Prevalence and Predictors of Intimate Partner Violence in a Military Urogynecology Clinic

Lutgendorf, Monica A.; Snipes, Marie A.; O’Boyle, Amy L.

doi:10.7205/milmed-d-16-00196

Cited by 4 publications

(7 citation statements)

References 23 publications

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“…The other studies were retrospective, cross-sectional in nature (n=3). Fourteen studies were conducted in the US [23][24][25][26][27][28][29][30][31][32][33][34][35][36], 2 in Germany [37,38], 1 in the Netherlands [39] and 1 in Hong Kong [40].…”

Section: Resultsmentioning

confidence: 99%

“…Response rate: 69.4% Not provided Physical abuse N/A 30.6% ( n =26) of women with OAB had previously been physically or sexually abused, 17.8% ( n =18) of women with stress incontinence and 17.5% ( n =10) of the control group had the same history. 85 (34.9%) had OAB, 101 (41.5%) had SUI and the remainder (57, 23.4%) had no LUTS Not reported Lutgendorf et al [ 27 ] Prospective, observational study of 190 women attending a urogynaecology subspecialty clinic. Mean/median age not reported SA: HITS screen for IPV, and other 30 unvalidated items (demographics, overall health, relationship duration, IPV history and more).…”

Section: Resultsmentioning

confidence: 99%

“…Four studies used validated scales to assess LUTS: UDI-6 [ 23 , 24 , 26 , 29 ], IIQ-7 [ 24 , 26 , 29 ], OABq-SF [ 23 ] or a battery of questionnaires (ICIQ-UI, ICIQ-OAB, OABq, USS) [ 29 ]. Four studies used non-validated scales or other methods [ 27 , 28 , 37 , 40 ].…”

Section: Resultsmentioning

confidence: 99%

“…Rates of trauma were significantly higher in patients with LUTS than in control subjects in six studies [ 23 , 24 , 26 , 29 , 37 , 40 ]. SA was assessed using validated scales in three studies: Childhood Traumatic Events Scale and Recent Traumatic Events Scale [ 29 ], Modified Abuse Assessment Screen [ 28 ], Behavioral Risk Factor Surveillance Scheme BRFSS-ACE Module [ 23 ], a non-validated questionnaire [ 37 ], a modified previous survey [ 27 ], and by a single question [ 26 – 28 ]. The definition of SA differed according to study and included forced sexual activity [ 27 , 40 ], childhood traumatic events occurring prior to age 17 [ 29 ], unwanted sexual activity [ 28 ], unwanted sexual touching, forced unwanted sexual touching and forced sex during childhood [ 23 ].…”

Section: Resultsmentioning

confidence: 99%

“…SA was assessed using validated scales in three studies: Childhood Traumatic Events Scale and Recent Traumatic Events Scale [29], Modified Abuse Assessment Screen [28], Behavioral Risk Factor Surveillance Scheme BRFSS-ACE Module [23], a non-validated questionnaire [37], a modified previous survey [27], and by a single question [26][27][28]. The definition of SA differed according to study and included forced sexual activity [27,40], childhood traumatic events occurring prior to age 17 [29], unwanted sexual activity [28], unwanted sexual touching, forced unwanted sexual touching and forced sex during childhood [23]. A precise definition-complete sexual penetration of the vagina, mouth or rectum without a women's consent, involving the use of force or threat of harm-was used in only one study ( [24].…”

Section: Studies Exploring Sa In Patients Attending Clinics For Their...mentioning

confidence: 99%

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Systematic review exploring the relationship between sexual abuse and lower urinary tract symptoms

et al. 2022

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Introduction and hypothesis Patients presenting with lower urinary tract symptoms (LUTS) may report a history of sexual abuse (SA), and survivors of SA may report LUTS; however, the nature of the relationship is poorly understood. The aim of this review is to systematically evaluate studies that explore LUT dysfunction in survivors of SA. Methods A systematic literature search of six databases, Cochrane Database of Systematic Reviews, MEDLINE, EMBASE, CINAHL, AMED, and PsycINFO, was performed. The last search date was June 2021 (PROSPERO CRD42019122080). Studies reporting the prevalence and symptoms of LUTS in patients who have experienced SA were included. The literature was appraised according to the PRISMA statement. The quality of the studies was assessed. Results Out of 272 papers retrieved, 18 publications met the inclusion criteria: studies exploring LUTS in SA survivors (n=2), SA in patients attending clinics for their LUTs (n=8), and cross-sectional studies (n=8). SA prevalence ranged between 1.3% and 49.6%. A history of SA was associated with psychosocial stressors, depression, and anxiety. LUTS included urinary storage symptoms, voiding difficulties, voluntary holding of urine and urinary tract infections. Most studies were of moderate quality. Assessment of SA and LUTS lacked standardisation. Conclusions The review highlights the need for a holistic assessment of patients presenting with LUTS. Although most of the studies were rated as being of ‘moderate’ quality, the evidence suggests the need to provide a “safe space” in clinic for patients to share sensitive information about trauma. Any such disclosure should be followed up with further assessment.

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