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Prevalence of intimate partner violence and health implications for women using emergency departments and primary care clinics
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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“Three studies did not report test-statistics [46, 78, 79].”
From The psychological subtype of intimate partner violence and its effect on mental health: a systematic review with meta-analyses (2022) · cites this paper as [79]
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Metadata
- 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)
- 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
- Locations
- Women s Health Issues (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Justice
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Health Sciences › Medicine › Geriatrics and Gerontology › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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