UCL Research Department of Epidemiology & Public Health, Institute of Epidemiology & Healthcare, 1-19 Torrington Place, London, WC1E 6BT, UK; UCL Institute of Health Informatics, 222 Euston Road, London, NW1 2DA, UK.
Barts Health NHS Trust, Royal London Hospital, Whitechapel Road, London, E1 4BB, UK.
Maturitas. 2019 Mar;121:63-75. doi: 10.1016/j.maturitas.2018.12.011. Epub 2018 Dec 18.
Intimate partner violence (IPV) against women is a significant public health issue globally. It has serious physical and psychological health consequences as well huge economic and social costs. With an ageing population globally, it is important to understand how older women experience IPV. We present a narrative review of 48 studies exploring IPV in women aged ≥45 years, focusing on: (1) prevalence of IPV; (2) factors associated with IPV; (3) impact of IPV; (4) responses to IPV; (5) IPV interventions; and (6) key populations. Although we found significant gaps in the literature and an inconsistency in definitions, data suggest that IPV is commonly experienced by older women (lifetime prevalence 16.5%-54.5%), but that their age and life transitions mean that they may experience abuse differently to younger women. They also face unique barriers to accessing help, such as disability and dependence on their partners. We recommend commissioning services that are specifically tailored to meet their needs. Professionals working in frontline services where older women are commonly seen should be trained to identify and respond to IPV appropriately.
亲密伴侣暴力(IPV)是全球范围内一个严重的公共卫生问题。它对女性的身心健康造成严重影响,同时也带来巨大的经济和社会成本。随着全球人口老龄化,了解老年女性如何遭受 IPV 至关重要。我们对 48 项研究进行了叙述性综述,这些研究探讨了年龄≥45 岁的女性中的 IPV 问题,重点关注以下几个方面:(1)IPV 的流行率;(2)与 IPV 相关的因素;(3)IPV 的影响;(4)对 IPV 的反应;(5)IPV 干预措施;以及(6)重点人群。尽管我们在文献中发现了明显的差距和定义上的不一致,但数据表明,IPV 通常发生在老年女性身上(终身流行率为 16.5%-54.5%),但她们的年龄和生活转变意味着她们可能与年轻女性不同地遭受虐待。她们还面临着独特的获得帮助的障碍,例如残疾和对伴侣的依赖。我们建议专门为满足她们的需求而设立服务。应培训在老年女性常见的一线服务机构中工作的专业人员,以适当识别和应对 IPV。