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Women's Health (London, England) Sep 2008One in four American women will be physically assaulted or raped by an intimate partner during her lifetime. Such exposure has wide-ranging health effects. Abused women... (Review)
Review
One in four American women will be physically assaulted or raped by an intimate partner during her lifetime. Such exposure has wide-ranging health effects. Abused women have an increased risk of cardiac, gastrointestinal, gynecologic, musculoskeletal, neurologic and psychological complaints. They also have a greater utilization of medical services and are more likely to access outpatient primary care and specialty care, emergency departments and mental health and substance abuse services than women without a history of partner violence. Most major US medical organizations recommend routine screening of all women for partner abuse. Offering abused women empathy and validation along with referral to local resources is encouraged. Physicians should also document the abuse in the victim's medical record.
Topics: Attitude of Health Personnel; Battered Women; Emergency Service, Hospital; Emergency Treatment; Female; Humans; Male; Mass Screening; Medical History Taking; Practice Guidelines as Topic; Practice Patterns, Physicians'; Professional-Patient Relations; Risk Assessment; Spouse Abuse; United States; Women's Health
PubMed: 19072491
DOI: 10.2217/17455057.4.5.529 -
Canadian Journal of Community Mental... 1999The needs of children who witness violence directed at their mothers have only recently gained attention. While shelter services to address children's responses are... (Review)
Review
The needs of children who witness violence directed at their mothers have only recently gained attention. While shelter services to address children's responses are increasingly evident, there is still much we do not understand about their plight, particularly from the perspective of their mothers. This study used focus-group methodology to identify mothers' perceptions of their children's needs while they were in shelters. Five focus group sessions were held with 27 mothers who had experienced violence in their homes and had used shelter services within the previous two-year period. Data were analyzed to identify six dominant categories of need and 12 supporting thematic categories. The dominant categories included: the counselling needs of the children; day-to-day living needs, such as maintaining family integrity and normality; recreational needs; the needs of children with respect to parenting; and finally, aspects of shelter support for mothers, and the impact of the shelter environment on children. The implications of the findings for program development are discussed.
Topics: Adult; Child; Child of Impaired Parents; Community Mental Health Services; Female; Focus Groups; Humans; Male; Mother-Child Relations; Needs Assessment; Program Development; Spouse Abuse
PubMed: 10847987
DOI: 10.7870/cjcmh-1999-0004 -
Emergency Medicine Clinics of North... Aug 1999This article discusses intimate partner abuse during pregnancy. The population at risk is defined, including risk behaviors, possible identifying factors during... (Review)
Review
This article discusses intimate partner abuse during pregnancy. The population at risk is defined, including risk behaviors, possible identifying factors during presentation to the emergency department, and available outcome data on violence to the fetus and the pregnant mother. Legal and ethical issues are also discussed. Intervention techniques are presented, emphasizing the role of the emergency physician in coordinating referrals to social service agencies and helping victims develop safety plans.
Topics: Emergency Treatment; Female; Humans; Patient Care Planning; Physician's Role; Pregnancy; Pregnancy Complications; Prevalence; Referral and Consultation; Risk Factors; Safety; Social Work; Spouse Abuse
PubMed: 10516844
DOI: 10.1016/s0733-8627(05)70088-2 -
Seizure Aug 1998Non-traumatic stereotyped postictal purpura is rare. A 25-year-old woman presented with right facial, cheek and periorbital purpuric eruptions that occurred after...
Non-traumatic stereotyped postictal purpura is rare. A 25-year-old woman presented with right facial, cheek and periorbital purpuric eruptions that occurred after secondarily generalized tonic-clonic seizures. The stereotyped, invariably right-sided facial skin eruption, which resolved in 48 hours, falsely raised concerns of spousal abuse. Possible pathophysiological mechanisms include: (a) valsalva-induced capillary hypertension with secondary purpura, (b) ictal corticolimbic stimulation of the autonomic nervous innervation of facial vasomotor structures, and (c) trigeminal-mediated local release of vasoactive substances. Although rare, such stereotyped patterns of purpura should be recognized to avoid incorrect attribution of spousal abuse.
Topics: Adult; Diagnosis, Differential; Epilepsy, Tonic-Clonic; Face; Facial Injuries; Female; Humans; Purpura; Spouse Abuse; Vasomotor System
PubMed: 9733412
DOI: 10.1016/s1059-1311(98)80029-0 -
Journal of Obstetric, Gynecologic, and... 2008To describe current evidence on home visiting interventions for pregnant or postpartum women with specific intimate partner violence assessment and content. (Review)
Review
OBJECTIVE
To describe current evidence on home visiting interventions for pregnant or postpartum women with specific intimate partner violence assessment and content.
DATA SOURCES
Online bibliographic databases including PubMed, CINAHL Plus, and Web of Science and a hand search of bibliographies of relevant articles.
STUDY SELECTION
Original research and intervention studies were included that contained (a) a well-described prenatal and/or postpartum home visitation; (b) an assessment of perinatal intimate partner violence; and (c) quantitative data describing health outcomes for the women and their infants.
DATA EXTRACTION
The search yielded 128 articles, and 8 relevant articles met all of the inclusion criteria. Nonresearch, nonintervention, and international articles were excluded.
DATA SYNTHESIS
No perinatal home visiting interventions were designed to address intimate partner violence. Programs that screened for intimate partner violence found high rates, and the presence of intimate partner violence limited the ability of the intervention to improve maternal and child outcomes.
CONCLUSIONS
Perinatal home visitation programs likely improve pregnancy and infant outcomes. Home visiting interventions addressing intimate partner violence in nonperinatal population groups have been effective in minimizing intimate partner violence and improving outcomes. This suggests that perinatal home visiting programs adding specific intimate partner violence interventions may reduce intimate partner violence and improve maternal and infant health. Continued rigorous research is needed.
Topics: Community Health Nursing; Cross-Sectional Studies; Evidence-Based Medicine; Female; House Calls; Humans; Mass Screening; Maternal-Child Nursing; Nursing Assessment; Nursing Evaluation Research; Perinatal Care; Pregnancy; Pregnancy Outcome; Program Evaluation; Public Health; Randomized Controlled Trials as Topic; Referral and Consultation; Research Design; Spouse Abuse
PubMed: 18754987
DOI: 10.1111/j.1552-6909.2008.00267.x -
Cleveland Clinic Journal of Medicine May 2005Intimate partner violence is as prevalent as many conditions for which we routinely screen. Yet intimate partner violence remains underdiagnosed and undertreated.... (Review)
Review
Intimate partner violence is as prevalent as many conditions for which we routinely screen. Yet intimate partner violence remains underdiagnosed and undertreated. Physicians and other health care workers are in a unique position to detect it and intervene. This article reviews what we can do, what we should do, and what we legally and ethically must do.
Topics: Female; Humans; Male; Mass Screening; Prevalence; Primary Health Care; Spouse Abuse
PubMed: 15929454
DOI: 10.3949/ccjm.72.5.406 -
American Family Physician Oct 2016
Topics: Clinical Competence; Family Practice; Health Knowledge, Attitudes, Practice; Humans; Intimate Partner Violence; Mass Screening; Physician's Role; Spouse Abuse
PubMed: 27929226
DOI: No ID Found -
BMC Public Health Jun 2012Domestic violence (DV) against women is a serious human rights abuse and well recognised global public health concern. The occurrence of DV is negatively associated with...
BACKGROUND
Domestic violence (DV) against women is a serious human rights abuse and well recognised global public health concern. The occurrence of DV is negatively associated with the educational level of spouses but studies dealing with educational discrepancies of spouses show contradicting results: Wives with higher education than their husbands were more likely to ever experience DV as compared to equally educated couples. The purpose of this study was to investigate the association between spousal education gap (SEG) and the prevalence and severity of DV in India and Bangladesh.
METHODS
Nationally representative data collected through the 2005/2006 Indian National Family Health Survey (NFHS-3) and 2007 Bangladesh Demographic and Health Survey (BDHS) were used. In total, we analysed data of 69,805 women aged 15-49 years (Bangladesh: 4,195 women, India: 65,610 women). In addition to univariate and bivariable analyses, a multinomial logistic regression model was used to quantify the association between education gap and less severe as well as severe domestic violence. Adjustment was made for age, religion, and family structure.
RESULTS
Wives with higher education than their husbands were less likely to experience less severe (OR = 0.83, 95% CI: 0.77-0.89) and severe (OR = 0.79, 95% CI: 0.72-0.87) DV as compared to equally low-educated spouses (reference group). Equally high-educated couples revealed the lowest likelihood of experiencing DV (severe violence: OR 0.43, CI 0.39-0.48; less severe violence: OR 0.59, CI 0.55-0.63). The model's goodness of fit was low (Nagelkerke's R2 = 0.152).
CONCLUSIONS
Our analysis revealed no increased DV among wives with a higher educational level than their husbands. Moreover, the results point towards a decrease of severe violence with an increase in education levels among spouses. However, the model did not explain a satisfying amount of DV. Therefore, further research should be done to reveal unknown determinants so that suitable interventions to reduce DV can be developed.
Topics: Adolescent; Adult; Bangladesh; Educational Status; Female; Health Surveys; Humans; India; Middle Aged; Prevalence; Risk Factors; Spouse Abuse; Spouses; Young Adult
PubMed: 22720800
DOI: 10.1186/1471-2458-12-467 -
Journal of Osteopathic Medicine Dec 1998Domestic violence is a serious, complex, public health problem, which is more common than many physicians realize. Although certain characteristics may be associated...
Domestic violence is a serious, complex, public health problem, which is more common than many physicians realize. Although certain characteristics may be associated with the victim and perpetrator, they have limited value in identification or prediction of partner violence. Any woman may be a victim and any man, a perpetrator; therefore, universal screening for partner abuse is encouraged. The medical and psychological consequences of domestic violence are often of tragic proportion, for both the woman and her children. Unfortunately, unless asked directly and in a supportive fashion, many women will remain silent and continue to be victimized.
Topics: Male; Child; Humans; Female; Physicians, Primary Care; Domestic Violence; Spouse Abuse
PubMed: 37043746
DOI: 10.1515/jom-1998-0125 -
International Journal of Gynaecology... Mar 2004An analysis of the international literature on partner violence provides insights for health care providers caring for women. (Review)
Review
OBJECTIVES
An analysis of the international literature on partner violence provides insights for health care providers caring for women.
METHODS
The current literature on partner violence epidemiology, screening, and interventions was reviewed, focusing on pregnancy.
RESULTS
Adolescent girls and pregnant women are at highest risk for partner violence and homicide.
CONCLUSIONS
Health care providers need to offer clinical screening and interventions to prevent consequences of partner violence, including homicide.
Topics: Adolescent; Child Abuse; Female; Humans; Mass Screening; Maternal Mortality; Physician's Role; Pregnancy; Prenatal Care; Spouse Abuse; Women's Health
PubMed: 15001383
DOI: 10.1016/j.ijgo.2003.07.001