Domestic Violence Against Women

Abbott, Jean

doi:10.1001/jama.1995.03520460045033

Cited by 388 publications

(35 citation statements)

References 5 publications

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“…IPV victims present to the ED with multiple complaints and injuries, often with contusions, lacerations, abrasions, and fractures to multiple body sites, especially the head, face, and neck (10,28—32). In their analysis of IPV and non—IPV-related assaults, Yau et al found that IPV victims were significantly more likely to have head injuries than victims of non-IPV assaults (10).…”

Section: Discussionmentioning

confidence: 99%

United States Emergency Department Visits Coded for Intimate Partner Violence

Davidov

Larrabee

Davis

2015

The Journal of Emergency Medicine

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Background Limited information exists about medical treatment for victims of intimate partner violence (IPV) Objective Our aim was to estimate the number of emergency department (ED) visits and subsequent hospitalizations that were assigned a code specific to IPV and to describe the clinical and sociodemographic features of this population. Methods Data from the Nationwide Emergency Department Sample from 2006–2009 were analyzed. Cases with an external cause of injury code of E967.3 (battering by spouse or partner) were abstracted. Results From 2006–2009, there were 112,664 visits made to United States EDs with an e-code for battering by a part-ner or spouse. Most patients were female (93 %) with a mean age of 35 years. Patients were significantly more likely to reside in communities with the lowest median income quar-tile and in the Southern United States. Approximately 5% of visits resulted in hospital admission. The mean charge for treat-and-release visits was $1904.69 and $27,068.00 for hospitalizations. Common diagnoses included superficial injuries and contusions, skull/face fractures, and complications of pregnancy. Females were more likely to experience superficial injuries and contusions, and males were more likely to have open wounds of the head, neck, trunk, and extremities. Conclusions From 2006 to 2009, there were approximately 28,000 ED visits per year with an e-code specific to IPV. Although a minority, 7% of these visits were made by males, which has not been reported previously. Future prospective research should confirm the unique demographic and geographic features of these visits to guide development of targeted screening and intervention strategies to mitigate IPV and further characterize male IPV visits.

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Section: Discussionmentioning

confidence: 99%

United States Emergency Department Visits Coded for Intimate Partner Violence

Davidov

Larrabee

Davis

2015

The Journal of Emergency Medicine

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“…Another study showed that there are fewer women with physical injuries who visit the ED care than those who seek medical care for consequent to violence disorders as anxiety attacks, pain and depression [21]. …”

Section: Discussionmentioning

confidence: 99%

“…For these reasons women victims of violence are common visitors to emergency departments [3] and it becomes even more important that health care professionals have skills to recognize hidden signs of violence, such as frequent use of the ED, for example. Rates of domestic violence detection in EDs are still low despite the fact that a high percentage of female victims of domestic violence visit emergency rooms for treatment [21]. …”

Section: Introductionmentioning

confidence: 99%

Use of emergency department services by women victims of violence in Lazio region, Italy

Farchi¹,

Polo²,

Asole³

et al. 2013

BMC Women's Health

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BackgroundViolence against women is a significant health problem and a hidden phenomenon, in Italy that about 31% of the women have been victims of violence once in life. Aims of this study are to describe characteristics of women victims of violence (VV) attending the EDs in the Lazio region in 2008 and to illustrate the frequency and characteristics of previous ED visits.MethodsUsing the Emergency Information System, visits of women, (15–49 years), in the 60 EDs, for a violent trauma have been analysed. For each VV identified, we considered the last episode and searched for ED attendances in a six year period (2003–08) in order to identify other visits. We performed descriptive analyses of socio-demographic and clinical factors of VV and we analyzed the impact previous ED visits. We compared ED utilization of women VV with a random sample of women with the same age distribution who gave birth in 2008.ResultsIn 2008, 7,725 ED attendances of women VV were found (1.1% of the ED visits) corresponding to 6,936 women (prevalence = 52.0x10,000). The mean number of ED visits for each woman in five years was 5.0 (1–190). Prevalent diagnoses were contusions (45.8%), neurotic disorders (5.4%) complications of medical care (6.3%). The women were young, approximately 70% were residents in Rome or the surrounding areas. Foreign women were three times more likely to visit the ED for intentional injuries than were Italian women (114.1 vs 44.4 per 10.000).ConclusionsThis study shows high prevalence of violence against women in Lazio region, Italy. Most of the women have been visited by the ED several times before the violent episode, often with traumas. ED medical and nursing staff should be prepared and trained to successfully manage victims of violence.

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“…This risk is conferred by a unique combination of background disadvantages, social and environmental stressors, and poor health behaviors. In so doing, we suggest that physicians should be conscious that having been imprisoned and being in a relationship with a former prisoner are risk factors for poor health, situating these women alongside other vulnerable populations like women who are homeless, undocumented immigrants, or have been exposed to domestic violence (Abbott et al, 1995; Aday, 1994; DuBard & Massing, 2007; Gelberg et al, 2000; Kushel et al, 2001). In a similar vein, with the full rollout of the Affordable Care Act in 2014, we suggest that this vulnerable population is a key group to target for increased medical care.…”

Section: Introductionmentioning

confidence: 99%