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Charles P. Mouton, MD, MS, Rebecca J. Rodabough, MS, Susan L. D. Rovi, PhD, Julie L. Hunt, PhD, Melissa A. Talamantes, MA, Robert G. Brzyski, MD, PhD and Sandra K. Burge, PhD

Charles P. Mouton, Melissa A. Talamantes, and Sandra K. Burge are with the Department of Family and Community Medicine and Robert G. Brzyski is with the Department of Obstetrics and Gynecology, the University of Texas Health Science Center at San Antonio. Rebecca J. Rodabough and Julie L. Hunt are with the Fred Hutchinson Cancer Center, the University of Washington School of Medicine, Seattle. Susan L. D. Rovi is with the Department of Family Medicine, the University of Medicine and Dentistry of New Jersey–New Jersey Medical School, Newark.

Correspondence: Requests for reprints should be sent to Charles P. Mouton, MD, MS, Department of Family and Community Medicine, UTHSCSA, 7703 Floyd Curl Dr, San Antonio, TX 78229-7795 (e-mail: mouton{at}uthscsa.edu).

Objectives. We examined prevalence, 3-year incidence, and predictors of physical and verbal abuse among postmenopausal women.

Methods. We used a cohort of 91 749 women aged 50 to 79 years from the Women’s Health Initiative. Outcomes included self-reported physical abuse and verbal abuse.

Results. At baseline, 11.1% reported abuse sometime during the prior year, with 2.1% reporting physical abuse only, 89.1% reporting verbal abuse only, and 8.8% reporting both physical and verbal abuse. Baseline prevalence was associated with service occupations, having lower incomes, and living alone. At 3-year follow-up, 5.0% of women reported new abuse, with 2.8% reporting physical abuse only, 92.6% reporting verbal abuse only, and 4.7% reporting both physical and verbal abuse.

Conclusions. Postmenopausal women are exposed to abuse at similar rates to younger women; this abuse poses a serious threat to their health.

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