chinese population in Chicago's Chinatown. Lessons and strategies learned from the cultural and linguistic complexities of the Chinese community are also detailed. In addition, based on a well-accepted sustainability conceptual framework, we reflect on the initial stage, mid-term actions and long-term goals of developing partnership sustainability. Working with the Chinese community required trust and respect for its unique cultural values and diversity. The cultural, social and environmental contexts within which the partnership operated served as critical forces for long-term sustainability: a culturally sensitive approach is instrumental in sustaining community-university partnership. Also discussed are the significant implications for evidence-based, impact-driven partnerships to develop culturally appropriate strategies to meet the needs of diverse populations.

Keywords
Community-based participatory research, community health partnerships, health promotion, Chinese Americans, ageing

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.

BACKGROUND: Misclassification of Medicare beneficiaries' race/ethnicity in administrative data sources is frequently overlooked and a limitation in health disparities research. OBJECTIVE: To compare the validity of two race/ethnicity variables found in Medicare administrative data (EDB and RTI race) against a gold-standard source also available in the Medicare data warehouse: the self-reported race/ethnicity variable on the home health Outcome and Assessment Information Set (OASIS). SUBJECTS: Medicare beneficiaries over the age of 18 who received home health care in 2015 (N = 4,243,090). MEASURES: Percent agreement, sensitivity, specificity, positive predictive value (PPV), and Cohen's kappa coefficient. RESULTS: The EDB and RTI race variable have high validity for Black race and low validity for American Indian/Alaskan Native race. While the RTI race variable has better validity than the EDB race variable for other races, kappa values suggest room for future improvements in classification of Whites (0.90), Hispanics (0.87), Asian/Pacific Islanders (0.77), and American Indian/Alaskan Natives (0.44). DISCUSSION: The status quo of using 'good-enough for government' race/ethnicity variables contained in Medicare administrative data for minority health disparities research can be improved through the use of self-reported race/ethnicity data, available in the Medicare data warehouse. Health services and policy researchers should critically examine the source of race/ethnicity variables used in minority health and health disparities research. Future work to improve the accuracy of Medicare beneficiaries' race/ethnicity data should incorporate and augment the self-reported race/ethnicity data contained in assessment and survey data, available within the Medicare data warehouse.

Background: As health care reform continues within the United States, navigators may play increasingly diverse and vital roles across the health care continuum. The growing interest in patient navigation programs for underserved populations calls for detailed descriptions of intervention components to facilitate implementation and dissemination efforts. Methods: In Chicago's Chinatown, Chinese immigrant women face language, cultural, and access barriers in obtaining breast and cervical cancer screening and follow-up. These barriers spurred the research partnership between Northwestern University, the Chinese American Service League, Mercy Hospital & Medical Center, and Rush University Medical Center to formalize the Chinatown Patient Navigation Collaborative for adapting and implementing previously developed patient navigation models. Results: In this report, we describe the adaptation of patient navigation to build the Chinatown Patient Navigation Collaborative's community-based patient navigation program for breast and cervical cancer. We offer insights into the roles of community patient navigators in safety net hospital and underserved Chinese immigrant communities, and describe implications for patient navigation initiatives to maximize community benefits by improving access to health care for vulnerable populations. Conclusions: Our adaptation and implementation of a patient navigation intervention in Chicago's Chinatown illustrates promising approaches for future navigator research.