Health status and health care use of Massachusetts women reporting partner abuse. American Journal of Preventive Medicine, 19(4), 302-307

Bureau of Family and Community Health, Massachusetts Department of Public Health, Boston, Massachusetts, USA.
American Journal of Preventive Medicine (Impact Factor: 4.53). 12/2000; 19(4):302-7. DOI: 10.1016/S0749-3797(00)00236-1
Source: PubMed


Studies indicate that women abused by their intimate partners are at increased risk for a number of health problems and have increased rates of health care utilization. However, these findings are based mainly on studies using clinic or health plan populations. In this study, we examined the association between intimate partner abuse (IPA) and health concerns and health care utilization in a population-based sample of adult women.
We analyzed data on 2043 women aged 18 to 59 who participated in the 1998 Massachusetts Behavioral Risk Factor Surveillance System (BRFSS), a population-based health survey that included questions on IPA. IPA was defined as experiencing physical violence by, fear of, or control by an intimate partner. Consequences of IPA and self-rated health status and health care utilization of women experiencing IPA were examined.
A total of 6.3% of Massachusetts women aged 18 to 59 reported IPA during the past year. Women experiencing IPA were more likely than other women to report depression, anxiety, sleep problems, suicidal ideation, disabilities, smoking, unwanted pregnancy, HIV testing, and condom use. Women experiencing IPA were less likely to have health insurance, but received routine health care at similar rates as other women.
These results indicate that women in the general population experiencing IPA are at increased risk for several serious emotional and physical health concerns. Most of these women are in routine contact with health care providers. These findings also suggest that the BRFSS may provide a valuable mechanism for tracking state-based IPA prevalence rates over time.

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    • "List of studies: a (Loxton et al. 2009): 7312 middle-aged Australian women (45–50 years old) b (Gandhi et al. 2010): 371 women (21–40 years old) in 4 urban primary care settings c (Lemon et al. 2002): 1643 women, 18–54 years old from BRFSS d (Cronholm and Bowman 2009): 6285 women aged 18–96 years with a usual source of care e (Hathaway et al. 2000): 2043 women aged 18–59 years from the Massachusetts-BRFSS f (Modesitt et al. 2006): 101 women with breast, cervical, endometrial, or ovarian cancer from an oncology clinic g (Ramaswamy et al. 2011): 204 women in Kansas City jails h (Tello et al. 2010): 200 women receiving gynecologic services in an urban HIV clinic i (Coker et al. 2006): 470 women with low-grade cervical lesions interviewed at baseline and offered follow-up at 4-month and 6-month intervals for up to 24 months. "
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    • "Although there are numerous negative psychological outcomes associated with experiences of domestic abuse, one of the most robust and reliable positive associations to emerge involving domestic abuse is with depressive symptomatology (e.g., Campbell, Sullivan, & Davidson, 1995; Ersoy & Yildiz, 2011). For example, Hathaway et al. (2000) found women who had experienced domestic abuse from their partner in the past year were more than three times as likely as women who reported no domestic abuse to have developed depression. Importantly, in a large sample study of female workers, La Flair, Bradshaw, and Campbell (2012) found that abused females (e.g., experienced abuse from a partner), when compared with nonabused females, reported greater depressive experiences over an 18-month period, independent of initial depression . "
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    • "Numerous studies have shown that women who have been physically abused by their partner consistently selfreport their health as poor compared to women who have no experience of IPV (Campbell et al., 2002; Coker, Smith, et al., 2002; Ellsberg et al., 2008; Lown & Vega, 2001). Women who have experienced IPV are also more likely to have worse health behaviors than other women (Plichta, 2004), with studies showing that they are more likely to smoke tobacco and drink alcohol (Hathaway et al., 2000). Other studies have demonstrated that they are more likely to have a poor diet (McNutt, Carlson, Rose, & Robinson, 2002), and more likely to use greater quantities of pain medication (Alexander et al., 1998). "
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    ABSTRACT: Abstract Women have approximately a one in four chance of experiencing intimate partner violence (IPV). Those who do are at increased risk of developing physical and mental health problems including traumatic brain injury, chronic pain, gastrointestinal disorders, depression, post-traumatic stress disorder, and substance-related disorders. Nurses, in whatever situation they work, are therefore highly likely to encounter women who are victims of IPV. This paper explores the prevalence of physical and mental health issues for women with an experience of IPV. Factors that influence a woman's experience of IPV such as culture, remaining in an abusive relationship, and childhood sexual abuse as a risk factor of IPV are also examined. Recommended responses for women with an experience of IPV are discussed.
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