Research to Practice (R2P) Spring Webinar
Health Equity in Practice: Using a Social and Structural Determinants Lens to Address Elder Mistreatment
Elder mistreatment prevention practice has traditionally focused on individual or relational dynamics within caregiving contexts. However, recent studies show that social determinants of health (SDOH) significantly shape and impact caregiving experiences that may increase risks of elder mistreatment. By applying the SDOH framework to investigate the root causes of elder mistreatment, we can gain a deeper understanding of how this multifaceted issue intersects with various cultural and caregiving dynamics.
This presentation delves into current insights regarding SDOH-related mechanisms in elder mistreatment within healthcare and caregiving settings, with specific focus on underserved communities. Additionally, we discuss potential targets for community-based interventions, culturally sensitive training programs for practitioners, and prevention practice changes aimed at promoting equity and addressing the needs of diverse communities.
E-Shien “Iggy” Chang, Ph.D.
E-Shien “Iggy” Chang, Ph.D., is an Assistant Professor of Gerontology in Medicine in the Division of Geriatrics and Palliative Medicine at Weill Cornell Medicine. Using health equity and social justice lenses, Dr. Chang’s research focuses on prevention of elder mistreatment in diverse community and health care settings while supporting older persons, family caregivers, and the direct care workforce. Her research goals are to further understand the significant role of structural mechanisms, including ageism and racism, in shaping the risks and responses to violence against older persons. Dr. Chang currently holds a K01 Mentored Research Scientist Development Award from the National Institute on Aging (NIA) to investigate the role of race/ethnicity in resident-to-resident aggression among ethnically diverse long-term care residents to inform a novel staff education intervention. Dr. Chang received her Ph.D. degree in Social and Behavioral Sciences from Yale School of Public Health, M.A. degree in Social Sciences from the University of Chicago, and completed a NIA-funded T32 postdoctoral research fellowship in behavioral geriatrics at Weill Cornell Medicine.