This study examines abused women's preferences regarding medical clinician reporting of intimate partner abuse injuries to police. It also examines the influence of specific demographic factors on abused women's reporting preferences.
Telephone interviews were conducted with a random sample of women patients attending one of three public primary care clinics associated with the San Francisco Community Health Network. Participants reporting a history of abuse were asked to identify their preferences regarding the reporting of abuse by medical clinicians to police.
Of the 358 abused women interviewed in this study, the majority of them (n = 243, 68%) did not prefer a domestic violence injury reporting system that was mandatory even if against patient wishes. However, almost all women (n = 329, 92%) favored some form of police reporting by medical clinicians. Women who had been abused within the past year were more likely to oppose mandatory reporting than women who had been abused more than one year ago. Younger women were more likely than older women to oppose mandatory reporting requirements, and women whose primary language was English were more likely to oppose mandatory reporting requirements than women whose primary language was Spanish. Current abuse was independently predictive of decreased likelihood to select mandatory reporting in all situations. There were no significant differences in reporting preferences by ethnicity, marital status, education, employment, or the presence of children at home.
Despite broad support among abused women for medical clinician reporting of intimate partner abuse injuries to police, most women do not support mandatory reporting requirements that do not allow for consideration of the abused patients' wishes. More research is needed to ascertain whether the benefits of mandatory reporting outweigh the risks to those intended to benefit from the law.
[Show abstract][Hide abstract] ABSTRACT: Intimate partner violence (IPV) has a high prevalence in many nations and is a serious public health problem. IPV is associated with health problems as well as high medical expenditures. Both IPV and health care seeking are recurrent for victims throughout the life course. However, most previous studies that examine the impact of IPV on health care seeking are cross-sectional. Using life course data collected from Japanese women living in the Tokyo Metropolitan area, this study examines the factors influencing the first IPV specific health care seeking and IPV specific health care seeking over the life course and the trajectory of IPV specific health care seeking over the life course. The data were collected from 101 women from 2005 to 2006 through semi-structured interviews that utilized the Life History Calendar method. The data set included a total of 3,403 person years. The discrete-time models and hierarchical linear models were used for the data analysis. Anderson’s Behavioral Model of Health Service Utilization and cumulative risk theory provided the theoretical foundation of this study. Injury and formal help seeking increased the odds of the first IPV specific health care seeking. The current experience of injury, formal and informal help seeking, welfare status, smoking, and poor self-rated health status increased the likelihood of IPV specific health care seeking over the life course. The cumulative experience of sexual IPV and injury significantly increased the likelihood of IPV specific health care seeking over the life course. While the trajectory of injury was similar to that of IPV specific health care seeking, the trajectory of any form of IPV was different from that of IPV specific health care seeking. The occurrence of IPV was much more frequent than that of IPV specific health care seeking over the life course. These results highlight important policy implications for improving health care services for victims of IPV. Such policy implications, for example, include developing policies and programs to increase awareness of IPV as a health problem among victims of IPV, health care professionals and communities.
[Show abstract][Hide abstract] ABSTRACT: The social work profession has a complex and arguably problematic history in relation to the problem of domestic violence. Through a review of abstracts of social work articles published from 1985 to 2000, the authors sought to determine whether anything has changed since Davis’s (1987) seminal study regarding the way in which the profession addresses the problem of domestic violence. The findings indicate that although researchers have done a good job of listening to the voices of battered women, there has been scant theorizing in the literature about the sexist origins of the problem.
[Show abstract][Hide abstract] ABSTRACT: Extensive research indicates that intimate partner violence (IPV) poses a significant risk to the physical health of women. IPV is associated with increased mortality, injury and disability, worse general health, chronic pain, substance abuse, reproductive disorders, and poorer pregnancy outcomes. IPV is also associated with an overuse of health services and unmet need for services, as well as strained relationships with providers. The body of IPV research has several critical gaps. There are almost no longitudinal studies of IPV and health. Most studies are clustered into a few specialties, with almost no research in the areas of allied health, dentistry, or management. A common definition of IPV is still not used. Finally, with some notable exceptions, there has been little success in moving the health care system to routinely screen women for IPV.
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