Experiences of Elder Abuse in Pacific Island Communities of Aotearoa New Zealand: a Cultural Lens

The aim of this study was to uncover some experiences and perceptions of elder abuse among New Zealand Pacific elders within their own communities. A qualitative design was used, in which data were collected and analysed, and meanings were ascribed, based on the cultural perspective and philosophical worldview of Pacific Island elders and the Fonofale model of holistic well-being. The Fonofale framework, congruent with a Pacific worldview, allowed for a guided understanding of abuse, as perceived by 50 older Pacific Island participants. In this study, the themes of abuse included psychological, financial, spiritual, neglect and cultural abuse in the form of disrespect. Importantly, spiritual and cultural abuse often overlaid the other forms, and intergenerational differences emerged as a prominent factor contributing to abuse. Shame, fear and loyalty negatively impacted help seeking behaviours. The Fonofale model of health and well-being was used to evaluate the findings, and inform evidence-based research that can guide healthcare professionals when addressing abuse within their own individual Pacific communities.