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Fraga S, Soares J, Melchiorre MG, Barros H, Eslami B, Ioannidi-Kapolou E, Lindert J, Macassa G, Stankunas M, Torres-Gonzales F, Viitasara E. Lifetime Abuse and Quality of Life among Older People. HEALTH & SOCIAL WORK 2017; 42:215-222. [PMID: 29025015 DOI: 10.1093/hsw/hlx036] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/09/2016] [Accepted: 10/25/2016] [Indexed: 06/07/2023]
Abstract
Few studies have evaluated the impact of lifetime abuse on quality of life (QoL) among older adults. By using a multinational study authors aimed to assess the subjective perception of QoL among people who have reported abuse during the course of their lifetime. The respondents (N = 4,467; 2,559 women) were between the ages of 60 and 84 years and living in seven European countries (Germany, Greece, Italy, Lithuania, Portugal, Spain, and Sweden). Lifetime abuse was assessed by using a structured questionnaire that allowed to assess lifetime experiences of abuse. QoL was assessed with the World Health Organization Quality of Life-Old module. After adjustment for potential confounders, authors found that to have had any abusive experience decreased the score of sensory abilities. Psychological abuse was associated with lower autonomy and past, present, and future activities. Physical abuse with injuries significantly decreased social participation. Intimacy was also negatively associated with psychological abuse, physical abuse with injury, and sexual abuse. The results of this study provide evidence that older people exposed to abuse during their lifetime have a significant reduction in QoL, with several QoL domains being negatively affected.
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Affiliation(s)
- Silvia Fraga
- EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Rua das Taipas 135/139, Porto, 4050-600, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Center for Socioeconomic Research on Aging, Ancona, Italy. EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Department of Sociology, National School of Public Health, Athens, Greece. Department of Public Health, University of Emden, Emden, Germany, and Women's Studies Research Center, Brandeis University, Waltham, MA. Public Health Sciences and Epidemiology, University of Gavle, Sweden. Department of Health Management, Lithuanian University of Health Sciences, Kaunas, Lithuania, and Department of Health Service Management, Centre for Health Innovation, School of Medicine, University of Griffith, Gold Coast, QLD, Australia. Network of Biomedical Research on Mental Health Centers, University of Granada, Granada, Spain. Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden
| | - Joaquim Soares
- EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Rua das Taipas 135/139, Porto, 4050-600, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Center for Socioeconomic Research on Aging, Ancona, Italy. EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Department of Sociology, National School of Public Health, Athens, Greece. Department of Public Health, University of Emden, Emden, Germany, and Women's Studies Research Center, Brandeis University, Waltham, MA. Public Health Sciences and Epidemiology, University of Gavle, Sweden. Department of Health Management, Lithuanian University of Health Sciences, Kaunas, Lithuania, and Department of Health Service Management, Centre for Health Innovation, School of Medicine, University of Griffith, Gold Coast, QLD, Australia. Network of Biomedical Research on Mental Health Centers, University of Granada, Granada, Spain. Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden
| | - Maria Gabriella Melchiorre
- EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Rua das Taipas 135/139, Porto, 4050-600, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Center for Socioeconomic Research on Aging, Ancona, Italy. EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Department of Sociology, National School of Public Health, Athens, Greece. Department of Public Health, University of Emden, Emden, Germany, and Women's Studies Research Center, Brandeis University, Waltham, MA. Public Health Sciences and Epidemiology, University of Gavle, Sweden. Department of Health Management, Lithuanian University of Health Sciences, Kaunas, Lithuania, and Department of Health Service Management, Centre for Health Innovation, School of Medicine, University of Griffith, Gold Coast, QLD, Australia. Network of Biomedical Research on Mental Health Centers, University of Granada, Granada, Spain. Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden
| | - Henrique Barros
- EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Rua das Taipas 135/139, Porto, 4050-600, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Center for Socioeconomic Research on Aging, Ancona, Italy. EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Department of Sociology, National School of Public Health, Athens, Greece. Department of Public Health, University of Emden, Emden, Germany, and Women's Studies Research Center, Brandeis University, Waltham, MA. Public Health Sciences and Epidemiology, University of Gavle, Sweden. Department of Health Management, Lithuanian University of Health Sciences, Kaunas, Lithuania, and Department of Health Service Management, Centre for Health Innovation, School of Medicine, University of Griffith, Gold Coast, QLD, Australia. Network of Biomedical Research on Mental Health Centers, University of Granada, Granada, Spain. Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden
| | - Bahareh Eslami
- EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Rua das Taipas 135/139, Porto, 4050-600, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Center for Socioeconomic Research on Aging, Ancona, Italy. EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Department of Sociology, National School of Public Health, Athens, Greece. Department of Public Health, University of Emden, Emden, Germany, and Women's Studies Research Center, Brandeis University, Waltham, MA. Public Health Sciences and Epidemiology, University of Gavle, Sweden. Department of Health Management, Lithuanian University of Health Sciences, Kaunas, Lithuania, and Department of Health Service Management, Centre for Health Innovation, School of Medicine, University of Griffith, Gold Coast, QLD, Australia. Network of Biomedical Research on Mental Health Centers, University of Granada, Granada, Spain. Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden
| | - Elisabeth Ioannidi-Kapolou
- EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Rua das Taipas 135/139, Porto, 4050-600, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Center for Socioeconomic Research on Aging, Ancona, Italy. EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Department of Sociology, National School of Public Health, Athens, Greece. Department of Public Health, University of Emden, Emden, Germany, and Women's Studies Research Center, Brandeis University, Waltham, MA. Public Health Sciences and Epidemiology, University of Gavle, Sweden. Department of Health Management, Lithuanian University of Health Sciences, Kaunas, Lithuania, and Department of Health Service Management, Centre for Health Innovation, School of Medicine, University of Griffith, Gold Coast, QLD, Australia. Network of Biomedical Research on Mental Health Centers, University of Granada, Granada, Spain. Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden
| | - Jutta Lindert
- EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Rua das Taipas 135/139, Porto, 4050-600, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Center for Socioeconomic Research on Aging, Ancona, Italy. EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Department of Sociology, National School of Public Health, Athens, Greece. Department of Public Health, University of Emden, Emden, Germany, and Women's Studies Research Center, Brandeis University, Waltham, MA. Public Health Sciences and Epidemiology, University of Gavle, Sweden. Department of Health Management, Lithuanian University of Health Sciences, Kaunas, Lithuania, and Department of Health Service Management, Centre for Health Innovation, School of Medicine, University of Griffith, Gold Coast, QLD, Australia. Network of Biomedical Research on Mental Health Centers, University of Granada, Granada, Spain. Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden
| | - Gloria Macassa
- EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Rua das Taipas 135/139, Porto, 4050-600, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Center for Socioeconomic Research on Aging, Ancona, Italy. EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Department of Sociology, National School of Public Health, Athens, Greece. Department of Public Health, University of Emden, Emden, Germany, and Women's Studies Research Center, Brandeis University, Waltham, MA. Public Health Sciences and Epidemiology, University of Gavle, Sweden. Department of Health Management, Lithuanian University of Health Sciences, Kaunas, Lithuania, and Department of Health Service Management, Centre for Health Innovation, School of Medicine, University of Griffith, Gold Coast, QLD, Australia. Network of Biomedical Research on Mental Health Centers, University of Granada, Granada, Spain. Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden
| | - Mindaugas Stankunas
- EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Rua das Taipas 135/139, Porto, 4050-600, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Center for Socioeconomic Research on Aging, Ancona, Italy. EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Department of Sociology, National School of Public Health, Athens, Greece. Department of Public Health, University of Emden, Emden, Germany, and Women's Studies Research Center, Brandeis University, Waltham, MA. Public Health Sciences and Epidemiology, University of Gavle, Sweden. Department of Health Management, Lithuanian University of Health Sciences, Kaunas, Lithuania, and Department of Health Service Management, Centre for Health Innovation, School of Medicine, University of Griffith, Gold Coast, QLD, Australia. Network of Biomedical Research on Mental Health Centers, University of Granada, Granada, Spain. Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden
| | - Francisco Torres-Gonzales
- EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Rua das Taipas 135/139, Porto, 4050-600, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Center for Socioeconomic Research on Aging, Ancona, Italy. EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Department of Sociology, National School of Public Health, Athens, Greece. Department of Public Health, University of Emden, Emden, Germany, and Women's Studies Research Center, Brandeis University, Waltham, MA. Public Health Sciences and Epidemiology, University of Gavle, Sweden. Department of Health Management, Lithuanian University of Health Sciences, Kaunas, Lithuania, and Department of Health Service Management, Centre for Health Innovation, School of Medicine, University of Griffith, Gold Coast, QLD, Australia. Network of Biomedical Research on Mental Health Centers, University of Granada, Granada, Spain. Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden
| | - Eija Viitasara
- EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Rua das Taipas 135/139, Porto, 4050-600, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Center for Socioeconomic Research on Aging, Ancona, Italy. EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal. Department of Public Health Science, Mid Sweden University, Sundsvall, Sweden. Department of Sociology, National School of Public Health, Athens, Greece. Department of Public Health, University of Emden, Emden, Germany, and Women's Studies Research Center, Brandeis University, Waltham, MA. Public Health Sciences and Epidemiology, University of Gavle, Sweden. Department of Health Management, Lithuanian University of Health Sciences, Kaunas, Lithuania, and Department of Health Service Management, Centre for Health Innovation, School of Medicine, University of Griffith, Gold Coast, QLD, Australia. Network of Biomedical Research on Mental Health Centers, University of Granada, Granada, Spain. Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden
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