School of Nursing, Midwifery and Physiotherapy, The University of Nottingham, Derby, DE1 2RD, UK.
Health Soc Care Community. 2011 Jan;19(1):3-14. doi: 10.1111/j.1365-2524.2010.00964.x. Epub 2010 Oct 11.
The 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.
家庭暴力的后果影响深远，对受其影响的人的长期健康和情感福祉产生重大影响。然而，尽管文献提供了对英国年轻人群体中家庭暴力的范围和性质的深入了解，但目前关于老年妇女和家庭暴力的数据很少。这越来越被认为是整个社会，特别是负责支持和护理服务的人在意识和理解方面的一个重大缺陷。尽管该领域的研究可能很少，但迄今为止所进行的工作表明，家庭暴力既是一个重大问题，也是一个未被充分认识的现象，对老年妇女的生活和健康产生广泛影响。它还表明，老年妇女遭受家庭暴力的经历与年轻群体明显不同，而这些差异尚未得到充分承认或考虑。鉴于英国人口老龄化，新出现的国家政策举措开始将家庭暴力视为老年妇女的一个问题，卫生和社会保健专业人员能够识别家庭暴力并了解受家庭暴力影响的老年妇女的特殊经历和需求至关重要。本文献综述的目的有三：(i) 全面总结家庭暴力对老年妇女的影响，特别是在健康方面；(ii) 探讨识别和报告虐待的特殊障碍；(iii) 从政策和护理服务角度突出我们在知识和理解方面的特定差距。采用系统的文献综述方法来确定与老年妇女遭受家庭暴力相关的关键文献和现有证据。
