A growing body of work has begun to recognize that the problem of older women affected by family violence (FV) deserves special consideration. Because risk and protective factors for FV can vary by social and cultural context, it is imperative that more focused attention be paid to vulnerable populations such as older African American women. This article reports on the results of a qualitative inquiry into individual, dyadic, and community-level variables that influence the risk of FV among older African American women receiving primary care at an inner-city hospital. An explanatory model that integrates these variables is presented.