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Cited by 306Intimate Partner and Family ViolenceElder Abuse and NeglectChild Abuse and Trauma

Prevalence of intimate partner violence and health implications for women using emergency departments and primary care clinics

Kramer, Alice, Lorenzon, Darcy, Mueller, George·2004·Women's Health Issues
DOI 10.1016/j.whi.2003.12.002
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Abstract

Objectives To determine prevalence of intimate partner violence (IPV) among women accessing health care, factors that influence rates of abuse, barriers to disclosure, and associated health problems and perceptions of safety.Methods A convenience sample of women seeking health care completed 1268 anonymous surveys (75 in Spanish) while at 1 of 24 urban, suburban, or rural emergency departments or primary care clinics.Results Of women in this study, 50-57% had experienced physical and/or emotional abuse and 26% reported sexual abuse in their lifetime. In the past year, 28% reported emotional abuse, 12% physical abuse, 6% severe physical abuse, and 4% sexual abuse. Logistic regression models found that younger, less-educated, less-affluent women presenting to urban emergency departments reported the highest rates of physical abuse. Although 83% welcomed abuse screening, only 25% ever had been asked and 86% would disclose abuse if asked directly, respectfully, and confidentially. Abused women reported significantly lower health status ratings than nonabused women (p < 0.001). Emotional abuse was as strongly associated with health problems as physical abuse. The majority (70-93%) of women with headaches, stomach problems, chronic pain, vaginal bleeding, substance abuse, depression, and suicidal thoughts had experienced lifetime physical/emotional abuse.Conclusions Women experience many forms of abuse and present to a wide range of health care settings. The striking prevalence of IPV and associated emotional/physical health problems challenges providers to routinely assess for abuse in ways that minimize barriers to disclosure and enhance the development of an effective plan of care based on a patient's abuse experience.

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Authors
Kramer, A., Lorenzon, D., & Mueller, G.
Affiliations
Aurora Health Care (US)
Corresponding author
Kramer, Alice
Venue
Women's Health Issues
Publisher
Elsevier BV
Published
2004-01
Volume
14
Issue
1
Pages
19-29
ISSN
1049-3867 (ISSN-L)
DOI
10.1016/j.whi.2003.12.002
OpenAlex
W2060005880
Cited by
306
References
50
Citations by year
2026: 3 · 2025: 6 · 2024: 3 · 2023: 12 · 2022: 15 · 2021: 8 · 2020: 11 · 2019: 7 · 2018: 9 · 2017: 12 · 2016: 13 · 2015: 19 · 2014: 19 · 2013: 23 · 2012: 17
FWCI
15.00
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Women s Health Issues (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Justice
Topics
  • Social Sciences › Health › Intimate Partner and Family Violence
  • Social Sciences › Demography › Elder Abuse and Neglect
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Keywords
intimate partner violence, women, prevalence, physical abuse, emotional abuse, sexual abuse, abuse screening, barriers to disclosure, health status, emergency department, primary health centers, health care access
MeSH terms
Adult, Attitude to Health, Cross-Sectional Studies, Emergency Service, Hospital, Female, Health Status, Humans, Primary Health Care, Psychophysiologic Disorders, Surveys and Questionnaires, Spouse Abuse, Time Factors, Midwestern United States, Prevalence, Women's Health, Battered Women

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