Prevalence of Intimate Partner Violence among Women Veterans who Utilize Veterans Health Administration Primary Care

Kimerling, Rachel; Iverson, Katherine M.; Dichter, Melissa E.; Rodriguez, Allison L.; Wong, Ava C.; Pavao, Joanne

doi:10.1007/s11606-016-3701-7

Cited by 94 publications

(81 citation statements)

References 37 publications

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“…Although the majority of women in our study (56%) reported a history of MST, MST was not associated with risky sexual behavior in the final model. This was a surprising finding given other research that associates MST with other interpersonal trauma correlates like childhood sexual abuse (Wilson, Kimbrel, Meyer, Young, & Morissettea, 2015) and IPV (Kimerling et al, 2016). An evaluation based on disaggregated MST questions (sexual assault vs. sexual harassment) would shed further light on the association noted here.…”

Section: Discussionsupporting

confidence: 51%

Trauma and Sexual Risk: Do Men and Women Veterans Differ?

Combellick

Dziura

Portnoy

et al. 2019

Women's Health Issues

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Trauma has been associated with risky sexual behavior in diverse populations. However, little is known about this association among men and women veterans. This study hypothesized that 1) a history of trauma would be associated with risky sexual behavior among men and women veterans, 2) interpersonal trauma would predict risky sexual behavior among women, whereas noninterpersonal trauma would predict risky sexual behavior among men, and 3) military-related trauma would constitute additional risk. Using data from 567 women and 524 men veterans enrolled at the Veterans Health Administration, this study investigated the association between trauma-related experiences and risky sexual behavior in the last 12 months. Risk and protective factors that have been frequently associated with sexual behavior in previous research were also included in the model. Methods: This study was drawn from the Women Veterans Cohort Study, a national survey of veterans. Bivariate and multivariate analyses were performed after multiple imputation for missing data. Results: Predictive factors associated with risky sexual behavior differed between men and women veterans. Among women, childhood sexual victimization and intimate partner violence were associated with risky sexual behavior. Among men, binge drinking was the single significant risk factor. Military exposures were not significantly associated with risky sexual behavior in either men or women. Conclusions: This study lays the groundwork for theory-generating research into the psychological underpinnings of noted associations and underscores the importance of integrated health services to address the range of issues affecting sexual behavior and related health outcomes. Published by Elsevier Inc. on behalf of Jacobs Institute of Women's Health. The Women Veterans Cohort Study (WVCS) is supported by the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development Project [IIR 12-118]. Joan Combellick had full access to all the data in the study and takes responsibility for the integrity of the data and accuracy of the data analysis

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Section: Discussionsupporting

confidence: 51%

Trauma and Sexual Risk: Do Men and Women Veterans Differ?

Combellick

Dziura

Portnoy

et al. 2019

Women's Health Issues

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“…10 A telephone survey study of a nationally representative sample of women veterans receiving primary care in VHA found declining rates of past-year IPV with age, but substantial proportions of women reported IPV in middle and older age. 14 These prior studies of older women have been limited to assessing IPV prevalence via survey methodology, which may result in greater disclosure than through clinical screening.…”

Section: Introductionmentioning

confidence: 99%

Association of Health Conditions and Health Service Utilization With Intimate Partner Violence Identified via Routine Screening Among Middle-Aged and Older Women

et al. 2020

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IMPORTANCE The US Preventive Services Task Force recently determined that there is insufficient evidence to recommend routine screening for intimate partner violence (IPV) in women who are middle-aged and older. Certain Veterans Health Administration (VHA) clinics have been routinely screening women of all ages for IPV since 2014. OBJECTIVES To examine the proportion of women older than childbearing age (ie, Ն45 years) who have positive results when routinely screened for past-year IPV at VHA clinics and to evaluate the associations of a positive screening result with health conditions and health service utilization. DESIGN, SETTING, AND PARTICIPANTS This cohort study included 4481 women aged 45 years and older who were screened for past-year IPV in 13 VHA outpatient clinics in 11 states between April 2014 and April 2016. Data analysis was conducted from March 2019 to August 2019. EXPOSURE Positive screening result for past-year IPV. MAIN OUTCOMES AND MEASURES Mental and physical health conditions (identified using International Classification of Diseases, Ninth Edition [ICD-9] and ICD-10 codes from VHA medical record data) and VHA health services utilization (identified using inpatient and outpatient VHA encounter data) in the 20 months after screening. RESULTS In this study, 2937 of 4481 women (65.5%) were middle-aged (ie, aged 45 to 59 years), and 1544 (34.5%) were older (ie, aged Ն60 years), with 1955 (43.6%) black participants. A total of 255 middle-aged women (8.7%; mean [SD] age, 51 [4] years) and 79 older women (5.1%; mean [SD] age, 64 [5] years) screened positive for past-year IPV. In adjusted logistic regression models among middle-aged women, screening positive for IPV was associated with subsequent diagnoses of anxiety

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“…When compared to women without military experience, women who have served in the military have reported higher rates of lifetime IPV (measured as threatened or actual physical violence, or unwanted sex, from a current or former intimate partner; Dichter, Cerulli, & Bossarte, 2011). In survey research, nearly 1 in 5 women veterans receiving primary care from the Veterans Health Administration (VHA) reported past-year IPV, with higher rates (1 in 4) among women up to age 30 (Kimerling et al, 2016). Among women screened for IPV as part of their clinical care within the VHA, 8.7% had a documented positive screen for past-year IPV (Dichter, Haywood, Butler, Bellamy, & Iverson, 2017).…”

mentioning

confidence: 99%

Disproportionate Mental Health Burden Associated With Past‐Year Intimate Partner Violence Among Women Receiving Care in the Veterans Health Administration

Dichter

Sorrentino

Bellamy

et al. 2017

Journal of Traumatic Stress

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Experience of intimate partner violence (IPV) can lead to mental health conditions, including anxiety, depression, and unhealthy substance use. Women seen in the Veterans Health Administration (VHA) face high rates of both IPV and mental health morbidity. This study aimed to identify associations between recent IPV experience and mental health diagnoses among women VHA patients. We examined medical records data for 8,888 female veteran and nonveteran VHA patients across 13 VHA facilities who were screened for past-year IPV between April, 2014 and April, 2016. Compared with women who screened negative for past-year IPV (IPV-), those who screened positive (IPV+; 8.7%) were more than twice as likely to have a mental health diagnosis, adjusted odds ratio (AOR) = 2.27, 95% confidence interval (CI) [1.95, 2.64]; or more than two mental health diagnoses, AOR = 2.29, 95% CI [1.93, 2.72]). Screening IPV+ was also associated with significantly higher odds of each type of mental health morbidity (AOR range = 1.85-3.19) except psychoses. Over half (53.5%) of the women who screened IPV+ had a mental health diagnosis, compared with fewer than one-third (32.6%) of those who screened IPV-. Each subtype of IPV (psychological, physical, and sexual violence) was significantly associated with having a mental health diagnosis (AOR range = 2.25-2.37) or comorbidity (AOR range = 2.17-2.78). Associations remained when adjusting for military sexual trauma and combat trauma among the veteran subsample. These findings highlight the mental health burden associated with past-year IPV among female VHA patients and underscore the need to address psychological and sexual IPV, in addition to physical violence.

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Prevalence of Intimate Partner Violence among Women Veterans who Utilize Veterans Health Administration Primary Care

Cited by 94 publications

References 37 publications

Trauma and Sexual Risk: Do Men and Women Veterans Differ?

Trauma and Sexual Risk: Do Men and Women Veterans Differ?

Association of Health Conditions and Health Service Utilization With Intimate Partner Violence Identified via Routine Screening Among Middle-Aged and Older Women

Disproportionate Mental Health Burden Associated With Past‐Year Intimate Partner Violence Among Women Receiving Care in the Veterans Health Administration

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