An Examination of Intimate Partner Violence in Rural Communities: Results from a Hospital Emergency Department Study from Southwest United States

2001 ◽  
Vol 24 (1) ◽  
pp. 1-14 ◽  
Author(s):  
Satya P. Krishnan ◽  
Judith C. Hilbert ◽  
Marilyn Pase
2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Patricia Janssen ◽  
Kathleen Mackay

Background. The purpose of this study was to describe and contrast the population of persons presenting to a Vancouver hospital emergency department two or more times with those presenting once. Methods. Subjects for this study had disclosed intimate partner violence on at least one visit to Vancouver General Hospital Emergency Department during the study period 1997–2009. We compared sociodemographic characteristics, presenting complaints and disposition on discharge among single versus repeat visitors. Results. We identified 2246 single visitors and 257 repeat visitors. In a multivariate model, repeat visitors to the ER were more likely to be of First Nations (aboriginal) status, odds ratio (OR) 2.29, 95% confidence intervals (1.30–4.01); to have had a history of previous abuse 3.38 (1.88–6.08); to have received threats of homicide 2.98 (1.74–5.08); and to present with mental illness 3.03 (1.59–5.77). Police involvement was protective against repeat visits 0.54 (0.36–0.98). Conclusion. Persons with potential for multiple visits to the emergency room can be characterized by a number of factors, the presence of which should trigger targeted assessment for violence exposure in settings where assessment is not routine.


2010 ◽  
Vol 30 (1) ◽  
pp. 21-40 ◽  
Author(s):  
Mary Sormanti ◽  
Erica Smith

Intimate Partner Violence (IPV) is physical, psychological, or sexual harm committed by a current or former partner, spouse, boy/girlfriend. In the United States, the National Center for Injury Prevention and Control (2003) estimates that 1.5 million women experience physical assault each year while the lifetime prevalence rate of IPV for women reaches almost 30%. Given the frequency and range of injuries and other health-related problems that result from IPV, the medical system shows promise as a central source of service provision for large numbers of abused women and their children. However, identification rates of IPV in many medical settings are low. This article describes a study that examined focus group data from 25 physicians in residency training at an urban hospital in the United States. Physicians discussed their knowledge and attitudes about IPV screening in the emergency department (ED) setting and suggestions to address perceived barriers to such screening. These data depict multiple barriers to physician screening of IPV in the ED. Findings substantiate previous research and provide new direction for enhancing IPV identification, referral, and treatment mechanisms in the ED setting including alternatives to physician mandated universal screening.


2007 ◽  
Vol 12 (1) ◽  
pp. 54-61 ◽  
Author(s):  
Marisa L. Beeble ◽  
Deborah Bybee ◽  
Cris M. Sullivan

While research has found that millions of children in the United States are exposed to their mothers being battered, and that many are themselves abused as well, little is known about the ways in which children are used by abusers to manipulate or harm their mothers. Anecdotal evidence suggests that perpetrators use children in a variety of ways to control and harm women; however, no studies to date have empirically examined the extent of this occurring. Therefore, the current study examined the extent to which survivors of abuse experienced this, as well as the conditions under which it occurred. Interviews were conducted with 156 women who had experienced recent intimate partner violence. Each of these women had at least one child between the ages of 5 and 12. Most women (88%) reported that their assailants had used their children against them in varying ways. Multiple variables were found to be related to this occurring, including the relationship between the assailant and the children, the extent of physical and emotional abuse used by the abuser against the woman, and the assailant's court-ordered visitation status. Findings point toward the complex situational conditions by which assailants use the children of their partners or ex-partners to continue the abuse, and the need for a great deal more research in this area.


Author(s):  
Shilo St. Cyr ◽  
Elise Trott Jaramillo ◽  
Laura Garrison ◽  
Lorraine Halinka Malcoe ◽  
Stephen R. Shamblen ◽  
...  

Intimate partner violence (IPV) is a common feature in the lives of incarcerated women returning to rural communities, enhancing their risk of mental ill-health, substance use, and recidivism. Women’s experiences of IPV intersect with challenges across multiple social–ecological levels, including risky or criminalizing interpersonal relationships, geographic isolation, and persistent gender, racial, and economic inequities. We conducted quantitative surveys and qualitative interviews with 99 incarcerated women in New Mexico who were scheduled to return to micropolitan or non-core areas within 6 months. Quantitative and qualitative data were analyzed separately and then triangulated to identify convergences and divergences in data. The findings underscore how individual and interpersonal experiences of IPV, substance use, and psychological distress intersect with broad social inequities, such as poverty, lack of supportive resources, and reluctance to seek help due to experiences of discrimination. These results point to the need for a more proactive response to the mutually constitutive cycle of IPV, mental distress, incarceration, and structures of violence to improve reentry for women returning to rural communities. Policy and treatment must prioritize socioeconomic marginalization and expand community resources with attention to the needs of rural women of color.


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