Abstract
Background
Women who experience intimate partner violence (IPV) have a greater risk for adverse
health outcomes, suggesting the importance of preventive services in this group. Little
prior research has explored how IPV exposure impacts receipt of relevant preventive
services. We assess the prospective association of IPV exposure with receiving specific
preventive services.
Methods
Women in the Central Pennsylvania Women's Health Study's longitudinal cohort study
(conducted 2004–2007; n = 1,420) identified past-year exposure to IPV at baseline and receipt of IPV-relevant
preventive services (counseling for safety and violence concerns, tests for sexually
transmitted infections [STIs], counseling for STIs, Pap testing, counseling for smoking/tobacco
use, alcohol/drug use, and birth control) at 2-year follow-up. Multiple logistic regression
analysis assessed the impact of IPV on service receipt, controlling for relevant covariates.
Findings
Women exposed to IPV had greater odds of receiving safety and violence counseling
(adjusted odds ratio [AOR], 2.40; 95% confidence interval [CI], 1.25–4.61), and tests
for STIs (AOR, 2.46; 95% CI, 1.41–4.28) compared with women who had not been exposed
to IPV. Independent of other predictors, including IPV, women who saw an obstetrician-gynecologist
were more likely to receive Pap tests, STI/HIV testing and counseling, and birth control
counseling, compared with women who had not seen an obstetrician-gynecologist.
Conclusion
Overall rates of preventive service receipt for all women in the sample were low.
Women exposed to IPV were more likely to receive safety and violence counseling and
STI testing, and seeing an obstetrician-gynecologist increased the odds of receiving
several preventive services.
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References
- Mental health services utilization among women experiencing intimate partner violence.American Journal of Managed Care. 2010; 16: 731-738
Agency for Healthcare Research and Quality, US Department of Health and Human Services. (2007). Chlamydial infection, screening. Retrieved October 10, 2012, from http://epss.ahrq.gov/ePSS/TopicDetails.do?topicid=86.
American Academy of Family Physicians. (2000). Violence (Position Paper). Retrieved March 9, 2011, from http://www.aafp.org/online/en/home/policies/v/violence/violencepositionpaper.printerview.html.
American College of Obstetricians and Gynecologists. (N.D.) Screening tools: Domestic violence. Retrieved March 9, 2012, from http://www.acog.org/About_ACOG/ACOG_Departments/Violence_Against_Women/Screening_Tools__Domestic_Violence.
American Medical Association National Advisory Council on Violence and Abuse. (2008). Policy compendium. Retrieved from http://www.ama-assn.org/ama1/pub/upload/mm/386/vio_policy_comp.pdf.
- Revisiting the behavioral model and access to medical care: does it matter?.Journal of Health & Social Behavior. 1995; 36: 1-10
- Evaluation of the quality of care in the clinical care centers of the National Centers of Excellence in Women's Health.Women's Health Issues. 2002; 12: 309-326
- Intimate partner violence and sexual violence victimization assessment instruments for use in healthcare settings. Vol. 1. U.S. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Atlanta2007
- The National Intimate Partner and Sexual Violence Survey (NISVS): 2010 summary report.National Center for Injury Prevention and Control, U.S. Centers for Disease Control and Prevention, Atlanta2011
- Medical and psychosocial diagnoses in women with a history of intimate partner violence.Archives of Internal Medicine. 2009; 169: 1692-1697
- Health outcomes in women with physical and sexual intimate partner violence exposure.Journal of Women's Health. 2007; 16: 987-997
- Health care utilization and costs associated with physical and nonphysical-only intimate partner violence.Health Services Research. 2009; 44: 1052-1067
- Chronic disease and health risk behaviors associated with intimate partner violence: 18 U.S. states/territories, 2005.Annals of Epidemiology. 2008; 18: 538-544
- Intimate partner violence and physical health consequences.Archives of Internal Medicine. 2002; 162: 1157-1163
- Violence against women raises risk of cervical cancer.Journal of Women's Health. 2009; 18: 1179-1185
- Intimate partner violence and cervical neoplasia.Journal of Women's Health & Gender-Based Medicine. 2000; 9: 1015-1023
- Health concerns across a woman's lifespan: The Commonwealth Fund 1998 Survey of women's health.The Commonwealth Fund, New York1999
- Women with safety concerns report fewer gender-specific preventive healthcare services.Journal of Women's Health. 2009; 18: 1011-1018
- Changing help-seeking rates for intimate partner violence in Canada.Women & Health. 2005; 41: 1-19
- Barriers to screening for domestic violence.Journal of General Internal Medicine. 2002; 17: 112-116
- National consensus guidelines on identifying and responding to domestic violence in victimization in health care settings.San Francisco, 2004
- Concomitant forms of abuse and help-seeking behavior among white, African American, and Latina women who experience intimate partner violence.Violence Against Women. 2011; 17: 1067-1085
- Intimate partner violence and cancer screening among urban minority women.Journal of the American Board of Family Medicine. 2010; 23: 343-353
- Adverse health behaviors and the detection of partner violence by clinicians.Archives of Internal Medicine. 2005; 165: 1016-1021
- How health care providers help battered women: the survivor's perspective.Women & Health. 1999; 29: 115-135
- Factors associated with regular cervical cancer screening.International Journal of Gynaecology and Obstetrics. 2008; 102: 28-33
- Self-efficacy and health behavior among older adults.Journal of Health and Social Behavior. 1993; 34: 89-104
- Factors influencing identification of and response to intimate partner violence: A survey of physicians and nurses.BMC Public Health. 2007; 7: 12
- Defining urban and rural areas in U.S. epidemiologic studies.Journal of Urban Health. 2006; 83: 162-175
- Rural definitions for health policy and research.American Journal of Public Health. 2005; 95: 1149-1155
- Are two doctors better than one? Women's physician use and appropriate care.Women's Health Issues. 2002; 12: 138-149
- Women's health research: Progress, pitfalls, and promise.National Academies Press, Washington, DC2010
- Clinical preventive services for women: Closing the evidence gaps.National Academies Press, Washington, DC2011
- Recommendations to improve preconception health and health care–United States. A report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care.Morbidity and Mortality Weekly Report. Recommendations and Reports. 2006; 55: 1-23
- Effect of screening for partner violence on women's quality of life: A randomized controlled trial.JAMA. 2012; 308: 681-689
- The effect of mental distress on women's preventive health behaviors.American Journal of Health Promotion. 2006; 20: 196-199
- Preventive healthcare use, smoking, and alcohol use among Rhode Island women experiencing intimate partner violence.Journal of Women's Health & Gender-Based Medicine. 2002; 11: 555-562
- Gynecologic health consequences to victims of interpersonal violence.Women's Health Issues. 1999; 9: 115-120
- The long arc of recovery: Characterizing intimate partner violence and its psychosocial effects across 17 years.Violence Against Women. 2011; 17: 480-499
- Inadequate cervical cancer screening among mid-aged Australian women who have experienced partner violence.Preventive Medicine. 2009; 48: 184-188
- Screening for intimate partner violence in health care settings: A randomized trial.JAMA. 2009; 302: 493-501
- Multilevel analysis of the determinants of receipt of clinical preventive services among reproductive-age women.Women’s Health Issues. 2012; 22: e243-e251
- The “battering syndrome”: Prevalence and clinical characteristics of domestic violence in primary care internal medicine practices.Annals of Internal Medicine. 1995; 123: 737-746
- Assessing intimate partner violence in health care settings leads to women's receipt of interventions and improved health.Public Health Reports. 2006; 121: 435-444
- Abused women disclose partner interference with health care: an unrecognized form of battering.Journal of General Internal Medicine. 2007; 22: 1067-1072
- Secondary prevention of intimate partner violence: A randomized controlled trial.Nursing Research. 2006; 55: 52-61
- Screening women and elderly adults for family and intimate partner violence: A review of the evidence for the U. S. Preventive Services Task Force.Annals of Internal Medicine. 2004; 140: 387-396
- Is intimate partner violence associated with unintended pregnancy? A review of the literature.Trauma, Violence & Abuse. 2005; 6: 217-235
- Violent victimization of women and men: Physical and psychiatric symptoms.Journal of the American Board of Family Practice. 2003; 16: 32-39
- Healthcare utilization and costs for women with a history of intimate partner violence.American Journal of Preventive Medicine. 2007; 32: 89-96
- Racial, ethnic, socioeconomic, and access disparities in the use of preventive services among women.Preventive Medicine. 2003; 37: 475-484
- Psychological distress as a barrier to preventive care in community-dwelling elderly in the United States.Medical Care. 2006; 44: 187-191
- Prevalence, incidence and consequences of violence against women: Findings from the National Violence Against Women Survey.National Institute of Justice and U.S. Centers for Disease Control and Prevention, Atlanta1998
- Prevalence and consequences of male-to-female and female-to-male intimate partner violence as measured by the National Violence Against Women Survey.Violence Against Women. 2000; 6: 142
- Medical care utilization patterns in women with diagnosed domestic violence.American Journal of Preventive Medicine. 2003; 24: 9-15
U.S. Centers for Disease Control and Prevention. (2006). Understanding intimate partner violence: fact sheet. Retrieved February 2, 2011 from http://www.cdc.gov/ncipc/dvp/ipv_factsheet.pdf.
- Interventions for violence against women: Scientific review.JAMA. 2003; 289: 589-600
- Health care's response to women exposed to partner violence: Moving beyond universal screening.JAMA. 2012; 308: 712-713
- Preconceptional health: Risks of adverse pregnancy outcomes by reproductive life stage in the Central Pennsylvania Women's Health Study (CePAWHS).Womens Health Issues. 2006; 16: 216-224
- Preconception predictors of birth outcomes: Prospective findings from the Central Pennsylvania Women's Health Study.Maternal and Child Health Journal. 2009; 15: 829-835
- Intimate partner violence and women's contraceptive use.Violence Against Women. 2008; 14: 1382-1396
Biography
Jennifer S. McCall-Hosenfeld, MD, MSc, is Assistant Professor of Medicine and Public Health Sciences. Her research focuses on improving primary care for rural women, with an emphasis on survivors of intimate partner violence.
Biography
Cynthia H. Chuang, MD, MSc, is Associate Professor of Medicine and Public Health Sciences. She is a general internist with research interests in reproductive health care for women with chronic medical conditions.
Biography
Carol S. Weisman, PhD, is Distinguished Professor of Public Health Sciences and Obstetrics and Gynecology. She is a sociologist and health services researcher with a special interest in women's primary and preventive care.
Article info
Publication history
Accepted:
December 18,
2012
Received in revised form:
October 12,
2012
Received:
March 21,
2012
Identification
Copyright
© 2013 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.
