Intimate Partner Violence and Patient Screening across Medical Specialties

McCloskey, Laura Ann; Lichter, Erika; Ganz, Michael L.; Williams, Corrine M.; Gerber, Megan R.; Sege, Robert; Stair, Thomas O.; Herbert, Barbara

doi:10.1111/j.1553-2712.2005.tb00938.x

Cited by 87 publications

(74 citation statements)

References 23 publications

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“…First, the low response rate (22%) may indicate a nonresponder bias. Although our response rate is similar to other surveys of IPV among healthcare providers (range, 14%-83%) [8,13,16,19,23,26,28], the data should be interpreted with caution. Second, our results may not be generalizable to practices across the world, as the survey was administered to North American orthopaedic traumatologists only.…”

Section: Discussionmentioning

confidence: 67%

Orthopaedic Surgeons’ Knowledge and Misconceptions in the Identification of Intimate Partner Violence Against Women

Rocca

Sprague

Dosanjh

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Intimate partner violence (IPV)-physical, sexual, psychologic, or financial abuse between intimate partners-is the most common cause of nonfatal injury to women in North America. As many IPV-related injuries are musculoskeletal, orthopaedic surgeons are well positioned to identify and assist these patients. However, data are lacking regarding surgeons' knowledge of the prevalence of IPV in orthopaedic practices, surgeons' screening and management methods, and surgeons' perceptions about IPV. Questions/purposes We aimed to identify (1) surgeon attitudes and beliefs regarding victims of IPV and batterers and (2) perceptions of surgeons regarding their role in identifying and assisting victims of IPV. Methods We surveyed 690 surgeon members of the Orthopaedic Trauma Association. The survey had three sections: (1) general perception of orthopaedic surgeons regarding IPV; (2) perceptions of orthopaedic surgeons regarding victims and batterers; and (3) orthopaedic relevance of IPV. One hundred fifty-three surgeons responded (22%). Results Respondents manifested key misconceptions: (1) victims must be getting something out of the abusive relationships (16%); (2) some women have personalities that cause the abuse (20%); and (3) the battering would stop if the batterer quit abusing alcohol (40%). In the past year, approximately 1 . 2 the respondents (51%) acknowledged identifying a victim of IPV; however, only 4% of respondents currently screen injured female patients for IPV. Surgeons expressed concerns regarding lack of knowledge in the management of abused women (30%). Conclusion Orthopaedic surgeons had several misconceptions about victims of IPV and batterers. Targeted educational programs on IPV are needed for surgeons routinely caring for injured women.

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Section: Discussionmentioning

confidence: 67%

Orthopaedic Surgeons’ Knowledge and Misconceptions in the Identification of Intimate Partner Violence Against Women

Rocca

Sprague

Dosanjh

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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“…The methods and results of this initial phase of the study are reported elsewhere. 28,29 Volunteers were also recruited through posters displayed in public places and health care sites in the Greater Boston area. Initial interviews (Time 1) took place at a secure research facility with trained interviewers in 2003-2004; a subsequent phone interview (Time 2) was conducted an average of 9.5 months later (range 69-782 days).…”

Section: Methodsmentioning

confidence: 99%

Intimate Partner Violence Exposure and Change in Women’s Physical Symptoms Over Time

et al. 2007

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OBJECTIVE:To examine the change in women's selfreported physical symptoms over 2 time points in relation to intimate partner violence (IPV) exposure. DESIGN:Prospective interview study of 267 women recruited from 8 health care settings and surrounding communities in Metropolitan Boston. METHODS:We created sums of somatic symptoms at 2 separate time points (a mean of 9.5 months apart) using items from a modified PHQ-15. A measure of symptom change was computed to measure the net change in symptoms over time. A negative score indicated reduction in total symptoms, or improvement. Exposure to IPV was measured at both time points. RESULTS:Women who reported ongoing IPV across both time points experienced an increase in their overall physical symptoms compared to women with past abuse (p=.0054) and no abuse (p=.0006). In multivariate regression analysis, ongoing IPV at both time points was a statistically significant predictor of symptom change. This relationship persisted even after controlling for age, race, education, depression, self-report of co-morbid illness, and history of child abuse and prior sexual assault (p=.0076).CONCLUSIONS: Women exposed to ongoing IPV report increased physical symptoms over time. Clinicians should consider the possibility of IPV in patients who remain persistently symptomatic over time in addition to employing more traditional means of detecting IPV.KEY WORDS: intimate partner violence; physical symptoms.

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“…5 Patients who are victims of IPV frequently visit the emergency department (ED). 6 However, there is little if anything written about children in the homes of those adult victims. 6 The purposes of the present retrospective cohort study were 1) to determine demographics of children in homes where police are called for IPV and 2) to compare the relative risk of perpetrator versus victim in those who, as children, witnessed or were victims of either IPV or sexual assault.…”

mentioning

confidence: 99%

“…6 However, there is little if anything written about children in the homes of those adult victims. 6 The purposes of the present retrospective cohort study were 1) to determine demographics of children in homes where police are called for IPV and 2) to compare the relative risk of perpetrator versus victim in those who, as children, witnessed or were victims of either IPV or sexual assault. We hypothesized that the risk of previous victimization as children would be higher in adult perpetrators of IPV than in adult victims of IPV.…”

mentioning

confidence: 99%

Child Witnesses and Victims in Homes with Adult Intimate Partner Violence

Ernst

Weiss

Enright‐Smith

2006

Academic Emergency Medicine

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Objectives: To determine demographics of children in homes to which police are called for intimate-partner violence (IPV) and to compare the relative risk of perpetrator versus victim for those who, as children, witnessed or were victims of IPV and sexual assault.Methods: Data from Resources, Inc. Victim Assistance Unit yearly intake statistics for 2004 were accessed. In this city with a population of approximately 500,000 people, police will call for an on-site advocate intervention (a trained social worker) at their own discretion for the adult or child victims of IPV and for children witnessing IPV. The social worker collects data on victims, perpetrators of IPV, and child witnesses or victims at all police calls for IPV. Comparisons were made by using chi-square, relative risks (RRs), and 95% confidence intervals (95% CI).Results: Police and advocates visited 2,038 homes for IPV calls; 2,617 children were in these homes. Of these children, 1,904 (76%) witnessed IPV, and 698 (27%) were victims themselves. Adult victims (31%) and perpetrators (41%) had high rates of having witnessed IPV when they were children. Perpetrators were more likely than victims to have witnessed IPV as a child (RR, 1.56; 95% CI = 1.37 to 1.78) and to have been a victim of IPV as a child (RR, 1.71; 95% CI = 1.49 to 1.96). Conclusions:In this study population, 76% of IPV households include children, and one third of these children also are victims of IPV. Perpetrators often were victims and witnesses of IPV when they were children. This suggests that a history of childhood IPV is common for perpetrators of IPV. Development of and research on interventions for child witnesses or victims of IPV is needed.ACADEMIC EMERGENCY MEDICINE 2006; 13:696-699 ª

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Intimate Partner Violence and Patient Screening across Medical Specialties

Cited by 87 publications

References 23 publications

Orthopaedic Surgeons’ Knowledge and Misconceptions in the Identification of Intimate Partner Violence Against Women

Orthopaedic Surgeons’ Knowledge and Misconceptions in the Identification of Intimate Partner Violence Against Women

Intimate Partner Violence Exposure and Change in Women’s Physical Symptoms Over Time

Child Witnesses and Victims in Homes with Adult Intimate Partner Violence

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