The Extent and Frequency of Abuse in the Lives of Older Women and Their Relationship With Health Outcomes

Fisher, Bonnie S.; Regan, Saundra

doi:10.1093/geront/46.2.200

Cited by 162 publications

(144 citation statements)

References 26 publications

(28 reference statements)

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“…Very few population-based studies however have assessed the link between elder abuse and health. Some minor studies have been made whose findings in general are similar to what we have found in our study 14,31,32 . In 'The South Carolina Elder Mistreatment Study', researchers demonstrated an association between physical abuse and poor self-rated health, controlling for other predictors.…”

Section: Discussionsupporting

confidence: 92%

“…Retrospective studies always present several clear shortcomings, but when it comes to the prevalence of abuse and the association between abuse and ill health, they are to date essentially the only method that has been used 10,14,36 . Even so, it is also plausible that ill health e.g.…”

Section: Discussionmentioning

confidence: 99%

“…Research has confirmed a relation between elderly abuse and ill health in studies concerning, for instance, domestic violence 8,13 limited populations such as primary care settings 14 and independent living settings 15,16 . Physical abuse may have both physical and psychological consequences [16][17][18][19] .…”

Section: Introductionmentioning

confidence: 93%

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Fear of crime and psychological and physical abuse associated with ill health in a Swedish population aged 65–84 years

2012

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ObjectivesThe objective of the paper was to assess the association between experiencing fear of crime and/or psychological and/or physical abuse in relation to self-reported physical and psychological health, using a large representative sample of elderly women and men in Sweden. Study designCross-sectional national survey MethodsData were taken from a nationwide representative public health survey (2006). Men and women between the ages of 65 and 84 were selected for the analyses in the study, which comprised 4,386 men and 4,974 women. The response rate for this age group was 59% for men and 70% for women. ResultsPsychological and physical abuse against elderly women and men produced raised odd ratios for negative health outcomes, independently of socio-economic status. Strong correlation between psychological abuse and negative health outcomes was found in both men and women, while physical abuse showed less significantly raised odds ratios, especially among women. The men in particular had high odds ratios for suicidal thoughts and even for attempted suicide in connection with physical and psychological abuse and fear of crime. ConclusionsThe study provides representative results addressing an extensive negative health outcome panorama caused by fear of crime and exposure to abuse.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

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Fear of crime and psychological and physical abuse associated with ill health in a Swedish population aged 65–84 years

2012

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“…In a review of the literature carried out in Australia by Morgan Disney & Associates (2000), it was argued that the impact of physical abuse for older women can be far ranging, resulting in a high incidence of trauma-related injuries and physical conditions, for example gastrointestinal disorders, genitor-urinary and musculo-skeletal disorders. In a telephone survey conducted with 842 women aged 60 years and over living in the community, Fisher & Regan (2006) identified that older women who had experienced abuse (including physical, psychological and sexual abuse) are more likely to experience an increased incidence of a range of physical and mental health problems than those who have not experienced abuse. However, they also highlight that older women who have experienced abuse may not report lower general health, but are more likely to experience a detrimental impact in terms of specific health conditions, for example hypertension or chronic joint pain.…”

Section: Impact Of Domestic Abuse On the Health Of Older Womenmentioning

confidence: 99%

The impact of domestic abuse for older women: a review of the literature

McGarry

Simpson

Hinchliff‐Smith

2010

Health & Social Care in the Community

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What is known about this topicThe services that currently exist may not be appropriate to meet the needs of this group of women. AbstractThe consequences of domestic abuse are far reaching, impacting significantly on long-term health and emotional wellbeing of those affected. However, while the literature offers an insight into the scope and nature of domestic abuse among the younger population in the UK, there is currently little available data regarding older women and domestic violence. This is increasingly being recognised as a significant deficit in awareness and understanding within society as a whole and more particularly for those responsible for support and care provision. While research in this area may be scarce the work that has been undertaken to date would suggest that domestic abuse is both a significant and an under-recognised phenomenon, which has a wide-ranging impact on the lives and health of older women. It also suggests that older women's experiences of domestic abuse are markedly different from those in younger age groups and that these differences have not been adequately acknowledged or accounted for. Given that the UK has an ageing population and that emerging national policy initiatives are beginning to recognise domestic abuse as an issue for older women, it is fundamental that health and social care professionals are able to both identify domestic abuse and understand the particular experiences and needs of older women affected by domestic abuse. The aim of this literature review is threefold: (i) to provide a comprehensive summary of the impact of domestic abuse for older women particularly within the context of health, (ii) to explore the particular barriers to recognition and reporting abuse and (iii) to highlight the particular gaps in our knowledge and understanding from a policy and care provision perspective. A systematic approach to a review of the literature was used to identify key literature and available evidence relating to domestic abuse among older women.

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“…[16][17][18][19] It may be possible to identify and initiate interventions to address these problems in the ED, as has been described for problems affecting younger adults, such as domestic violence and alcohol abuse. [20][21][22] Older adults would like to have their nonmedical problems addressed during their ED visit, 23 but the frequency of these problems among older ED patients has not been described.…”

mentioning

confidence: 99%

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Stevens

Richmond

Pereira

et al. 2014

Academic Emergency Medicine

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Objectives: Health outcomes among older emergency department (ED) patients may be influenced by physical, economic, and psychological problems not routinely identified during the ED visit. The objective of this study was to characterize such problems among older adults presenting to the ED.Methods: This was a prevalence study with enrollment during 4-hour periods randomly selected between 9 a.m. and 9 p.m. on random days of the week over a period of 8 weeks at an academic ED in the southeast United States. Participants were noninstitutionalized, cognitively intact adults aged 65 years or older without life-threatening illness or injury. Consenting patients were asked about the frequency of 10 prespecified problems during the past year.Results: Patients (N = 138) were non-Hispanic white (69%) and female (57%) and almost all had primary providers (95%) and health insurance (98%). Forty percent reported their overall health as fair (21%) or poor (19%). Hazardous drinking habits were reported by 10% of patients. The prevalence of problems occurring either "sometimes" or "often" in the past year were pain (60%), difficulty walking (47%), lack of money (32%), isolation and loneliness (14%), lack of transportation (12%), difficulty scheduling a doctor's appointment (4%), difficulty getting prescriptions filled (4%), and lack of dental care (6%). Nine patients (7%) reported experiencing physical or psychological abuse at some point in the past year. Females, minorities, and individuals living in urban areas reported higher rates of most problems.Conclusions: Nonmedical problems are common among cognitively intact, independent living, noncritically ill older patients presenting to an ED in the southeast United States.ACADEMIC EMERGENCY MEDICINE 2014;21:651-658

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The Extent and Frequency of Abuse in the Lives of Older Women and Their Relationship With Health Outcomes

Cited by 162 publications

References 26 publications

Fear of crime and psychological and physical abuse associated with ill health in a Swedish population aged 65–84 years

Fear of crime and psychological and physical abuse associated with ill health in a Swedish population aged 65–84 years

The impact of domestic abuse for older women: a review of the literature

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

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