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
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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.

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Available from: Agnes Tiwari, May 12, 2015
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    • "If a participant answered " yes " to having been emotionally , physically, or sexually abused in the past year, and if the perpetrator was her current or former intimate partner, she was screened positive for IPV. The C-AAS has been validated and demonstrated satisfactory measurement accuracy in detecting IPV in Chinese women (Tiwari et al., 2007). Information relating to the types and frequency of IPV and abuse-related injury severity was collected using the Chinese version of the Revised Conflict Tactics Scales (C-CTS2; Chan, 2005). "
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    ABSTRACT: There is increasing recognition that chronic pain is a problem affecting women survivors of intimate partner violence (IPV), and in Western literature evidence is emerging about significant factors mediating the relationship between IPV and chronic pain. However, little is known about the factors mediating IPV and chronic pain in Chinese women for whom prior research has shown that Chinese culture may influence their response to IPV. This study was conducted to assess the roles of posttraumatic stress disorder (PTSD) symptoms, depressive symptoms, and IPV-related injury on the relationship between IPV and chronic pain in Chinese women, using structural equation modelling (SEM). Data were collected from 308 Chinese women survivors of IPV recruited at community setting (n = 228) and at domestic violence shelters (n = 82). Results showed that only the relationship between psychological abuse severity and chronic pain severity was mediated by PTSD symptom severity (β = .30, 95% CI = 0.14-0.45, p < .001). Furthermore, although depressive symptom severity was strongly correlated with PTSD symptom severity (β = .69, 95% CI = 0.61-0.76, p < .001), it was not found to be mediating the relationship between any types of IPV and chronic pain. Similarly, IPV-related injury severity was not shown to have a significant mediating effect on the relationship between IPV and chronic pain. The findings affirm the importance of recognizing the complex interrelationships among IPV, mental health symptoms, and physical health problems as well as the need for considering PTSD symptoms when designing interventions for abused Chinese women with complaints of chronic pain.
    Journal of Interpersonal Violence 03/2013; 28(5):1067-1087. DOI:10.1177/0886260512459380 · 1.64 Impact Factor
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    • "e trial . This scale addresses at University of Hong Kong Libraries on December 14 , 2014 jiv . sagepub . com Downloaded from physical , psychological , and sexual abuse and it has been validated and shown to demonstrate satisfactory accuracy in screening a Chinese popula - tion with satisfactory specificity , sensitivity , and predictive values ( Tiwari et al . , 2007 ) . History of abuse . To gain a deeper understanding of the abuse history , the Revised Conflict Tactics Scales ( CTS2 ; Straus , Hamby , Boney - McCoy , & Sugarman , 1996 ) were used , as they provide information about the fre - quency of the behavior used by the perpetrator during IPV over the past year . The CTS2 contain 27 items , "
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    ABSTRACT: Advocacy intervention has been shown to be efficacious at reducing depressive symptoms in women who suffer from intimate partner violence (IPV). However, the intervention effect among abused immigrant women has not been well studied. This study compares the demographic and psychosocial characteristics between abused immigrant and nonimmigrant women, and evaluates the impact of immigration status on the efficacy of an advocacy intervention in reducing depressive symptoms and improving perceived social support. Two hundred abused Chinese women recruited from a local community center in Hong Kong were randomized to receive either the advocacy intervention or usual care. The advocacy intervention was found to be effective at reducing depressive symptoms and improving social support for abused Chinese nonimmigrant women, but the same effects were not seen for abused immigrant women. The findings provide essential insights into the need for developing targeted and efficacious advocacy interventions for abused immigrant women. Effective services to address abused immigrant women's needs were also suggested.
    Journal of Interpersonal Violence 02/2013; 28(11). DOI:10.1177/0886260512475311 · 1.64 Impact Factor
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    • "Since women may be hesitant to disclose the IPV they have suffered for a number of reasons, including fear of the perpetrators or fear of having their children taken away, violence screening should be conducted in a sensitive manner (Casanueva & Martin, 2007). Although we have validated Chinese AAS (Tiwari et al., 2007), IPV screening is still controversial in Hong Kong because of heavy workload and inadequate support for the proper management of abuse. Only in a few of emergency departments, and obstetrics and gynaecology departments in public hospitals can manage to conduct routine screening for IPV. "
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    ABSTRACT: To assess the impact of intimate partner violence (IPV) against pregnant women on subsequent perpetration of child abuse and neglect (CAN) by parents; and to test the mediation effect of recent IPV on the link between IPV during pregnancy and subsequent CAN. This study was a longitudinal follow-up of a population-based study on pregnancy IPV conducted in antenatal clinics in 7 public hospitals in Hong Kong in 2005. Of all participants in the 2005 study, we recruited 487 women (with 184 having reported pregnancy IPV in the 2005 study) with newborn babies for a follow-up telephone interview in 2008. Participants responded to the Abuse Assessment Screen (AAS), the Parent-Child Conflict Tactics Scale, and some questions assessing demographic information. The most common form of physical violence was corporal punishment, with a prevalence rate of 75.1% in the preceding year and 75.4% over their lifetime. Physical maltreatment was less likely to be reported, accounting for 4.7% in the preceding year and 4.9% over their lifetime. The preceding-year and lifetime prevalence rates of neglect were 11.3% and 11.5%, respectively. Findings from logistic regression analyses showed that IPV experienced by participants during pregnancy was associated with greater odds of both lifetime (aOR=1.74) and preceding-year child physical maltreatment (aOR=1.78). Results of the regression analyses also provided supportive evidence for the mediation effect of recent IPV victimization on the relationship between IPV during pregnancy and recent CAN against children. IPV against women during pregnancy predicted subsequent CAN on newborns in Chinese populations. This underscores the importance of screening pregnant women for IPV in order to prevent CAN at an early stage. Home visitations are suggested to break the cycle of violence within a nuclear family.
    Child abuse & neglect 05/2012; 36(4):275-84. DOI:10.1016/j.chiabu.2011.12.003 · 2.34 Impact Factor
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