Family violence and associated help-seeking behavior among older African American women

Paranjape, Anuradha; Tucker, A. J.; Mckenzie-Mack, LaTasha; Thompson, Nancy J.; Kaslow, Nadine J.

doi:10.1016/j.pec.2007.05.019

Cited by 39 publications

(39 citation statements)

References 28 publications

(16 reference statements)

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“…Given that this population (minority women with SUDs) might not want to disclose trauma (possibly due to cultural barriers, guardedness, embarrassment, and/or provider mistrust, etc. ), 22,[25][26][27]35 and is shown to have poorer outcomes, disproportionate physical health burdens, and greater rates of addiction severity, compared to those without trauma or PTSD, 9 it is important to find ways to identify women for further evaluation and referral. The study found that six items, taken from non-PTSD-specific symptom measures, when calculated together, are associated with a probable PTSD diagnosis with a sensitivity of 88.7%, a specificity of 66.7%, a positive predictive value of 73.4%, a negative predictive value of 85.0%, and an accuracy of 77.9%.…”

Section: Discussionmentioning

confidence: 99%

“…Among inner-city African American women, Paranjape et al found greater depressive symptoms among women who reported both high levels of intimate partner violence and alcohol problems. 22 Likewise, a recent study of low-income pregnant African American women revealed significant positive correlations between lifetime trauma exposure and depressive symptoms, anxiety, and general life stress. 23 Treatment providers should also be mindful that women may not readily disclose traumas or instances of victimization during intake interviews.…”

Section: Introductionmentioning

confidence: 96%

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Posttraumatic Stress Disorder, Health Problems, and Depression Among African American Women in Residential Substance Use Treatment

Meshberg‐Cohen

Presseau

Thacker

et al. 2016

Journal of Women's Health

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Background: Rates of posttraumatic stress disorder (PTSD) are high among women seeking treatment for substance use disorders (SUDs). Minority women, in particular, experience high rates of trauma and may be less likely to disclose trauma history. This article identifies items from pre-existing screening measures that can be used across settings to sensitively but noninvasively identify women with likely PTSD. Method: For a sample of 104 African American women in residential SUD treatment who provided informed consent as a part of a larger randomized clinical trial, the prevalence of trauma and PTSD, as well as the relationships between trauma, health, depression, and distress, was examined. Measures included Posttraumatic Stress Diagnostic Scale (PDS), Center for Epidemiologic Studies-Depression Scale (CES-D), Pennebaker Inventory of Limbic Languidness (PILL), and Brief Symptom Inventory (BSI). Additional analyses were undertaken to determine if a subset of noninvasive items could serve to identify the presence of a probable PTSD diagnosis. Results: Most women (94.2%) reported at least one lifetime trauma, with over half (51.0%) meeting DSM-IV criteria for PTSD. Women with greater trauma symptom severity reported more health problems and higher levels of depression and distress. Five BSI items and one CES-D item were significantly associated with a probable PTSD diagnosis with a sensitivity of 88.7%, a specificity of 66.7%, a positive predictive value of 73.4%, a negative predictive value of 85.0%, and an accuracy of 77.9%. Conclusion: Findings affirm that African American women with SUDs present for residential treatment with comorbid psychiatric and emotional conditions that warrant assessment and treatment. Results highlight potential benefits of brief screening with routine measures and coordinated access to ancillary psychiatric and medical services, in conjunction with substance treatment, such as in residential or primary care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Posttraumatic Stress Disorder, Health Problems, and Depression Among African American Women in Residential Substance Use Treatment

Meshberg‐Cohen

Presseau

Thacker

et al. 2016

Journal of Women's Health

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“…Unfortunately, this trend, while slowly changing in response to an increased number of older women seeking help from DV programs, still seems prevalent. Paranjape, Tucker, McKenzie-Mach, Thompson, and Kaslow (2007) state that domestic violence programs are fairly inaccessible to older women. Access to domestic violence programs for older women is very difficult.…”

Section: Differences In Services: Why It Mattersmentioning

confidence: 99%

Domestic Violence or Elder Abuse? Why it Matters for Older Women

Kilbane

Spira

2010

Families in Society

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Law enforcement and legal services are 2 systems that respond to reports of abuse against women through programs such as adult protective services (APS) and domestic violence (DV). APS and DV systems operate independently and define the cause of the abuse differently. The designation of a woman as having suffered domestic violence or having been abused often depends on which system she enters. This designation can lead to different options for women to obtain services. Aging may further complicate access and usability of these systems to respond to the needs of abused elderly. Using vignettes, this article explores the definitions of abuse and highlights specific concerns of aging that impact usefulness of services.

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“…1 FV encompasses elements of intimate partner violence (IPV) and elder maltreatment (EM), both linked to adverse health outcomes. Most studies that link FV to adverse physical and mental health outcomes have been conducted in younger women who are IPV survivors.…”

mentioning

confidence: 99%

“…11,12 Recently, increasing attention has been directed toward understanding the effects FV has on the physical and mental health of older women, with the recognition that it represents a problem broader in scope than either IPV or EM alone. 1,[13][14][15][16][17] To our knowledge, however, few studies have examined the health status of older women who have experienced FV, as defined broadly. Although most of the investigations into the association between FV, or specific elements thereof, and health status have had small numbers of participants over the age of 50, studies that have examined this problem suggest that FV may be associated with worse physical and mental health status in older women.…”

mentioning

confidence: 99%

Lifetime Exposure to Family Violence: Implications for the Health Status of Older African American Women

Paranjape

Sprauve-Holmes²,

Gaughan

et al. 2009

Journal of Women's Health

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Background: Family violence among older women encompasses intimate partner violence (IPV) and elder maltreatment, both linked to poor health status. Little is known about the association between family violence and the health status of older innercity African American women. Methods: One hundred fifty-eight African American women, aged Ն50, were interviewed in the ambulatory clinics of a large public hospital. Lifetime family violence exposure as an adult was measured by the Family Violence against Older Women (FVOW) scale; physical and mental health status were measured by the physical and mental component summary scores of the Short Form 8 ® scale. Results: Mean participant age was 61.5 years (SD 7.1). Participants with FVOW scores in the top quartile were considered to have high lifetime family violence exposure. Participants with higher family violence exposure and those younger, unemployed, or disabled reported worse physical and mental health status. Lower income and not having Medicare were associated with worse physical and mental health status, respectively. Using stepwise linear regression techniques, only employment status and high family violence exposure were associated with worse physical (F ϭ 7.16, p ϭ 0.0011) and mental health (f ϭ 7.09, p ϭ 0.0012) status. Women with high FVOW scores reported physical and mental component summary scores that were 4.18 and 4.6 points lower, respectively, than those of women with lower FVOW scores. Conclusions: Among older, innercity, African American women, lack of employment and high levels of family violence exposure as an adult are associated with worse physical and mental health status. Clinicians caring for older African American women need to be cognizant of the role both current and prior violence exposure may play in their patients' current health status.

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Family violence and associated help-seeking behavior among older African American women

Cited by 39 publications

References 28 publications

Posttraumatic Stress Disorder, Health Problems, and Depression Among African American Women in Residential Substance Use Treatment

Posttraumatic Stress Disorder, Health Problems, and Depression Among African American Women in Residential Substance Use Treatment

Domestic Violence or Elder Abuse? Why it Matters for Older Women

Lifetime Exposure to Family Violence: Implications for the Health Status of Older African American Women

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