The elderly are a group susceptible to violent crime and injury because of their increased frailty, heightened fear of crime, and perception of vulnerability by themselves and others. However, limited information on elderly violence is available due to relatively low victimization rates in the United States. A logistic model was developed to predict survival following assault from different demographic and interpersonal factors for the elderly and the general population. Five years of data were obtained from the National Incident-Based Reporting System. Results show the elderly have a higher risk of death from assault than younger age groups and there is evidence of an excessively high risk of fatality in both felony-related and firearm-related assaults for younger and older victims. Assaults involving family/known persons were also associated with a higher fatality risk than incidents involving strangers. Suggestions are made for primary and secondary prevention strategies and issues to consider for future research.
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References
1.
Ahlf, E. H. (1994). The elderly as victims of violent crime . Zeitschrift fur Gerontologie, 27(5), 289-298 .
2.
Bachman, R. B., Dillaway, H., & Lachs, M. A. (1998). Violence against the elderly: A comparative analys is of robbery and assault across age and gender groups . Research on Aging, 20(2), 183-198 .
3.
Breslow, N., & Day, N. (1994). Statistical methods in cancer research: Volume II. The design and analysis of cohort studies. New York: Oxford University Press .
4.
Bureau of Justice Statistics. (1994). Elderly crime victims: National Crime Victimization Survey. Washington, DC: Government Printing Office .
5.
Bureau of Justice Statistics. (1997). Criminal victimization in the United States, 1994: A National Crime Victimization Survey report. Washington, DC: Government Printing Office .
6.
Bureau of Justice Statistics. (2001). Level of UCR and NIBRS participation by states as of August, 2001. Washington, DC: U.S. Department of Justice .
7.
Castillo, D. N., & Jenkins, E. L. (1994). Industries and occupations at high risk for work-related homicide . Journal of Occupational Medicine, 36(2), 125-132 .
8.
Centers for Disease Control. (1998). National injury mortality statistics (1979-1996). Atlanta, GA: National Center for Injury Prevention and Control .
9.
Cheatham, J. S. (1983). Physical abuse of the elderly . Psychiatric Hospital, 14(2), 102-103 .
10.
[published erratum appears in 37(5), 704 ].
11.
Cohen, D., Llorente, M., & Eisdorfer, C. (1998). Homicide-suicide in older persons . American Journal of Psychiatry, 155(3), 390-396 .
12.
Copeland, A. R. (1986). Homicide among the elderly: The Metro Dade County experience, 1979-83 . Medicine, Science and the Law, 26(4), 259-262 .
13.
Craven, D. (1997). Sex differences in violent victimizations, 1994 (Bureau of Justice Statistics No. NCJ-164508). Washington, DC: U.S. Department of Justice .
14.
Dukarm, C. P., Byrd, R. S., Auinger, P., & Weitzman, M. (1996). Illicit substance use, gender, and the risk of violent behavior among adolescents . Archives of Pediatrics & Adolescent Medicine, 150(8), 797-801 .
15.
Falzon, A. L., & Davis, G. G. (1998). A 15 year retrospective review of homicide in the elderly . Journal of Forensic Sciences, 43(2), 371-374 .
16.
Farmer, C. M., Braver, E. R., & Mitter, E. L. (1997). Two-vehicle side impact crashes: The relationship of vehicle and crash characteristics to injury severity . Accident Analysis and Prevention, 29(3), 399-406 .
17.
Fattah, E. A., & Sacco, V. (1989). Crime and victimization of the elderly. New York/Berlin: Springer-Verlag .
18.
Federal Bureau of Investigation. (2002a). Crime in the United States 2001: Uniform Crime Reports. Washington, DC: Government Printing Office .
19.
Federal Bureau of Investigation. (2002b). Preliminary semiannual Uniform Crime Report, January-June 2002. Washington, DC: Federal Bureau of Investigation National Press Office .
20.
Felson, R. B., Messner, S. F., & Hoskin, A. (1999). The victim-offender relationship and calling the police in assaults . Criminology, 37(4), 931-947 .
21.
Felson, R. B., Messner, S. F., Hoskin, A. W., & Deane, G. (2002). Reasons for reporting and not reporting domestic violence to the police . Criminology, 40(3), 617-647 .
22.
Felson, R. B., & Steadman, H. J. (1983). Situational factors in disputes leading to criminal violence . Criminology, 21(1), 59-74 .
23.
Fenske, N. A., & Lober, C. W. (1990). Skin changes of aging: Pathological implications . Geriatrics, 45(3), 27-35 .
24.
Goodman, R. A., Mercy, J. A., Rosenberg, M. L., Smith, J. C., Allen, N. H., Vargas, L., et al. (1986). Alcohol-use and interpersonal violence: Alcohol detected in homicide victims . American Journal of Public Health, 76(2), 144-149 .
25.
Greenland, S., & Rothman, K. J. (1998). Modern epidemiology. Philadelphia: J.B. Lippincott .
26.
Greve, W. (1998). Fear of crime among the elderly: Foresight, not fright . International Review of Victimology, 5(3-4), 277-309 .
27.
Hamburg, M. A. (1998). Youth violence is a public health concern. In D. S. Elliott, B. A. Hamburg, & K. R. Williams (Eds.), Violence in American schools: Anew perspective (pp. 31-54). New York: Cambridge University Press .
28.
Hirschel, J. D., & Rubin, K. B. (1982). Special problems faced by the elderly victims of crime . Journal of Sociology & Social Welfare, 9(2), 357-374 .
29.
Houk, V. W. (1983). Public health and cost implications of suicide, homicide, and criminal violence . Texas Medicine, 79(9), 6-7 .
30.
Hoyert, D., Kochanek, K., & Murphy, S. L. (1999). Deaths: Final data for 1997 . National Vital Statistics Reports, 47(19), 1-105 .
31.
Johnson-Dalzine, P., Dalzine, L., & Martin-Stanley, C. (1996). Fear of criminal violence and the African American elderly: Assessment of a crime prevention strategy . Journal of Negro Education, 65(4), 462-469 .
32.
Kennedy, L. W. (1988). Going it alone—Unreported crime and individual self-help . Journal of Criminal Justice, 16(5), 403-412 .
33.
Kennedy, L. W., & Silverman, R. A. (1990). The elderly victim of homicide—An application of the routine activities approach . Sociological Quarterly, 31(2), 307-319 .
34.
Klaus, P. (2000). Crimes against persons age 65 and older, 1992-97. Washington, DC: Government Printing Office .
35.
Klaus, P., & Rennison, C. (2002). Age patterns in violent victimization, 1976-2000. Washington, DC: Government Printing Office .
36.
Kleinschmidt, K. C. (1997). Elder abuse: Areview . Annals of Emergency Medicine, 30(4), 463-472 .
37.
Kraus, J. F. (1987). Homicide while at work: Persons, industries, and occupations at high risk . American Journal of Public Health, 77(10), 1285-1289 .
38.
Liang, J., & Sengstock, M. C. (1981). The risk of personal victimization among the aged . Journals of Gerontology, 36(4), 463-471 .
39.
Lindquist, J. H., & Duke, J. M. (1982). The elderly victim at risk: Explaining the fear-victimization paradox . Criminology, 20(1), 115-126 .
40.
Linn, B. S. (1980). Age differences in the severity and outcome of burns . Journal of the American Geriatrics Society, 28(3), 118-123 .
41.
Lizotte, A. J. (1985). The uniqueness of rape—Reporting assaultive violence to the police . Crime & Delinquency, 31(2), 169-190 .
42.
Loomis, D. P., Richardson, D. B., Wolf, S. H., Runyan, C. W., & Butts, J. D. (1997). Fatal occupational injuries in a southern state . American Journal of Epidemiology, 145(12), 1089-1099 .
43.
Maxfield, M. G. (1989). Circumstances in Supplementary Homicide Reports—Variety and validity . Criminology, 27(4), 671-695 .
44.
Maxfield, M. G. (1999). The National Incident-Based Reporting System: Research and policy applications . Journal of Quantitative Criminology, 15(2), 119-149 .
45.
McCoy, G. F., Johnston, R. A., & Duthie, R. B. (1989). Injury to the elderly in road traffic accidents . Journal of Trauma, 29(4), 494-497 .
46.
Messner, S. F., & Tardiff, K. (1986). Economic-inequality and levels of homicide—An analysis of urban neighborhoods . Criminology, 24(2), 297-317 .
47.
Miethe, T. D., & Lee, G. R. (1984). Fear of crime among older-people—Are assessment of the predictive power of crime-related factors . Sociological Quarterly, 25(3), 397-415 .
48.
Miller, T. R., Cohen, M. A., & Rossman, S. B. (1993). Victim costs of violent crime and resulting injuries . Health Affairs, 12(4), 186-197 .
49.
Murdoch, D., Pihl, R. O., & Ross, D. (1990). Alcohol and crimes of violence—Present issues . International Journal of the Addictions, 25(9), 1065-1081 .
50.
Nagy, K. K., Smith, R. F., Roberts, R. R., Joseph, K. T., An, G. C., Bokhari, F., et al. (2000). Prognosis of penetrating trauma in elderly patients: A comparison with younger patients [with discussion] . Journal of Trauma, 49(2), 190-194 .
51.
National Council on the Aging. (2002). American perceptions of aging in the 21st century: The NCOA’s continuing study of the myths and realities of aging. Washington, DC: Author .
52.
Nelsen, C., & Huff-Corzine, L. (1998). Strangers in the night: An application of the lifestyle routine activities approach to elderly homicide victimization . Homicide Studies, 2(2), 130-159 .
53.
Norton, L., & Courlander, M. (1982). Fear of crime among the elderly—The role of crime-prevention programs . Gerontologist, 22(4), 388-393 .
54.
Pillemer, K., & Finkelhor, D. (1989). Causes of elder abuse: Caregiver stress versus problem relatives . American Journal of Orthopsychiatry, 59(2), 179-187 .
55.
Pollack, L. M., & Patterson, A. H. (1980). Territoriality and fear of crime in elderly and nonelderly homeowners . Journal of Social Psychology, 111(1), 119-129 .
56.
Rennison, C. (1999). Criminal victimization 1998: Changes 1997-98 with trends 1993-98 (Bureau of Justice Statistics National Crime Victimization Survey NCJ 176353, pp. 1-12). Washington, DC: U.S. Department of Justice .
57.
Rivara, F. P., Mueller, B. A., Somes, G., Mendoza, C. T., Rushforth, N. B., & Kellermann, A. L. (1997). Alcohol and illicit drug abuse and the risk of violent death in the home . Journal of the American Medical Association, 278(7), 569-575 .
58.
Roberts, D. (1997). Implementing the National Incident-Based Reporting System: A project status report. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics .
59.
Rozycki, G. S., & Maull, K. I. (1991). Injuries sustained by falls . Archives of Emergency Medicine, 8(4), 245-252 .
60.
Saltzman, L. E., Mercy, J. A., & Rhodes, P. H. (1992). Identification of nonfatal family and intimate assault incidents in police data . American Journal of Public Health, 82(7), 1018-1020 .
61.
Silverman, R. A., & Kennedy, L. W. (1987). Relational distance and homicide—The role of the stranger . Journal of Criminal Law & Criminology, 78(2), 272-308 .
62.
Smith, W. R., & Torstensson, M. (1997). Gender differences in risk perception and neutralizing fear of crime—Toward resolving the paradoxes . British Journal of Criminology, 37(4), 608-634 .
63.
Sterling, D. A., O’Connor, J. A., & Bonadies, J. (2001). Geriatric falls: Injury severity is high and disproportionate to mechanism . Journal of Trauma, 50(1), 116-119 .
64.
Stevens, J. A., Hasbrouck, L. M., Durant, T. M., Dellinger, A. M., Batabyal, P.K., Crosby, A. E., et al. (1999). Surveillance for injuries and violence among older adults . Morbidity and Mortality Weekly Report/CDC Surveillance Summaries, 48(8), 27-50 .
65.
Straus, M. A. (1986). Medical care costs of intrafamily assault and homicide . Bulletin of the New York Academy of Medicine, 62(5), 556-561 .
66.
U.S. Department of Justice & Federal Bureau of Investigation. (2000). National Incident-Based Reporting System, 1998 [Computer file]. Ann Arbor, MI: Inter-University Consortium for Political and Social Research [Producer and Distributor].
67.
Weinrath, M., & Gartrell, J. (1996). Victimization and fear of crime . Violence & Victims, 11(3), 187-197 .
68.
Yin, P. P. (1980). Fear of crime among the elderly—Some issues and suggestions . Social Problems, 27(4), 492-504 .
69.
Yin, P. (1985). Victimization and the aged. Springfield, IL: Charles C Thomas .
