For sometime, global demographic trends have indicated that the continued growth of the ageing population is ‘pervasive’, ‘unprecedented’ and ‘enduring’ (United Nations 2002, 2018). In the UK, for example, it is estimated that by 2040 nearly one in four people will be aged 65 or over and the number of people aged 85 or over is predicted to more than double to over 3.2 million (Office for National Statistics 2017). The picture is similar in the US with forecasts that by 2035, there will be more older people than children (US Census Bureau 2018). In Japan, this is already the case and it has the world’s most aged population with 33% aged 60 years or over (United Nations 2015). These unremitting global trends are having considerable economic, political, cultural and social implications (United Nations 2018). Despite women making up most of the older population in virtually all the world’s populations, the needs of older women who experience DVA has received little attention (Zink et al. 2004). This chapter provides guidance for health professionals on how to respond effectively to domestic violence and abuse (DVA) in cases involving people aged 60 years and over. This chapter explores the impact DVA on the health and well-being of older people. The literature will highlight examples of how older victim-survivors of DVA are treated differently because of ageist and sexist sociocultural misconceptions and stereotyping.