Health care interventions for intimate partner violence: What women want

Chang, Judy C.; Cluss, Patricia A.; Ranieri, LeeAnn; Hawker, Lynn; Buranosky, Raquel; Dado, Diane; McNeil, Melissa; Scholle, Sarah Hudson

doi:10.1016/j.whi.2004.08.007

Cited by 132 publications

(104 citation statements)

References 31 publications

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“…25 In our study, 92% of the women who reported making a protective action during the first week of follow-up performed more than one protective action-the most common safety behaviors being the construction of a safety plan and self-reported ending of the relationship. The variety and quantity of protective actions taken by the women in our study supports findings by Chang et al 26 that women in violent relationships desire direct access to multiple safety resources that preserve their autonomy and anonymity. The rapidity with which many of the participants in our study took protective action supports the theory that IPV victims often progress in a nonlinear or rapid fashion through the stages of change depending on the severity of abuse they are experiencing.…”

Section: Discussionsupporting

confidence: 88%

Does Stage of Change Predict Improved Intimate Partner Violence Outcomes Following an Emergency Department Intervention?

Schrager

Smith

Heron

et al. 2013

Academic Emergency Medicine

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Objectives: The objective was to assess the effect of an emergency department (ED)-based computer screening and referral intervention on the safety-seeking behaviors of female intimate partner violence (IPV) victims at differing stages of change. The study also aimed to determine which personal and behavioral characteristics were associated with a positive change in safety-seeking behavior. The hypothesis was that women who were in contemplation or action stages of change would be more likely to endorse safety behaviors during follow-up.Methods: This was a prospective cohort study of female IPV victims at three urban EDs, using a computer kiosk to deliver targeted education about IPV to provide referrals to local resources. All noncritically ill adult English-speaking women triaged to the ED waiting room during study hours were eligible to participate. Women were screened for IPV using the validated Universal Violence Prevention Screening Protocol (UVPSP), and all IPV-positive women further responded to validated questionnaires for alcohol and drug abuse, depression, and IPV severity. The women were assigned a baseline stage of change using the University of Rhode Island Change Assessment (URICA) scale for readiness to change their IPV behaviors. Study participants were contacted at 1 week and 3 months to assess a variety of predetermined safety behaviors to prevent further IPV during that period. Descriptive analyses were performed to determine if stage of change at enrollment and a variety of specific sociodemographic characteristics were associated with taking protective action during follow-up.Results: A total of 1,474 women were screened for IPV; 154 (10.4%) disclosed IPV and completed the full survey. Approximately half (47.4%) of the IPV victims were in the precontemplation stage of change, and 50.0% were in the contemplation stage. A total of 110 women returned at 1 week of follow-up (71.4%), and 63 (40.9%) women returned for the 3-month follow-up. Fifty-five percent of those who returned at 1 week and 73% of those who returned at 3 months took protective action against further IPV. Stage of change at enrollment was not significantly associated with taking protective action during follow-up. There was no association between demographic characteristics and taking protective action at 1 week or 3 months.Conclusions: Emergency department-based kiosk screening and health information delivery is a feasible method of health information dissemination for women experiencing IPV and was associated with a high proportion of study participants taking protective action. Stage of change was not associated with actual IPV protective measures.ACADEMIC EMERGENCY MEDICINE 2013; 20:169-177 © 2013 by the Society for Academic Emergency Medicine W ith an estimated 28.9% of women experiencing intimate partner violence (IPV) during their lifetime, 1 at an annual medical and mental health care cost of $4.1 billion, 2 IPV represents a significant problem with personal and societal consequences. The hospital emergency de...

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Section: Discussionsupporting

confidence: 88%

Does Stage of Change Predict Improved Intimate Partner Violence Outcomes Following an Emergency Department Intervention?

Schrager

Smith

Heron

et al. 2013

Academic Emergency Medicine

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“…The total number of participants was 1393, ranging between 7 95 and 879. 96 The quality score of the primary studies, appraised with the CASP criteria, was between 20 97 and 34, 98,99 with most of the studies scoring more than 27 out of a possible 41.…”

Section: Qualitative Studiesmentioning

confidence: 99%

How far does screening women for domestic (partner) violence in different health-care settings meet the UK National Screening Committee criteria for a screening programme? Systematic reviews of nine UK National Screening Committee criteria

Feder

Ramsay²,

Dunne³

et al. 2009

Health Technol Assess

279

259

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“…The Centers for Disease Control and Prevention defines IPV as ''physical violence, sexual violence, threats of physical/sexual violence, and psychological/emotional abuse perpetrated by a current or former spouse, common-law spouse, nonmarital dating partners, or boyfriends/girlfriends of the same or opposite sex.'' 4,5 Previous studies have linked IPV to a wide range of adverse health consequences, including injury, 3,[6][7][8] chronic pain, 9,10 gastrointestinal disorders, [11][12][13] sexually transmitted diseases, [14][15][16][17] disability, 18,19 poor pregnancy outcomes, 20 substance abuse, [21][22][23] depression, 24,25 post-traumatic stress disorder (PTSD), 26,27 and death. 28 Clearly, a gender gap exists in susceptibility to violence in general and IPV in particular, with most national surveys suggesting higher IPV rates in women versus men.…”

mentioning

confidence: 99%

Relationship of Physical Intimate Partner Violence with Mental Health Diagnoses in the Nationwide Emergency Department Sample

Beydoun

Williams

Beydoun

et al. 2017

Journal of Women's Health

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Objectives: We examined associations of physical intimate partner violence (PIPV) with selected mental health disorders using a nationally representative sample of emergency department (ED) discharges corresponding to men and women (18-64 years) from the 2010 Nationwide Emergency Department Sample. Methods: PIPV was determined using International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) external cause of injury code E967.3 (battering by spouse or partner). ICD-9-CM clinical classification of discharge diagnoses was used to identify mental health disorders. Multivariable logistic regression models were constructed to estimate adjusted odds ratios (OR adj ) and their 95% confidence intervals (CIs). Results: PIPV prevalence was estimated at 0.36 per 1000 ED discharges. The strongest correlates of PIPV were alcohol-related (OR adj = 3.02, 95% CI: 2.62-3.50), adjustment (OR adj = 2.37, 95% CI: 1.56-3.58), intentional selfharm (OR adj = 1.41, 95% CI: 1.05-1.89), anxiety (OR adj = 1.23, 95% CI: 1.07-1.40), drug-related (OR adj = 1.22, 95% CI: 1.01-1.47), and mood (OR adj = 1.16, 95% CI: 1.04-1.31) disorders. PIPV's association with alcoholrelated disorders was stronger among women (OR adj = 3.22, 95% CI: 2.79-3.72) versus men (OR adj = 1.98, 95% CI: 1.42-2.77). Similarly, drug-related disorders were stronger correlates of PIPV among women (OR adj = 1.32, 95% CI: 1.09-1.60) versus men (OR adj = 0.59, 95% CI: 0.31-1.16). Conclusions: In EDs, PIPV was linked to several mental health disorders, with women experiencing comorbid PIPV and substance use more frequently than men.

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Health care interventions for intimate partner violence: What women want

Cited by 132 publications

References 31 publications

Does Stage of Change Predict Improved Intimate Partner Violence Outcomes Following an Emergency Department Intervention?

Does Stage of Change Predict Improved Intimate Partner Violence Outcomes Following an Emergency Department Intervention?

How far does screening women for domestic (partner) violence in different health-care settings meet the UK National Screening Committee criteria for a screening programme? Systematic reviews of nine UK National Screening Committee criteria

Relationship of Physical Intimate Partner Violence with Mental Health Diagnoses in the Nationwide Emergency Department Sample

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