Network Map of Adverse Health Effects Among Victims of Intimate Partner Violence

Abstract

Intimate partner violence (IPV) is a serious problem with devastating health consequences. Screening procedures may overlook relationships between IPV and negative health effects. To identify IPV-associated women's health issues, we mined national, aggregated de-identified electronic health record data and compared female health issues of domestic abuse (DA) versus non-DA records, identifying terms significantly more frequent for the DA group. After coding these terms into 28 broad categories, we developed a network map to determine strength of relationships between categories in the context of DA, finding that acute conditions are strongly connected to cardiovascular, gastrointestinal, gynecological, and neurological conditions among victims.

Interplay between traumatic brain injury and intimate partner violence: data driven analysis utilizing electronic health records

“…EHR databases contain records of clinicians’ diagnoses and findings on patient visits. Therefore, EHR data is different from self-report or survey-based data, in that the information is provided by a third party who is an expert [ 23 ]. EHR databases utilize Systematized Nomenclature of Medicine Clinical Terms (SNOMED-CT) and International Classification of Diseases (ICD-9) as well [ 23 ], making it easier to accurately identify and associate diagnoses [ 23 ].…”

“…Therefore, EHR data is different from self-report or survey-based data, in that the information is provided by a third party who is an expert [ 23 ]. EHR databases utilize Systematized Nomenclature of Medicine Clinical Terms (SNOMED-CT) and International Classification of Diseases (ICD-9) as well [ 23 ], making it easier to accurately identify and associate diagnoses [ 23 ]. SNOMED-CT is an extensive standardized clinical terminology, which presents a language for clinical content and improves communication for clinical documentation, sharing, and exchange of information.…”

Influence of Intimate Partner Violence (IPV) Exposure on Cardiovascular and Salivary Biosensors: Is There a Relationship?

“…Studies indicate a strong association between IPV and an increase in the risk of cardiovascular disease (CVD) because persistent stress contributes directly to the pathogenesis of cardiovascular function. 2,3,[6][7][8][9][10][11][12] CVD is the number one silent killer in women but only 13% perceive it as a health threat 1,3,5,10 Women who have experienced IPV engage in coping strategies that pose negative health effects, such as smoking and poor nutrition, which potentiate the long-term negative impact/risk for CVD. 3,[6][7][8][9] Although some researchers theorize that inflammatory/hormonal cascades are pivotal in the development of significant health disparities such as CVD in victims of IPV, the exact mechanism(s) are still undetermined.…”

“…2,3,[6][7][8][9][10][11][12] CVD is the number one silent killer in women but only 13% perceive it as a health threat 1,3,5,10 Women who have experienced IPV engage in coping strategies that pose negative health effects, such as smoking and poor nutrition, which potentiate the long-term negative impact/risk for CVD. 3,[6][7][8][9] Although some researchers theorize that inflammatory/hormonal cascades are pivotal in the development of significant health disparities such as CVD in victims of IPV, the exact mechanism(s) are still undetermined. [3][4][5][6][7][8]16,17 Women who have been exposed to IPV may be more susceptible to the deleterious effects of pro-inflammatory cytokines and impairment of endothelial function with subsequent cardiovascular breakdown.…”

“…3,[6][7][8][9] Although some researchers theorize that inflammatory/hormonal cascades are pivotal in the development of significant health disparities such as CVD in victims of IPV, the exact mechanism(s) are still undetermined. [3][4][5][6][7][8]16,17 Women who have been exposed to IPV may be more susceptible to the deleterious effects of pro-inflammatory cytokines and impairment of endothelial function with subsequent cardiovascular breakdown. 1,4 Salivary factors have been applied as a "diagnostic alphabet" to monitor disease progression in stress-related events 4,[16][17][18][19][20] Studies using these risk predictors of adverse clinical outcomes associated with IPV and CVD include C-reactive protein (CRP), Interleukin-1 and 6, and other inflammatory peptides.…”