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Sexual violence in older adults : a Belgian prevalence study

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Abstract
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.
Keywords
Sexual abuse, sexual assault, elder abuse and neglect, ageing

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MLA
Nobels, Anne, et al. “Sexual Violence in Older Adults : A Belgian Prevalence Study.” MEDRXIV, no. 08/03/2021, 2021, doi:10.1101/2021.03.04.21252934.
APA
Nobels, A., Cismaru Inescu, A., Nisen, L., Hahaut, B., Beaulieu, M., Lemmens, G., … Keygnaert, I. (2021). Sexual violence in older adults : a Belgian prevalence study. https://doi.org/10.1101/2021.03.04.21252934
Chicago author-date
Nobels, Anne, Adina Cismaru Inescu, Laurent Nisen, Bastien Hahaut, Marie Beaulieu, Gilbert Lemmens, Stéphane Adam, Evelyn Schapansky, Christophe Vandeviver, and Ines Keygnaert. 2021. “Sexual Violence in Older Adults : A Belgian Prevalence Study.” MEDRXIV. https://doi.org/10.1101/2021.03.04.21252934.
Chicago author-date (all authors)
Nobels, Anne, Adina Cismaru Inescu, Laurent Nisen, Bastien Hahaut, Marie Beaulieu, Gilbert Lemmens, Stéphane Adam, Evelyn Schapansky, Christophe Vandeviver, and Ines Keygnaert. 2021. “Sexual Violence in Older Adults : A Belgian Prevalence Study.” MEDRXIV. doi:10.1101/2021.03.04.21252934.
Vancouver
1.
Nobels A, Cismaru Inescu A, Nisen L, Hahaut B, Beaulieu M, Lemmens G, et al. Sexual violence in older adults : a Belgian prevalence study. MEDRXIV. 2021.
IEEE
[1]
A. Nobels et al., “Sexual violence in older adults : a Belgian prevalence study,” MEDRXIV, no. 08/03/2021. 2021.
@misc{8698480,
  abstract     = {{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.}},
  author       = {{Nobels, Anne and Cismaru Inescu, Adina and Nisen, Laurent and Hahaut, Bastien and Beaulieu, Marie and Lemmens, Gilbert and Adam, Stéphane and Schapansky, Evelyn and Vandeviver, Christophe and Keygnaert, Ines}},
  keywords     = {{Sexual abuse,sexual assault,elder abuse and neglect,ageing}},
  language     = {{eng}},
  number       = {{08/03/2021}},
  pages        = {{21}},
  series       = {{MEDRXIV}},
  title        = {{Sexual violence in older adults : a Belgian prevalence study}},
  url          = {{http://doi.org/10.1101/2021.03.04.21252934}},
  year         = {{2021}},
}

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