Primary Health Care Service Use Among Women Who Have Recently Left an Abusive Partner: Income and Racialization, Unmet Need, Fits of Services, and Health

Stam, Marieka T.; Ford‐Gilboe, Marilyn; Regan, Sandra

doi:10.1080/07399332.2014.909431

Cited by 9 publications

(10 citation statements)

References 97 publications

(96 reference statements)

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“…Our results provide specific evidence about the ongoing health concerns of women who have separated from an abusive partner—a population that faces multiple ongoing challenges ( Wuest et al., 2003 ) but tends to be overlooked by structures and policies that orient services to crises and fail to consider long-term health consequences of violence. There is considerable evidence that women with histories of IPV access health care at higher rates than in the population ( Bonomi et al, 2009 ; Ford-Gilboe et al, 2015 ), but that access barriers and poor fit of services with women’s needs persist ( Stam et al, 2015 ). Although we did not examine whether health service use and quality predict changes in women’s trajectories of health in the post-separation period, this is an important area for future research.…”

Section: Discussionmentioning

confidence: 99%

Trajectories of Depression, Post-Traumatic Stress, and Chronic Pain Among Women Who Have Separated From an Abusive Partner: A Longitudinal Analysis

Ford‐Gilboe

Varcoe

Wuest

et al. 2022

J Interpers Violence

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This longitudinal study explored changes in women's health after separation from an abusive partner by characterizing the trajectories of their mental health (depression and post-traumatic stress disorder [PTSD]) and physical health (chronic pain) over a 4-year period. We examined how the severity of intimate partner violence (IPV) affected these trajectories, controlling for selected baseline factors using 5 waves of data collected from a community sample of 309 English-speaking, Canadian women. IPV severity was measured using the Index of Spouse Abuse where women were asked to consider the entire period of their partner relationship up to present at wave 1 and to rate their IPV experiences in the previous 12 months at waves 2-5. Mental health was measured using established self-report measures of depression (CESD) and PTSD (Davidson Trauma Scale), while chronic pain was measured using the Chronic Pain Grade Scale. Trajectories were estimated using MLM techniques with severity of IPV and selected co-variates (time since separation, age, financial strain) included. Our results show that women's health improved significantly over time, although significant levels of depression, PTSD symptoms and disabling chronic pain remained at the end of wave 5. Regardless of time since separation, more severe IPV was associated with higher levels of depression, PTSD, and disabling chronic pain, with IPV having a stronger effect on these health outcomes over time, suggesting cumulative effects of IPV on health. The results of this study contribute to quantifying the continuing mental and physical health burdens experienced by women after separation from an abusive partner. Increased attention to the long-term effects of violence on women's health beyond the crisis of leaving is critically needed to strengthen health and social services and better support women's recovery and healing.

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Section: Discussionmentioning

confidence: 99%

Trajectories of Depression, Post-Traumatic Stress, and Chronic Pain Among Women Who Have Separated From an Abusive Partner: A Longitudinal Analysis

Ford‐Gilboe

Varcoe

Wuest

et al. 2022

J Interpers Violence

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“…Mental health issues or psychological factors are key symptoms raised during GP visits by women who experience DV [ 34 , 42 , 45 ]. Most DV victims, whether they identify as such or not, attend their general practice regularly with comorbidities of mental and physical health issues [ 5 , 10 , 46 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most DV victims, whether they identify as such or not, attend their general practice regularly with comorbidities of mental and physical health issues [ 5 , 10 , 46 ]. Included studies reveal that female DV victims experience numerous mental health problems [ 3 , 23 , 34 , 45 , 47 ]. Generally, DV victims have very poor mental health and struggle to cope or function in everyday life [ 3 , 5 , 10 ].…”

Section: Resultsmentioning

confidence: 99%

Barriers Faced by Australian and New Zealand Women When Sharing Experiences of Family Violence with Primary Healthcare Providers: A Scoping Review

Rathnayake,

Mat Pozian,

Carroll

et al. 2023

Healthcare

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Despite the Australian Government’s attempts to reduce domestic violence (DV) incidences, impediments within the social and health systems and current interventions designed to identify DV victims may be contributing to female victims’ reluctance to disclose DV experiences to their primary healthcare providers. This scoping review aimed to provide the state of evidence regarding reluctance to disclose DV incidents, symptoms and comorbidities that patients present to healthcare providers, current detection systems and interventions in clinical settings, and recommendations to generate more effective responses to DV. Findings revealed that female victims are reluctant to disclose DV because they do not trust or believe that general practitioners can help them to solve their issues, and they do not acknowledge that they are in an abusive relationship, and are unaware that they are in one, or have been victims of DV. The most common symptoms and comorbidities victims present with are sleep difficulties, substance use and anxiety. Not all GPs are equipped with knowledge about comorbidities signalling cases of DV. These DV screening programs are the most prominent intervention types within Australian primary health services and are currently not sufficiently nuanced nor sensitive to screen with accuracy. Finally, this scoping review provides formative evidence that in order for more accurate and reliable data regarding disclosure in healthcare settings to be collected, gender power imbalances in the health workforce should be redressed, and advocacy of gender equality and the change of social structures in both Australia and New Zealand remain the focus for reducing DV in these countries.

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“…Thus, childcare responsibilities may increase the burden of coping with a mental disorder and place a greater strain on an existing relationship, or ability to find a potential partner. Research suggests that women with dependent children are more likely to use primary mental health care services than those without dependent children ( Stam et al, 2015 ) and that mothers with a mental disorder are two thirds as likely to marry as mothers without a disorder, even after adjusting for a variety of demographics ( Teitler & Reichman, 2008 ). Migrant mothers may also have limited social and practical support such as help with childcare if their family members live abroad.…”

Section: Discussionmentioning

confidence: 99%

Mental disorder and first-time marriage formation among non-Western migrant women: A national register study

Straiton

Hynek

Reneflot

et al. 2022

SSM - Population Health

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Purpose Studies show that there is a mental health selection into marriage among the general population. This study explored the association between mental disorder and marriage formation among non-Western migrant women living in Norway, and whether the association varied with region of origin, income, education and having a dependent child. Methods Using linked national register data, we followed 49,329 non-Western never married migrant women aged 18-60 living in Norway between 2006 and 2014. As a proxy for mental disorders, we investigated whether outpatient mental health service use was associated with marital formation using discrete time logistic regression analyses. Result Overall, outpatient mental health service use was associated with lower odds of marital formation, even after controlling for sociodemographic factors. Interaction analyses suggested that the relationship was weaker for South Asian women, who had the highest odds of marriage formation, compared with Sub-Saharan African women, who had the lowest. The relationship was also stronger for women with children and women with low incomes. Conclusion Mental health selection effects may depend on the universality of marriage. Since marriage may be associated with psychosocial and economic benefits, it is important to identify and treat mental disorder among non-Western migrant women, particularly those with childcare responsibilities and low income.

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Primary Health Care Service Use Among Women Who Have Recently Left an Abusive Partner: Income and Racialization, Unmet Need, Fits of Services, and Health

Cited by 9 publications

References 97 publications

Trajectories of Depression, Post-Traumatic Stress, and Chronic Pain Among Women Who Have Separated From an Abusive Partner: A Longitudinal Analysis

Trajectories of Depression, Post-Traumatic Stress, and Chronic Pain Among Women Who Have Separated From an Abusive Partner: A Longitudinal Analysis

Barriers Faced by Australian and New Zealand Women When Sharing Experiences of Family Violence with Primary Healthcare Providers: A Scoping Review

Mental disorder and first-time marriage formation among non-Western migrant women: A national register study

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