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TÄHÄN KUVA

TÄHÄN KUVA. ABUSE AND VIOLENCE AGAINST OLDER WOMEN: PREVALENCE AND QUALITY OF LIFE. Luoma Minna-Liisa, De Donder Liesbeth, Lang Gert , Tamutiene Ilona, Ferreira Alves José, Perttu Sirkka, Penhale Bridget. Prevalence study of Abuse and Violence against Older Women AVOW.

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TÄHÄN KUVA

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  1. TÄHÄN KUVA Mira Koivusilta | Nordic Congress on Gerontology | Reykjavik | 2 June 2010

  2. ABUSE AND VIOLENCE AGAINST OLDER WOMEN: PREVALENCE AND QUALITY OF LIFE Luoma Minna-Liisa, De Donder Liesbeth,Lang Gert ,Tamutiene Ilona, Ferreira Alves José, Perttu Sirkka, Penhale Bridget

  3. Prevalence study of Abuse and Violence against Older Women AVOW Researchprojectthataimed to • conductprevalenceresearch on violenceagainstolderwomen in the home setting, • demonstratepatterns of violence and, • develop a tool for harmonized and comparablesurveying. Minna-Liisa Luoma | IFA2012 30 May 2012

  4. Prevalence study of Abuse and Violence against Older Women AVOW • Partners: • National Institute for Health and Welfare (Finland) (coordinator) • Research Institute of the Red Cross (Austria) • VrijeUniversiteitBrussels (Belgium) • Vytautas Magnus University (Lithuania) • University of Minho (Portugal) • Daphne III programmefunding (EU) • 2 years: April 2009 to April 2011 Minna-Liisa Luoma | IFA2012 30 May 2012

  5. Research questions • What is the prevalence rate of domestic violence and abuse against older women? • Are there patterns of violence and abuse against older women? • Who are the perpetrators? • Which older women are at higher risk for violence and abuse? Which risk factors are most important in explaining the occurrence of elder abuse? • What are the individual consequences on quality of life Minna-Liisa Luoma | IFA2012 30 May 2012

  6. Types of elder abuse • Physical • Psychological • Sexual • Financial • Neglect • Violation of personal rights

  7. Methodology • Questionnaire • Standard questions + national questions • QOL The EUROHIS QOL –Scale • Sample • Older women, living at home • Aged between 60 and 97 • Data gathered in 2010 • Statistical methods • T-test was used to measure differences on quality of life between abused and non abused elderly.

  8. Methodology

  9. Results: Overall abuse

  10. Results: Types of abuse

  11. Perpetrators • In most cases, perpetrators of emotional abuse, financial abuse, sexual abuse and violation of rights were the women’s partners or spouses. • The exception to this was in relation to neglect, where in most cases older women were abused by their adult children or children-in-law. Minna-Liisa Luoma | IFA2012 30 May 2012

  12. Intensity of violence • 7.6% of older women had experienced one single form of abuse, but infrequently. • 13.5% had experienced several forms of abuse, but infrequently. • 1.2% had experienced one single form of abuse very often. • 5.8% had experienced multiple forms of abuse very often. Minna-Liisa Luoma | IFA2012 30 May 2012

  13. Results: Quality of life • Subjective assessment by using The EUROHIS QOL • Subjective health • Ability to perform “daily living activities” • Satisfaction about themselves • Financial situation • Social relationships • Condition of living space Minna-Liisa Luoma | IFA2012 30 May 2012

  14. Quality of Life and Types of Abuse Finnish population based reference value 3,90 (0,25) Minna-Liisa Luoma | IFA2012 30 May 2012

  15. After abuse • Most common effects of violence and abuse were tension, anger, hatred and feelings of powerlessness. • Nearly half of the abused women (44.7%) talked about the most serious incident with somebody they knew or reported it to an official agency. • In Portugal and Lithuania, however, only a quarter of the abused women talked about the incident with anyone else. • The majority of older women talked with nobody about the abusive incidents. Mostly women thought the incident was too trivial or that nobody could do anything about it. Minna-Liisa Luoma | IFA2012 30 May 2012

  16. Mira Koivusilta

  17. Lessons learned • Policy: Development of guidelines, risk mapping tools and screening instruments can facilitate coordinate action against the abuse of older women and should be initiated on EU level. • Practice: raise awareness about elder abuse: prevalence rates are high and more than half of the mistreated women do not report or talk about the incident. • Adequate assessment tools and routine inquiry about violence and abuse are needed. • Increase disclosure and detection: Information about existing interventions for abuse, the services offered and about the rights of older victims should be made widely available. Minna-Liisa Luoma | IFA2012 30 May 2012

  18. Lessons learned… II • Improve the efficiency of the interventions: • The multifaceted nature of abuse must be considered in the development of case management approaches. • Importance of tackling partner violence in later life should be highlighted. • Older adults should be included in the development of appropriate responses to abuse. Minna-Liisa Luoma | IFA2012 30 May 2012

  19. For more information • www.thl.fi/avow • Methods: literature reviews mapping the existing research and both postal surveys and personal-visit interviews. The study was funded by EU’s Daphne III programme. Minna-Liisa Luoma | IFA2012 30 May 2012

  20. Thank you! minna-liisa.luoma@thl.fi www.thl.fi/avow Minna-Liisa Luoma | IFA2012 30 May 2012

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