Violence against older people and associations with mental health: A national probability sample survey of the general population in England

Anastasia Fadeeva · Ladan Hashemi · Claudia Cooper · Robert J. Stewart · Sally McManus

12 citations0/0 files storedJournal of Affective Disorders

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Elder Abuse and Neglect Intimate Partner and Family Violence Child Abuse and Trauma

Abstract

BACKGROUND: Official estimates of violence prevalence in England exclude older people. There are few studies of elder abuse and these excluded violence from acquaintances and strangers and lack comparability with younger adults. OBJECTIVES: To estimate prevalence of past-year violence victimisation in older people, identify factors associated with violence in older age, quantify the extent to which experience of violence in older people was associated with common mental disorder (CMD). STUDY DESIGN/METHODS: Analysis of a 2014 general population probability sample survey of 2570 adults aged 60+ and 4484 16-59 year olds. Modified version of the Conflict Tactics Scale measured domestic violence and List of Threatening Experiences captured bullying and serious assault. CMD were assessed using the revised Clinical Interview Schedule. Associations were examined using regression models adjusted for childhood victimisation and other adversities. RESULTS: 2.0 % (n = 52,CI:1.4-2.6) of older people experienced violence in the past year, with intimate partner violence the most prevalent form. Older people of non-white ethnicity, those who were socially isolated or lonely, and the formerly married were more likely to experience violence. Violence was associated with CMD in older people (adjusted odds ratio 2.2, CI:1.0-4.8), controlling for impairments, adversities and other factors. CONCLUSION: Violence, especially from an intimate partner, is evident in later life and strongly associated with poor mental health. Better instruments for the identification of violence and abuse in older people in research and safe enquiry in practice settings are needed, with recognition of and attention to ethnic and other inequalities among older people in exposure.

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2017The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis 1992Measuring psychiatric disorder in the community: a standardized assessment for use by lay interviewers 1985The List of Threatening Experiences: a subset of 12 life event categories with considerable long-term contextual threat 2016Age differences in loneliness from late adolescence to oldest old age.1998The Mortality of Elder Mistreatment 2008The prevalence of elder abuse and neglect: a systematic review 2014Adult experience of mental health outcomes as a result of intimate partner violence victimisation: a systematic review 2018The prevalence of elder abuse in institutional settings: a systematic review and meta-analysis

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