Sexual abuse; Sexual assault; Elder abuse and neglect; Ageing; Abus sexuel; Agression sexuelle; Maltraitance et négligence envers les personnes âgées; Vieillissement
Abstract :
[en] Background: Sexual violence (SV) is an important public health problem which may cause long-lasting health problems. SV in older adults remains neglected in research, policies and practices. Valid SV prevalence estimates and associated risk factors in older adults are currently unavailable. Objective: To measure lifetime and past 12-months sexual victimisation in older adults living in Belgium, its correlates, assailant characteristics and the way that victims framed their SV experiences. Design: Cross-sectional general population study. Setting: Community-dwelling, assisted living and nursing homes. Participants: 513 people of 70 years and older living in Belgium. Methods: SV was measured using behaviourally specific questions based on a broad definition of SV. Participants were selected via a cluster random probability sampling with a random route finding approach. Information on sexual victimisation, correlates, assailant characteristics and framing was collected via structured face-to-face interviews. Results: Lifetime SV prevalence was 44% (55% F, 29% M). Past 12-months prevalence was 8% (9% F, 8% M). Female sex and a higher number of sexual partners were associated with lifetime SV (p <.05), non-heterosexual sexual orientation with past 12-months SV (p <.05). Correlates generally linked to elder abuse and neglect were not linked with SV. ‘Someone unknown’ was identified as most common assailant. Conclusions: SV appears to be common in older adults in Belgium. Both correlates and assailant characteristics seem to differ from previous studies on elder abuse and neglect. Recognising older adults as a risk group for sexual victimisation in research, policies and practices is of the utmost importance.
Research Center/Unit :
International Centre for Reproductive Health CARE-ESPRIst Psychology of Aging Unit Institute for International Research on Criminal Policy
Disciplines :
Human health sciences: Multidisciplinary, general & others
Author, co-author :
Nobels, Anne; Universiteit Gent - UGent > Department of Public Health and Primary Care
World Health Organization. Violence Against Women. Fact Sheet No. 239. 2017. Available online: http://www.who.int/mediacentre/factsheets/fs239/en/. Accessed 5 Apr 2018.
Prevention of Violence: A Public Health Priority. Proceedings of the Forty-Ninth World Health Assembly, Geneva, Switzerland, 20–25 May 1996. Geneva: WHO; 1996.
World Health Organization. World Report on Violence and Health. WHO: Geneva, Switzerland; 2002.
Jina R, Thomas LS. Health consequences of sexual violence against women. Best Pract Res Clin Obstet Gynaecol. 2013 Feb;27(1):15–26. 10.1016/j.bpobgyn.2012.08.012. DOI: 10.1016/j.bpobgyn.2012.08.012
Rapsey CM, Scott KM, Patterson T. Childhood sexual abuse, poly-victimization and internalizing disorders across adulthood and older age: findings from a 25-year longitudinal study. J Affect Disord. 2019;244:171–9. 10.1016/j.jad.2018.10.095. DOI: 10.1016/j.jad.2018.10.095
Ege MA, Messias E, Thapa PB, Krain LP. Adverse childhood experiences and geriatric depression: results from the 2010 BRFSS. Am J Geriatr Psychiatry. 2015 Jan;23(1):110–4. 10.1016/j.jagp.2014.08.014. DOI: 10.1016/j.jagp.2014.08.014
Bows H. Sexual violence against older people. London, UK: Routledge; 2019. 10.4324/9781315269740. DOI: 10.4324/9781315269740
Yon Y, Mikton CR, Gassoumis ZD, Wilber KH. Elder abuse prevalence in community settings: a systematic review and meta-analysis. Lancet Glob Health. 2017;5(2):147–56. 10.1016/S2214-109X(17)30006-2. DOI: 10.1016/S2214-109X(17)30006-2
Nobels A, Vandeviver C, Beaulieu M, Cismaru-Inescu A, Nisen L, Van Den Noortgate N, et al. “Too Grey to Be True?” sexual violence in older adults: a critical interpretive synthesis of evidence. Int J Environ Res Public Health. 2020;17(11):4117.
Vandenberk A, Opdebeeck S, Lammertyn F. Geweld en onveiligheidsgevoelens bij ouderen: prevalentie en gevolgen. Leuven, Belgium: KUL; 1998.
Pathak N, Dhairyawan R, Tariq S. The experience of intimate partner violence among older women: a narrative review. Maturitas. 2019;121:63–75. 10.1016/j.maturitas.2018.12.011. DOI: 10.1016/j.maturitas.2018.12.011
Bows H. Sexual violence against older people: a review of the empirical literature. Trauma Violence Abuse. 2018;19(5):567–83. 10.1177/1524838016683455. DOI: 10.1177/1524838016683455
Fileborn B. Sexual assault and justice for older women: a critical review of the literature. Trauma Violence Abuse. 2017;18(5):496–507. 10.1177/1524838016641666. DOI: 10.1177/1524838016641666
Nisen L. Linchet S (sous la direction scientifique de Casman, M-T) Étude Sur le Bien-Etre des Personnes de Plus de 70 Ans en Wallonie. Liège, Belgium: Panel Démographie Familiale, Respect Seniors; 2010.
Naughton C, Drennan J, Lyons I, Lafferty A, Treacy M, Phelan A, et al. Elder abuse and neglect in Ireland: results from a national prevalence survey. Age Ageing. 2012;41(1):98–103. 10.1093/ageing/afr107. DOI: 10.1093/ageing/afr107
Gil AP, Kislaya I, Santos AJ, Nunes B, Nicolau R, Fernandes AA. Elder abuse in Portugal: findings from the first national prevalence study. J Elder Abuse Negl. 2015;27(3):174–95. 10.1080/08946566.2014.953659. DOI: 10.1080/08946566.2014.953659
Kissal A, Beser A. Elder abuse and neglect in a population offering care by a primary health care center in Izmir, Turkey. Soc Work Health Care. 2011;50(2):158–75. 10.1080/00981389.2010.527570. DOI: 10.1080/00981389.2010.527570
Kulakci Altintas H, Korkmaz AG. Prevalence of elder abuse among community-dwelling older adults in Turkey and its associated factors. Psychogeriatrics. 2020;13(20):3–10. 10.1111/psyg.12446. DOI: 10.1111/psyg.12446
Luoma M-L, Koivusilta M, Lang G, Enzenhofer E, De Donder L, Verté D, et al. Prevalence Study of Abuse and Violence against Older Women: Results of a Multi-Cultural Survey in Austria, Belgium, Finland, Lithuania, and Portugal (European Report of the AVOW Project). Helsinki: National Institute for Health and Welfare (THL); 2011.
McMahon S. Changing Perceptions of Sexual Violence Over Time. National Online Resource Centre on Violence Against Women (VAW net). 2011.
Gelstrophe L, Larrauri E. Gender and Crime in Europe. In The Routlegde Handbook of European Criminology. Editors S Body-Gendrot, M Hough, K Kerezsi, R Lévy, S Snacken, (Eds.), Routledge: London, UK, 2013; Chapter 11; pp. 188–203.
World Health Organization. Sexuality Education Policy Brief No. 1. Geneva: WHO; 2016.
Gewirtz-Meydan A, Hafford-Letchfield T, Benyamini Y, Phelan A, Jackson J, Ayalon L. Ageism and sexuality. Chapter 10 In: Contemporary Perspectives on Ageism. Editors L Ayalon, C Tesch-Römer (Eds.), Springer; Cham, 2018. p. 149-162.
Bodner E, Palgi Y, Wyman MF. Ageism in Mental Health Assessment and Treatment of Older Adults. Chapter 15 In: Contemporary Perspectives on Ageism. Editors L Ayalon, C Tesch-Römer (Eds.), Springer; Cham, 2018. p. 241-262.
Hughes TL, Johnson T, Wilsnack SC. Sexual assault and alcohol abuse: a comparison of lesbians and heterosexual women. J Subst Abuse. 2001;13(4):515–32. 10.1016/S0899-3289(01)00095-5. DOI: 10.1016/S0899-3289(01)00095-5
Gott M, Hinchliff S, Galena E. General practitioner attitudes to discussing sexual health issues with older people. Soc Sci Med. 2004;58(11):2093–103. 10.1016/j.socscimed.2003.08.025. DOI: 10.1016/j.socscimed.2003.08.025
Saunamäki N, Engström M. Registered nurses' reflections on discussing sexuality with patients: responsibilities, doubts and fears. J Clin Nurs. 2014;23(3-4):531–40. 10.1111/jocn.12155. DOI: 10.1111/jocn.12155
Goldblatt H, Band-Winterstein T, Lev S, Harel D. “Who Would Sexually Assault an 80-Year-Old Woman?” Barriers to Exploring and Exposing Sexual Assault Against Women in Late Life. J Interpers Violence. 2020. 10.1177/0886260520934440.
United Nations. The sustainable development goals report. 2016. Available from: https://unstats.un.org/sdgs/report/2016/Overview/. Accessed 29 Apr 2019.
Nobels A, Vandeviver C, Beaulieu M, Lemmens G, Keygnaert I. Are older women forgotten in the fight against sexual violence? Lancet Glob Health. 2018;6(4):e307. 10.1016/S2214-109X(18)30074-3. DOI: 10.1016/S2214-109X(18)30074-3
CIUSSS West-Central Montreal; elder mistreatment helpline (LAAA); research chair on mistreatment of older adults; Ministère de la Famile, Secrétariat aux aînés, Gouvernement du Québec. Leading Practice to Counter the Mistreatment of Older Adults. Montreal, Québec, Canada, 2017.
Schapanksy E, Depraetere J, Keygnaert I, Vandeviver C. Prevalence and Risk factors of Sexual Victimisation: Findings from a National Representative Sample of Belgian Adults Aged 16–69. Int J Environ Res Public Health. 2021;18(14):7360. DOI: 10.3390/ijerph18147360
Depraetere J, Cismaru-Inescu A, De Schrijver L, Nobels A, Keygnaert I, Vandeviver C. Measuring Sexual Victimisation and Perpetration in Today's Society: Modifications to the Sexual Experience Survey. SocArXiv [Preprint] 2020. Available from: https://osf.io/preprints/socarxiv/cgevu/ [cited 22 Feb 2020].
Nobels A, Cismaru-Inescu I, Nisen L, Hahaut B, Lemmens G, Vandeviver C, Keygnaert I. Challenges in conducting sexual health and violence research in older adults beyond the General Data Protection Regulation: a Belgian case study. J Interpers Violence. 2021:1–21. https://doi.org/10.1177/08862605211015256.
Depraetere J, Vandeviver C, Vander Beken T, Keygnaert I. Big boys don’t cry: a critical interpretive synthesis of male sexual victimization. Trauma Violence Abuse. 2018;21(5):991–1010. 10.1177/1524838018816979. DOI: 10.1177/1524838018816979
Koss MP, Gidycz CA. Sexual experiences survey: reliability and validity. J Consult Clin Psychol. 1985;53(3):422–3. 10.1037/0022-006X.53.3.422. DOI: 10.1037/0022-006X.53.3.422
Krahé B, Berger A, Vanwesenbeeck I, Bianchi G, Chliaoutakis J, Fernández-Fuertes AA, et al. Prevalence and correlates of young people's sexual aggression perpetration and victimisation in 10 European countries: a multi-level analysis. Cult Health Sex. 2015;17(6):682–99. 10.1080/13691058.2014.989265. DOI: 10.1080/13691058.2014.989265
Keygnaert I, Dias SF, Degomme O, Deville W, Kennedy P, Kovats A, et al. Sexual and gender-based violence in the European asylum and reception sector: a perpetuum mobile? Eur J Public Health. 2015 Feb;25(1):90–6. 10.1093/eurpub/cku066. DOI: 10.1093/eurpub/cku066
Lewis-Beck M, Bryman AE, Liao TF. Random Walk. In: Lewis-Beck MS, Bryman A, Futing Liao T, editors. The Sage encyclopedia of social science research methods. Sage Publications, London, UK; 2003.
World Health Organization. Ethical and Safety Recommendations for Intervention Research on Violence Against Women: Building on lessons from the WHO publication Putting women first: ethical and safety recommendations for research on domestic violence against women. Geneva, Switserland: WHO; 2016.
Piolino P, Desgranges B, Benali K, Eustache F. Episodic and semantic remote autobiographical memory in ageing. Memory. 2002;10(4):239–57. 10.1080/09658210143000353. DOI: 10.1080/09658210143000353
Charles ST, Mather M, Carstensen LL. Aging and emotional memory: the forgettable nature of negative images for older adults. J Exp Psychol Gen. 2003;132(2):310–24. 10.1037/0096-3445.132.2.310. DOI: 10.1037/0096-3445.132.2.310
Fernandes M, Ross M, Wiegand M, Schryer E. Are the memories of older adults positively biased? Psychol Aging. 2008;23(2):297–306. 10.1037/0882-7974.23.2.297. DOI: 10.1037/0882-7974.23.2.297
Chen E, Turiano NA, Mroczek DK, Miller GE. Association of reports of childhood abuse and all-cause mortality rates in women. JAMA Psychiat. 2016;73(9):920–7. 10.1001/jamapsychiatry.2016.1786. DOI: 10.1001/jamapsychiatry.2016.1786
Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study. Am J Prev Med. 1998;14(4):245–58. 10.1016/S0749-3797(98)00017-8. DOI: 10.1016/S0749-3797(98)00017-8
Brozowski K, Hall DR. Aging and risk: physical and sexual abuse of elders in Canada. J Interpers Violence. 2010;25(7):1183–99. 10.1177/0886260509340546. DOI: 10.1177/0886260509340546
World Health Organization. Global and regional estimates of violence against women: prevalence and health effects of partner violence and sexual non-partner violence. Geneva, Switzerland: WHO; 2013.
Erlingsson CL, Saveman BI, Berg AC. Perceptions of elder abuse in Sweden: voices of older persons. Brief Treat Crisis Interv. 2005;5(2):213–27. 10.1093/brief-treatment/mhi017. DOI: 10.1093/brief-treatment/mhi017
Macdowall W, Gibson LJ, Tanton C, Mercer CH, Lewis R, Clifton S, et al. Lifetime prevalence, associated factors, and circumstances of non-volitional sex in women and men in Britain: findings from the third National Survey of sexual attitudes and lifestyles (Natsal-3). Lancet. 2013;382(9907):1845–55. 10.1016/S0140-6736(13)62300-4. DOI: 10.1016/S0140-6736(13)62300-4
Bows H. The other side of late-life intimacy? Sexual violence in later life. Australas J Ageing. 2020;39(S1):65–70. 10.1111/ajag.12728. DOI: 10.1111/ajag.12728
Ahnlund P, Andersson T, Snellman F, Sundström M, Heimer G. Prevalence and correlates of sexual, physical, and psychological violence against women and men of 60 to 74 years in Sweden. J Interpers Violence. 2017:1–23. https://doi.org/10.1177/0886260517696874.
Pillemer K, Finkelhor D. The prevalence of elder abuse: a random sample survey. Gerontologist. 1988;28(1):51–7. 10.1093/geront/28.1.51. DOI: 10.1093/geront/28.1.51
Melchiorre MG, Di Rosa M, Lamura G, Torres-Gonzales F, Lindert J, Stankunas M, et al. Abuse of older men in seven European countries: a multilevel approach in the framework of an ecological model. PLoS One. 2016;11(1):e0146425. 10.1371/journal.pone.0146425. DOI: 10.1371/journal.pone.0146425
Hillman J. Intimate partner violence among older LGBT adults: Unique risk factors, issues in reporting and treatment, and recommendations for research, practice, and policy. In: Russel B, editor. Intimate Partner Violence and the LGBT+ Community. Cham, Switzerland: Springer; 2020. p. 237–54. DOI: 10.1007/978-3-030-44762-5_13
Canan SN, Jozkowski KN, Wiersma-Mosley J, Blunt-Vinti H, Bradley M. Validation of the sexual experience survey-short form revised using lesbian, bisexual, and heterosexual Women's narratives of sexual violence. Arch Sex Behav. 2020;49(3):1067–83. 10.1007/s10508-019-01543-7. DOI: 10.1007/s10508-019-01543-7
