Women battering in primary care practice

Naumann, Phyllis Luers; Langford, David; Torres, Sara; Campbell, Jacquelyn C.; Glass, Nancy

doi:10.1093/fampra/16.4.343

Cited by 65 publications

(48 citation statements)

References 63 publications

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“…3,7,8 All the fi ndings regarding prevalence of intimate partner violence are compatible with those from international studies on primary health care services. 5,7,[13][14][15] The prevalence of physical and sexual violence in this study were, however, higher than those from other Brazilian studies. 10,19 This may have been because of differences in how the questionnaire was applied, thereby resulting in greater revelation, or because of the samples' size.…”

Section: Discussionmentioning

confidence: 69%

“…Studies carried out in health services 5,[13][14][15] have presented even higher rates, ranging from 20% to 50% for lifetime physical and/or sexual violence by an intimate partner. They have also indicated that 12% to 25% of primary care users report violence by their partner in the previous year, as 4% to 17% of prenatal service users and 12% to 22% of emergency service users.…”

Section: Introductionmentioning

confidence: 99%

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Violência contra mulheres entre usuárias de serviços públicos de saúde da Grande São Paulo

et al. 2007

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Violence against women attending public health services in the metropolitan area of São Paulo, Brazil ABSTRACT OBJECTIVE: To estimate the prevalence of (physical, psychological, and sexual) violence against women by an intimate partner and non-partner perpetrators among users of public health services and to compare these women's perception of having ever experienced violence with reports of violence in their medical records in the different services studied. METHODS:The study was conducted in 19 health services, selected as a convenience sample and grouped into nine research sites, in metropolitan area of São Paulo from 2001 to 2002. Questionnaires on having ever experienced violence in their lifetime and in the last 12 months and perpetrators were applied to a sample of 3,193 users aged 15 to 49. A total of 3,051 medical records were reviewed to verify the notifi cation of violence. Comparative analyses were performed by Anova with multiple comparisons and Chi-square test followed by its partition. RESULTS:The following prevalences were found: any type of violence 76% (95% CI: 74.2;77.8); psychological 68.9% (95% CI: 66.4;71.4); physical 49.6% (95% CI: 47.7;51.4); physical and/or sexual 54.8% (95% CI: 53.1;56.6), and sexual 26% (95% CI: 24.4;28.0). The prevalence of physical and/or sexual violence by an intimate partner in their lifetime was 45.3% (95% CI: 43.5;47.1), and by non-partners was 25.7% (95% CI: 25.0;26.5). Only 39.1% of women reporting any episode of violence perceived they had ever experienced violence in their lifetime and 3.8% of them had any reports of violence in their medical records. The prevalences were signifi cantly different between sites as well as the proportion of perception and reports of violence in medical records. CONCLUSIONS:The expected high magnitude of the event and its invisibility was confi rmed by low rate of reports in the medical records. Few perceived abuses as violence. Further studies are recommended taking into account the diversity of service users.

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Section: Discussionmentioning

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Violência contra mulheres entre usuárias de serviços públicos de saúde da Grande São Paulo

et al. 2007

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“…[2][3][4] Lack of offi ce protocols and limited time are perceived as common barriers by medical clinicians. [5][6][7][8] In one study, battered women perceived clinician reluctance to ask about abuse as a major barrier to their domestic violence disclosure.…”

Section: Introductionmentioning

confidence: 99%

Randomized Comparison of 3 Methods to Screen for Domestic Violence in Family Practice

Chen¹,

Rovi²,

Washington³

et al. 2007

The Annals of Family Medicine

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PURPOSE We undertook a study to compare 3 ways of administering brief domestic violence screening questionnaires: self-administered questionnaire, medical staff interview, and physician interview. METHODSWe conducted a randomized trial of 3 screening protocols for domestic violence in 4 urban family medicine practices with mostly minority patients. We randomly assigned 523 female patients, aged 18 years or older and currently involved with a partner, to 1 of 3 screening protocols. Each included 2 brief screening tools: HITS and WAST-Short. Outcome measures were domestic violence disclosure, patient and clinician comfort with the screening, and time spent screening. RESULTSOverall prevalence of domestic violence was 14%. Most patients (93.4%) and clinicians (84.5%) were comfortable with the screening questions and method of administering them. Average time spent screening was 4.4 minutes. Disclosure rates, patient and clinician comfort with screening, and time spent screening were similar among the 3 protocols. In addition, WAST-Short was validated in this sample of minority women by comparison with HITS and with the 8-item WAST.CONCLUSIONS Domestic violence is common, and we found that most patients and clinicians are comfortable with domestic violence screening in urban family medicine settings. Patient self-administered domestic violence screening is as effective as clinician interview in terms of disclosure, comfort, and time spent screening. INTRODUCTIONT he prevalence of current victims of domestic violence among patients in primary care settings ranges from 7% to 50%, 1 even though studies show that only 1% to 15% of women in primary care settings were asked about domestic violence by their clinician.2-4 Lack of offi ce protocols and limited time are perceived as common barriers by medical clinicians. [5][6][7][8] In one study, battered women perceived clinician reluctance to ask about abuse as a major barrier to their domestic violence disclosure. 9Although studies have found that brief screening questionnaires increase identifi cation of domestic violence, 10,11 research fi ndings are inconsistent on the optimum method of administering screening tests. In a recent randomized study, MacMillan et al found no signifi cant difference in the proportion of patients who disclosed domestic violence using a selfadministered questionnaire compared with patients who were interviewed by a clinician; the patients, however, preferred self-administered screening. 12 McFarlane and colleagues found that a medical staff interview identifi ed more abused women than a written history form, 13 whereas another study reported opposite fi ndings.14 With few notable exceptions, The purpose of this study was to identify an optimal screening protocol to help overcome barriers to domestic violence screening. We compared the rate of domestic violence disclosure, comfort level with screening, and time spent screening for self-administered, medical staff interview, and physician interview screening protocols. METHODS Partic...

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“…6,7 Among clinical populations, IPV prevalence rates among female patients is 15% to 55%. [8][9][10][11][12][13][14][15][16][17][18][19] It is also recognized as contributing to a wide spectrum of women's health issues, including chronic pain syndromes, gastrointestinal disorders, depression, anxiety, and substance use. 12,[20][21][22][23][24][25][26] A longer experience with IPV is associated with incrementally worse health outcomes for women.…”

mentioning

confidence: 99%

Understanding Turning Points in Intimate Partner Violence: Factors and Circumstances Leading Women Victims Toward Change

Chang

Dado

Hawker³

et al. 2010

Journal of Women's Health

136

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Objective: When counseling women experiencing intimate partner violence (IPV), healthcare providers can benefit from understanding the factors contributing to a women's motivation to change her situation. We wished to examine the various factors and situations associated with turning points and change seeking in the IPV situation. Methods: We performed qualitative analysis on data from 7 focus groups and 20 individual interviews with women (61 participants) with past and=or current histories of IPV. Results: The turning points women identified fell into 5 major themes: (1) protecting others from the abuse=abuser; (2) increased severity=humiliation with abuse; (3) increased awareness of options=access to support and resources; (4) fatigue=recognition that the abuser was not going to change; and (5) partner betrayal=infidelity. Conclusions: Women experiencing IPV can identify specific factors and events constituting turning points or catalyst to change in their IPV situation. These turning points are dramatic shifts in beliefs and perceptions of themselves, their partners, and=or their situation that alter the women's willingness to tolerate the situation and motivate them to consider change. When counseling women experiencing IPV, health providers can incorporate understanding of turning points to motivate women to move forward in their process of changing their IPV situation.

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Women battering in primary care practice

Abstract: The purpose of this article is to describe the prevalence of intimate partner violence in primary care populations and review the known physical, mental health and pregnancy consequences of abuse as well as discuss the implications of intimate partner violence on primary care practice.

Cited by 65 publications

References 63 publications

Violência contra mulheres entre usuárias de serviços públicos de saúde da Grande São Paulo

Violência contra mulheres entre usuárias de serviços públicos de saúde da Grande São Paulo

Randomized Comparison of 3 Methods to Screen for Domestic Violence in Family Practice

Understanding Turning Points in Intimate Partner Violence: Factors and Circumstances Leading Women Victims Toward Change

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