Domestic violence in a primary care setting. Patterns and prevalence
B. A. Elliott and M. M. Johnson
Department of Behavioral Sciences, University of Minnesota School of Medicine, Duluth.
OBJECTIVES: To determine the prevalence of domestic violence among women
patients in a primary care setting, the types of violence experienced by
each woman, and the reasons for their visit to the family physician. DESIGN
AND SAMPLE: Structured interviews with all consecutive, consenting women
patients scheduled for morning appointments between July 26 and August 13,
1993. SETTING: A community-based family practice residency outpatient
clinic in a midwestern city with a population of 85,000. RESULTS: Of the 42
women interviewed, 45% reported experiencing physical, social, and/or
emotional violence in their relationships. Thirty-six percent reported
being physically battered during their lifetimes; 12% reported being
currently involved in a battering relationship. Relationships and patterns
between various types of violence were evident. Sixty-two percent of the
women who had experienced slapping and hitting (moderate abuse) also
experienced punching and kicking (severe violence), some of which included
sexual violence and weapon use. Women who were sexually abused were also
likely to be emotionally abused (r = .66; P < .001), and women who were
socially abused were also likely to be severely battered (r = .60; P <
.005). None of the currently battered women was being seen for routine
health maintenance reasons, but presented instead with specific complaints
such as neck stiffness and migraine headache. CONCLUSIONS: Domestic
violence is very prevalent among women patients in primary care settings
and involves predictable patterns of injury. Physicians should routinely
assess for violence at all types of visits, educate patients about
violence, and work to prevent the violence that occurs in abusive
relationships.
Violence involving intimate partners: Prevalence in Canadian family practice
Ahmad et al.
cfp 2007;53:460-468.
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Accuracy of Five Domestic Violence Screening Questions With Nongraphic Language
Zink et al.
CLIN PEDIATR 2007;46:127-134.
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Intimate Partner Violence and Mental Health Consequences in Women Attending Family Practice in Spain
Ruiz-Perez and Plazaola-Castano
Psychosom. Med. 2005;67:791-797.
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Patients' Advice to Physicians About Intervening in Family Conflict
Burge et al.
Ann Fam Med 2005;3:248-254.
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Zink et al.
CLIN PEDIATR 2005;44:211-219.
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Xu et al.
Am. J. Public Health 2005;95:78-85.
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Intimate Partner Violence: What Are Physicians' Perceptions?
Zink et al.
J Am Board Fam Med 2004;17:332-340.
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Domestic Violence: Prevalence and Detection in a Family Medicine Residency Clinic
Wenzel et al.
JAOA: Journal of the American Osteopathic Association 2004;104:233-239.
ABSTRACT
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Medical Management of Intimate Partner Violence Considering the Stages of Change: Precontemplation and Contemplation
Zink et al.
Ann Fam Med 2004;2:231-239.
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Screening for Intimate Partner Violence when Children are Present: The Victim's Perspective
Zink and Jacobson
J Interpers Violence 2003;18:872-890.
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Interventions for Intimate Partner Violence Against Women: Clinical Applications
Rhodes and Levinson
JAMA 2003;289:601-605.
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Knowledge and attitudes of primary care physicians regarding battered women. Comparison between specialists in family medicine and GPs
Kahan et al.
Fam Pract 2000;17:5-9.
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Child Abuse and Domestic Violence in Families of Children Seen for Suspected Sexual Abuse
Bowen
CLIN PEDIATR 2000;39:33-40.
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Everything's Not O.K. at Home
Feingold
CLIN PEDIATR 2000;39:41-42.
Screening for Domestic Violence in the Community Pediatric Setting
Siegel et al.
Pediatrics 1999;104:874-877.
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Women battering in primary care practice
Naumann et al.
Fam Pract 1999;16:343-352.
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