-
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 -
Journal of Nurse-midwifery 1996This article explains the concept of cultural competence, adding advocacy to models of culturally competent health care already in the literature and demonstrating how... (Review)
Review
This article explains the concept of cultural competence, adding advocacy to models of culturally competent health care already in the literature and demonstrating how it relates to domestic violence. Abuse stages according to Landenburger's model of entrapment and recovery are presented with applicable cultural differences and specificities. Cultural issues related to specific childbearing-stage abuse interventions are also discussed. The principles of cultural competence, abuse- and childbearing-stage specificity, and empowerment are used as the basis for this model of clinical intervention with abused women.
Topics: Clinical Competence; Female; Humans; Labor, Obstetric; Models, Nursing; Nurse Midwives; Patient Advocacy; Power, Psychological; Pregnancy; Spouse Abuse; Transcultural Nursing
PubMed: 8990717
DOI: 10.1016/s0091-2182(96)00094-8 -
Journal of Interpersonal Violence Oct 2012This study retrospectively examined the daily-level associations between youth alcohol use and dating abuse (DA) victimization and perpetration for a 6-month period.
Youth alcohol use and dating abuse victimization and perpetration: a test of the relationships at the daily level in a sample of pediatric emergency department patients who use alcohol.
OBJECTIVE
This study retrospectively examined the daily-level associations between youth alcohol use and dating abuse (DA) victimization and perpetration for a 6-month period.
METHOD
Timeline Followback (TLFB) interview data were collected from 397 urban emergency department patients, ages 17 to 21 years. Patients were eligible if they reported past month alcohol use and past year dating. Generalized estimating equation (GEE) analyses estimated the likelihood of DA on a given day as a function of alcohol use or heavy use (≥4 drinks per day for women, ≥5 drinks per day for men), as compared with nonuse.
RESULTS
Approximately 52% of men and 61% of women participants reported experiencing DA victimization ≥1 times during the past 6 months, and 45% of men and 55% of women reported perpetrating DA ≥1 times. For both men and women, DA perpetration was more likely on a drinking day as opposed to a nondrinking day (ORs = 1.70 and ORs = 1.69, respectively). DA victimization was also more likely on a drinking day as opposed to a nondrinking day for both men and women (ORs = 1.23 and ORs = 1.34, respectively). DA perpetration and DA victimization were both more likely on heavy drinking days as opposed to nondrinking days (2.04 and 2.03 for men's and women's perpetration, respectively, and 1.41 and 1.43 for men's and women's victimization, respectively).
CONCLUSIONS
This study found that alcohol use was associated with increased risk for same day DA perpetration and victimization, for both male and female youth. We conclude that for youth who use alcohol, alcohol use is a potential risk factor for DA victimization and perpetration.
Topics: Adolescent; Adolescent Health Services; Aggression; Alcohol Drinking; Courtship; Crime Victims; Emergency Service, Hospital; Female; Humans; Interpersonal Relations; Male; Risk Factors; Risk-Taking; Sexual Partners; Spouse Abuse; Young Adult
PubMed: 22550149
DOI: 10.1177/0886260512441076 -
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 -
Journal of Urban Health : Bulletin of... Sep 2007Little is known about the patterns and types of intimate partner abuse in same-sex male couples, and few studies have examined the psychosocial characteristics and...
Little is known about the patterns and types of intimate partner abuse in same-sex male couples, and few studies have examined the psychosocial characteristics and health problems of gay and bisexual men who experience such abuse. Using a cross-sectional survey sample of 817 men who have sex with men (MSM) in the Chicago area, this study tested the effect of psychological and demographic factors generally associated with intimate partner abuse and examined their relationship to various health problems. Overall, 32.4% (n = 265) of participants reported any form of relationship abuse in a past or current relationship; 20.6% (n = 168) reported a history of verbal abuse ("threatened physically or sexually, publicly humiliated, or controlled"), 19.2% (n = 157) reported physical violence ("hit, kicked, shoved, burned, cut, or otherwise physically hurt"), and 18.5% (n = 151) reported unwanted sexual activity. Fifty-four percent (n = 144) of men reporting any history of abuse reported more than one form. Age and ethnic group were unrelated to reports of abuse. Depression and substance abuse were among the strongest correlates of intimate partner abuse. Men reporting recent unprotected anal sex were more likely to also report abuse, Wald (1, n = 773) = 9.02, p < .05, Odds Ratio (OR) = 1.61, Confidence Interval (CI) = 1.18-2.21. We discuss psychosocial issues faced by gay and bisexual men who experience intimate partner abuse as they may pertain to interventions among this group.
Topics: Adult; Bisexuality; Cross-Sectional Studies; Depression; Health Status; Homosexuality, Male; Humans; Male; Mental Health; Patient Acceptance of Health Care; Prevalence; Racial Groups; Risk Factors; Socioeconomic Factors; Spouse Abuse; Substance-Related Disorders
PubMed: 17610158
DOI: 10.1007/s11524-007-9188-0 -
The Mount Sinai Journal of Medicine,... 2011Intimate partner violence--physical, psychological, or sexual abuse of women perpetrated by intimate partners--is one of the most common forms of violence against women,... (Review)
Review
Intimate partner violence--physical, psychological, or sexual abuse of women perpetrated by intimate partners--is one of the most common forms of violence against women, and is associated with adverse women's reproductive and maternal health outcomes. We review the opportunities for addressing intimate partner violence by the health system, examine promising approaches, and outline future challenges for developing effective health-systems responses to violence. Evidence shows that women seldom approach support services in response to violence, but do seek health care at some point in their lives. In fact, women's utilization of reproductive-health services in particular has been increasing globally. These services have a broad reach and represent an important opportunity to engage in violence prevention. Although health systems-based responses to intimate partner violence have emerged, rigorous evaluations to guide program planning and policy efforts to reduce violence are limited. Programs in the United States have expanded from improving individual provider prevention practices to instituting system-wide changes to ensure sustainability of these practices. Developing-country program responses, though limited, have been system-wide and multisectoral right from the start. Our review highlights 3 challenges for developing and expanding health-systems responses to violence. First, interventions should focus on creating a supportive environment within the health system and strengthening linkages across health care and allied sectors. Second, rigorous evaluations of health sector-based interventions are needed for a sound evidence base to guide programmatic and policy decisions. Finally, research is needed to identify the entry points for engaging men on violence prevention, and to examine the feasibility and effectiveness of such interventions.
Topics: Delivery of Health Care; Female; Global Health; Health Services; Humans; Public Health; Spouse Abuse
PubMed: 21598270
DOI: 10.1002/msj.20259 -
BMC Pregnancy and Childbirth Aug 2014Intimate partner violence (IPV) before and during pregnancy is associated with a broad range of adverse health outcomes. Describing the extent and the evolution of IPV...
BACKGROUND
Intimate partner violence (IPV) before and during pregnancy is associated with a broad range of adverse health outcomes. Describing the extent and the evolution of IPV is a crucial step in developing interventions to reduce the health impact of IPV.The objectives are to study the prevalence of psychological abuse, as well as physical & sexual violence, and to provide insight into the evolution of IPV 12 months before and during pregnancy.
METHODS
Between June 2010 and October 2012, a cross-sectional study was conducted in 11 antenatal care clinics in Belgium. Consenting pregnant women were asked to complete a questionnaire (available in Dutch, French and English) in a separate room. Ethical clearance was obtained in all participating hospitals.
RESULTS
The overall percentage of IPV was 14.3% (95% CI: 12.7 - 16.0) 12 months before pregnancy and 10.6% (95% CI: 9.2 - 12.1) during pregnancy. Physical partner violence before as well as during pregnancy was reported by 2.5% (95% CI: 1.7 - 3.3) of the respondents (n = 1894), sexual violence by 0.9% (95% CI 0.5 - 1.4), and psychological abuse by 14.9% (95% CI: 13.3 - 16.7). Risk factors identified for IPV were being single or divorced, having a low level of education, and choosing another language than Dutch to fill out the questionnaire. The adjusted analysis showed that physical partner violence (aOR 0.35, 95% CI: 0.22 - 0.56) and psychological partner abuse (aOR 0.7, 95% CI: 0.63 - 0.79) were significantly lower during pregnancy compared to the period of 12 months before pregnancy. The difference between both time periods is greater for physical partner violence (65%) compared to psychological partner abuse (30%). The analysis of the frequency data showed a similarly significant evolution for physical partner violence and psychological partner abuse, but not for sexual violence.
CONCLUSION
The IPV prevalence rates in our study are slightly lower than what can be found in other Western studies, but even so IPV is to be considered a prevalent problem before and during pregnancy. We found evidence, however, that physical partner violence and psychological partner abuse are significantly lower during pregnancy.
Topics: Adolescent; Adult; Belgium; Cross-Sectional Studies; Educational Status; Female; Humans; Language; Marital Status; Middle Aged; Pregnancy; Prevalence; Risk Factors; Sex Offenses; Spouse Abuse; Surveys and Questionnaires; Time Factors; Young Adult
PubMed: 25169813
DOI: 10.1186/1471-2393-14-294 -
Canadian Family Physician Medecin de... May 1994
Topics: Family Practice; Female; Humans; Mass Screening; Spouse Abuse; Women's Health
PubMed: 8038628
DOI: No ID Found -
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 -
Health & Social Care in the Community Nov 2015The association between substance abuse and intimate partner violence is quite robust. A promising area to improve treatment for the dual problems of substance abuse and...
The association between substance abuse and intimate partner violence is quite robust. A promising area to improve treatment for the dual problems of substance abuse and violence perpetration is the identification of client characteristics and organisational and programme factors as predictors of health outcomes. Therefore, we examined associations of client, organisational and programme factors with outcomes in community health settings. Directors of 241 substance use disorder programmes (SUDPs) and 235 batterer intervention programmes (BIPs) reported outcomes of programme completion and substance use and violence perpetration rates at discharge; data collection and processing were completed in 2012. SUDPs having more female, non-white, younger, uneducated, unemployed and lower income clients reported lower completion rates. In SUDPs, private, for-profit programmes reported higher completion rates than public or private, non-profit programmes. SUDPs with lower proportions of their budgets from government sources, and higher proportions from client fees, reported better outcomes. Larger SUDPs had poorer programme completion and higher substance use rates. Completion rates in SUDPs were higher when clients could obtain substance- and violence-related help at one location, and programmes integrated violence-prevention contracting into care. In BIPs, few client, organisational and programme factors were associated with outcomes, but the significant factors associated with programme completion were consistent with those for SUDPs. Publicly owned and larger programmes, and SUDPs lacking staff to integrate violence-related treatment, may be at risk of poorer client outcomes, but could learn from programmes that perform well to yield better outcomes.
Topics: Adult; California; Community Health Services; Ethnicity; Female; Humans; Male; Middle Aged; Social Work; Socioeconomic Factors; Spouse Abuse; Substance-Related Disorders; Treatment Outcome
PubMed: 25470658
DOI: 10.1111/hsc.12178