The extent and frequency of abuse in the lives of older women and their relationship with health outcomes
The extent and frequency of abuse in the lives of older women and their relationship with health outcomes
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DOI：
10.1093/geront/46.2.200
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发表时间：
2006-04-01
期刊：
影响因子：
5.7
通讯作者：
Regan, SL
中科院分区：
文献类型：
--
作者：
Fisher, BS;Regan, SL
目的：本研究评估了60岁及以上女性遭受不同类型的虐待、反复和多次虐待的程度，以及它们对女性自我报告健康的影响。设计和方法：对842名60岁及以上社区居住妇女的临床样本进行了横断面研究，完成了关于虐待类型和频率、自我报告的健康状况和健康状况以及人口统计学特征的电话调查。采用SPSS11.5和STATA7.0进行双因素和多因素分析。结果：近一半的女性自55岁以来经历过至少一种类型的虐待-心理/情感、控制、威胁、身体或性虐待。相当大比例的人是反复虐待的受害者。许多妇女经历了多种类型的虐待，并经常遭受虐待。受虐待的老年妇女比未受虐待的老年妇女更有可能报告更多的健康状况。经历过心理/情感虐待的女性--单独、反复或伴有其他类型的虐待--报告骨骼或关节问题、消化问题、抑郁或焦虑、慢性疼痛以及高血压或心脏问题的几率显著增加。影响：重要的是，卫生保健和服务提供者必须承认对老年妇女的心理/情感、控制、威胁、身体和性虐待，并了解其对健康的影响。此外，对服务提供者进行老龄和家庭暴力服务和资源方面的培训也很重要。
Purpose: This study assessed the extent of different types of abuse, repeated and multiple abuse experiences among women aged 60 and older, and their effects on the women's self-reported health. Design and Methods: A cross-sectional study of a clinical sample of 842 community-dwelling women aged 60 and older completed a telephone survey about type and frequency of abuse, self-reported health status and health conditions, and demographic characteristics. Bivariate and multivariate analyses were performed using SPSS 11.5 and STATA 7.0. Results: Nearly half of the women had experienced at least one type of abuse-psychological/emotional, control, threat, physical, or sexual-since turning 55 years old. Sizable proportions were victims of repeat abuse. Many women experienced multiple types of abuse and experienced abuse often. Abused older women were significantly more likely to report more health conditions than those who were not abused. Women who experienced psychological/emotional abuse-alone, repeatedly, or with other types of abuse-had significantly increased odds of reporting bone or joint problems, digestive problems, depression or anxiety, chronic pain, and high blood pressure or heart problems. Implications: It is important that health care and service providers acknowledge psychological/emotional, control, threat, physical, and sexual abuse against older women and understand their health implications. In addition, it is important for providers to be trained in both aging and domestic violence services and resources.