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Fear of crime and psychological and physical abuse associated with ill health in a Swedish population aged 65-84 years
Linköping University, Department of Medical and Health Sciences, Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
Vasternorrland County Council.
2012 (English)In: Public Health, ISSN 0033-3506, E-ISSN 1476-5616, Vol. 126, no 4, 358-364 p.Article in journal (Refereed) Published
Abstract [en]

Objectives: To assess the association between fear of crime and/or psychological and/or physical abuse in relation to self-reported physical and psychological health, using a large representative sample of elderly women and men in Sweden. less thanbrgreater than less thanbrgreater thanStudy design: Cross-sectional national survey. less thanbrgreater than less thanbrgreater thanMethods: Data were taken from a nationwide representative public health survey (2006). Men and women between the ages of 65 and 84 years were selected for the present analyses (4386 men and 4974 women). The response rate for this age group was 59% for men and 70% for women. less thanbrgreater than less thanbrgreater thanResults: Psychological and physical abuse against elderly women and men led to higher odds ratios for negative health outcomes, independently of socio-economic status. Strong correlation was found between psychological abuse and negative health outcomes in both men and women, while the correlation was less strong for physical abuse, especially among women. The men had high odds ratios for suicidal thoughts and even for attempted suicide in connection with physical and psychological abuse and fear of crime. less thanbrgreater than less thanbrgreater thanConclusions: The study provides representative results addressing an extensive negative health outcome panorama caused by fear of crime and exposure to abuse.

Place, publisher, year, edition, pages
WB Saunders , 2012. Vol. 126, no 4, 358-364 p.
Keyword [en]
Elderly, Abuse, Ill health, Men, Women, Population study
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-76948DOI: 10.1016/j.puhe.2012.01.015ISI: 000302121100016OAI: oai:DiVA.org:liu-76948DiVA: diva2:524365
Available from: 2012-05-02 Created: 2012-04-27 Last updated: 2017-12-07Bibliographically approved
In thesis
1. Violence through the life cycle: A public health problem
Open this publication in new window or tab >>Violence through the life cycle: A public health problem
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Background: Violence has probably always been part of the human experience. Its impact can be seen, in various forms, in all parts of the world. In 1996, WHO:s Forty-Ninth World Health Assembly adopted a resolution , declaring violence a major and growing public health problem around the world. Public health work centers around health promotion and disease prevention activities in the population and public health is an expression of the health status of the population taking into account both the level and the distribution of health. Exposure to violence can have many aspects, differing throughout the life course — deprivation of autonomy, financial exploitation, psychological and physical neglect or abuse — but all types share common characteristics: the use of destructive force to control others by depriving them of safety, freedom, health and, in too many instances, life; the epidemic proportions of the problem, particularly among vulnerable groups; a devastating impact on individuals, families, neighborhoods, communities, and society.

Methods: Three different data sources were used in the four articles, three cross-sectional studies (“Life and Health in Norrland” and “Health on Equal Terms 2004 and 2006”) and one longitudinal (“Level-of-Living Survey”).

Results: We present an important picture of the strong association between exposure to violence and ill health through the life cycle. A population-based study showed an increased risk of poorer physical and psychological health among boys and girls aged 0-18, as reported by their mothers exposed to violence. Further, a strong association between those exposed to violence and physical and mental ill health was demonstrated in young adults aged 18-25, also after adjusting for possible confounders, specifically for women. Even in an elder group aged 65-84, representative results showed an extensive negative health outcome panorama caused by fear of crime and exposure to abuse both in elderly men and women. Lastly, in trying to provide additional empirical support for the association between exposure to violence and ill health the prospective study demonstrated that violence exposure in adolescence and young adulthood presented a negative association to severe illness burden in adulthood for women but not men.

Conclusion: Exposure to violence among both men and women is an important risk factor for ill health and should receive greater attention in public health work. A strong association between violence and various health outcomes was demonstrated in different time periods through the life cycle.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2012. 84 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1307
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-77044 (URN)978-91-7519-905-4 (ISBN)
Public defence
2012-06-07, Aulan, Hälsans hus, Campus US, Linköpings universitet, Linköping, 13:00 (English)
Opponent
Supervisors
Available from: 2012-05-03 Created: 2012-05-03 Last updated: 2012-05-03Bibliographically approved

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