Identifying intimate partner violence: comparing the Chinese Abuse Assessment Screen with the Chinese Revised Conflict Tactics Scales.

Department of Nursing Studies, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong.
BJOG An International Journal of Obstetrics & Gynaecology (Impact Factor: 3.86). 10/2007; 114(9):1065-71. DOI: 10.1111/j.1471-0528.2007.01441.x
Source: PubMed

ABSTRACT To assess the measurement accuracy and the utility of the Chinese Abuse Assessment Screen (AAS).
A cross-sectional study.
An antenatal clinic of a public hospital and a community centre in Hong Kong.
A total of 257 Chinese women consisting of 100 pregnant women and 157 nonpregnant women.
The Chinese AAS was administered first, followed by the Chinese Revised Conflict Tactics Scales (CTS2). This was performed in the same sitting, and each participant was interviewed once either at an antenatal clinic (for the pregnant women sample) or at a community centre (for the nonpregnant women sample).
Estimates of the sensitivity, specificity, positive and negative predictive values and positive and negative likelihood ratios.
Using the Chinese CTS2 as the standard, the specificity estimates of the Chinese AAS for emotional, physical and sexual abuse were > or = 89%, while the sensitivity estimates varied from 36.3 to 65.8%. The sensitivity improved in the screening for more severe cases (66.7%). The positive predictive values were > or = 80%, and the negative predictive values varied from 66 to 93%. Factors such as the age difference between the couple and the woman's need for financial assistance were found to be associated with intimate partner violence (IPV).
The Chinese AAS has demonstrated satisfactory measurement accuracy and utility for identifying IPV when the Chinese CTS2 was used as the standard.


Available from: Agnes Tiwari, May 12, 2015
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Editor's Note: Common in relationships where there is also physical violence, psychological abuse has always been very dif-fi cult to defi ne. Culture further complicates things, as what might seem psychologically abusive in one culture may not seem so in another. This article describes the results of a qualitative study in China comparing the stories of psychological abuse between women who are in physically abusive relationships and women who are not being abused. The results of this study further strengthen the notion that context is important to understand the effects of psychological abuse within abusive relationships.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Distinctions have been made between the two main forms of intimate partner violence: intimate terrorism (IT) and situational couple violence (SCV), depending on whether the violence is part of a general pattern of control. Differential effects also exist between IT and SCV. However, the IT/SCV distinction and their differential effects have yet to be demonstrated in violent intimate relationships in China. We aimed to identify IT and SCV among Chinese women who reported partner violence in Hong Kong and to differentiate the effects of IT and SCV on their mental health outcomes. A mixed-method design was used in a cross-sectional study to collect quantitative and qualitative data from women 18 years of age or older who had been victims of intimate partner violence in the past year. Six hundred and thirteen women were recruited from 18 districts in Hong Kong. Quantitative instruments were administered to assess intimate partner violence, control by an intimate partner, and mental health outcomes. Individual face-to-face interviews were conducted with 200 of the women to capture their experiences of intimate partner violence and the context in which it occurred. Of the 613 women, 215 (35.1%) were identified as victims of IT and 324 (52.9%) as victims of SCV. Compared to SCV victims, IT victims reported significantly more violence-related physical injury (p < 0.001), higher use of medical services (p < 0.001), and more symptoms of depression (p < 0.001) and posttraumatic stress disorder (p < 0.001). The interviews revealed two broadly different pictures with IT victims describing their relationship problems as serious and life-threatening, and physical violence was part of the controlling behaviors used by their partners. Such details were not reported by those in the SCV group. Our findings indicate that violence in intimate relationships in China is not a unitary phenomenon, and it has at least two forms, IT and SCV, which were shown to have differential effects on Chinese women. The findings regarding the IT/SCV distinction and their differential effects on mental health outcomes have implications for policy, research and practice. Trial registration: NCT01206192 .
    BMC Public Health 03/2015; 15(1):314. DOI:10.1186/s12889-015-1649-x · 2.32 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The present research studies the relation between social capital and mental health among a female group in Tehran. Accordingly, 200 females, who were referred to cultural centres of Tehran's municipality, were chosen to participate in this research voluntary. The questionnaires that are used in this study are as follows: family supports, social capitals and mental health. This research is descriptive and correlation is used in it. Results show that, those women who have more access to educational, career and family support in economic, intellectual and emotional fields have a higher mental health. Also, results of regression show that, family supports and social capitals play an important role in estimation of women's level of mental health.
    Procedia - Social and Behavioral Sciences 12/2011; 30:2449-2451. DOI:10.1016/j.sbspro.2011.10.477