Injury Patterns and Associated Demographics of Intimate Partner Violence in Older Adults Presenting to U.S. Emergency Departments

2021 ◽  
pp. 088626052110220
Author(s):  
Bharti Khurana ◽  
Randall T. Loder
Keyword(s):  
Older Adults ◽  
Intimate Partner Violence ◽  
Older Adult ◽  
Partner Violence ◽  
Emergency Departments ◽  
Intimate Partner ◽  
Small Scale ◽  
Adult Males ◽  
Care Providers ◽  
Injury Patterns

Intimate partner violence (IPV) is a global public health issue and occurs in intimate relationships regardless of age or sexual orientation. Several studies, most of them relying on small-scale samples, have explored the prevalence and risk factors of IPV in older adults. Still, none have focused on the demographics and injury patterns in older adult victims. Using the National Electronic Injury Surveillance System (NEISS) All Injury Program (AIP) data, we performed a retrospective analysis from 2005 through 2015 of the demographics and injuries of older adult IPV patients (>60 years old) presenting to emergency departments (EDs) compared to younger adult IPV patients (<60 years old). IPV accounted for 2,059,441 ED visits (.61%) with 37,534 (1.8%) visits in the older adults. Older adults were more frequently male (36.1% vs 16.8%), White (65.3% vs 52.8%), sustained fewer neck/head injuries (47.6% vs 59.4%), fewer contusions/abrasions (34.6% vs 47.2%), had more trunk fractures (38.4% vs 11.9%), trunk strains/sprains (39.5% vs 15.4%) and more hospital admissions (15.7 vs 4.2%), compared to younger IPV patients. Within the older adult cohort, females were more commonly White (71.2% vs 56.0%) while males were more commonly Black (36.3% vs 19.0%). Injuries in older adult males were more commonly lacerations (40.6% vs 14.2%%) and less commonly contusions/abrasions (33.8% vs 43.5%) compared to elderly females. Older adult females had more internal organ injuries than older adult males (18.9% vs 12.9%) and nearly all involved the head. Knowledge of these injury patterns in older adults can equip the health care providers when to be more suspicious of unexplained or suspicious injuries as the victim’s symptoms at the presentation might not be directly related to violence.

Injury patterns and associated demographics of intimate partner violence in men presenting to U.S. emergency departments

2021 ◽  
Author(s):  
Bharti Khurana ◽  
Denise A. Hines ◽  
Benjamin A. Johnson ◽  
Elizabeth A. Bates ◽  
Nicola Graham‐Kevan ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Emergency Departments ◽  
Intimate Partner ◽  
Injury Patterns

Perceptions of Contexts of Intimate Partner Violence Among Young, Partnered Gay, Bisexual and Other Men Who Have Sex With Men in the United States

2021 ◽  
pp. 088626052110014
Author(s):  
Rob Stephenson ◽  
Lynae A. Darbes ◽  
Matthew T Rosso ◽  
Catherine Washington ◽  
Lisa Hightow-Weidman ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Health Care Providers ◽  
Partner Violence ◽  
The United States ◽  
Intimate Partner ◽  
Care Providers ◽  
Male Couples ◽  
Younger Men ◽  
Sex With Men ◽  
Controlling Behaviors

There has been a growth in research illustrating that gay, bisexual, and other men who have sex with men (GBMSM) experience intimate partner violence (IPV) at rates that are comparable to those among heterosexual women. However, the majority of research on IPV among same-sex male couples has focused on adults, and research on the experience of IPV among younger men (those aged under 18), remains at a nascent stage, despite knowledge that IPV is often common among younger men. This article adds to the growing body of literature on IPV among young GBMSM (YGBMSM) through of an analysis of qualitative data from in-depth interviews (IDI) with GBMSM aged 15–19 ( n = 30) in romantic relationships partnerships. The study sought to explore issues of relationship development, relationship contexts, and understandings of IPV. More than one-half of the sample reported experiencing some form of IPV in their current or past relationships. Participants described a range of experiences of IPV, including physical IPV, emotional IPV, sexual IPV, and controlling behaviors. Emotional IPV in the form of negative comments and controlling behaviors such as jealousy were the most commonly reported forms of violence behaviors. Although few participants reported experiencing physical or sexual IPV, several discussed concerns about giving, and partners’ acknowledging, sexual consent. Antecedents to IPV included wanting or feeling pressured to participate in normative development milestones, short-lived relationships, and societal stigma. Interventions that develop content on IPV and that reflect the lived realities of YGBMSM who are experiencing their first relationships are urgently needed. Study findings also support the need for training teachers, health care providers, and parents to identify signs of IPV and provide them with the knowledge and skills to talk to YGBMSM about relationships and violence to reduce IPV.

Intimate Partner Violence Screening and Referral Practices in an Outpatient Care Setting

2017 ◽  
Vol 35 (23-24) ◽  
pp. 5877-5888 ◽  
Author(s):  
Cari Jo Clark ◽  
Lynette M. Renner ◽  
Mary E. Logeais
Keyword(s):  
Intimate Partner Violence ◽  
Health Care Providers ◽  
Partner Violence ◽  
Primary Care Clinic ◽  
Well Being ◽  
Intimate Partner ◽  
Care Providers ◽  
Care Clinic ◽  
Barriers And Opportunities ◽  
Academic Primary Care

Health care providers who screen for intimate partner violence (IPV) and counsel patients can reduce victimization and positively impact women’s health and well-being; yet only 2% to 50% of medical professionals report routinely screening female patients. The purpose of this study was to identify current practices, policies, barriers, and opportunities for a coordinated and routinized response to IPV in an outpatient academic primary care clinic. Data were collected through interviews and the Physician Readiness to Manage Intimate Partner Violence questionnaire. Data on IPV screening practices over a 5-month period were also available through the electronic health record. Study participants expressed that there was no uniform method of documenting screening results and great variability in the patient populations and circumstances that prompted screening. Over two thirds of the survey respondents reported either a lack of IPV protocol or a lack of knowledge about one if it existed. Providers and staff who participated believed it was within their scope of work to screen for IPV and recognized IPV as a serious health threat; however, they cited an absence of patient education resources, a lack of staff training and awareness, and no established IPV referral network as barriers to screening for IPV. The results of the pilot are in line with existing research highlighting a general lack of screening, variability in process, and the absence of systems-level policies and protocols and linkages to community resources. Pilot findings have been used to initiate a project which encompasses routinized screening, documentation, and care coordination between providers and community organizations to improve patient well-being.

Asking about intimate partner violence: advice from female survivors to health care providers

2005 ◽  
Vol 59 (2) ◽  
pp. 141-147 ◽  
Author(s):  
Judy C. Chang ◽  
Michele R. Decker ◽  
Kathryn E. Moracco ◽  
Sandra L. Martin ◽  
Ruth Petersen ◽  
...  
Keyword(s):  
Health Care ◽  
Intimate Partner Violence ◽  
Health Care Providers ◽  
Partner Violence ◽  
Intimate Partner ◽  
Care Providers ◽  
Female Survivors

Injury Patterns and Help-seeking Behavior in Hong Kong Male Intimate Partner Violence Victims

2015 ◽  
Vol 49 (2) ◽  
pp. 217-226 ◽  
Author(s):  
Anna Wai-Man Choi ◽  
Janet Yuen-Ha Wong ◽  
Chak-Wah Kam ◽  
Chu-Leung Lau ◽  
John Kit-Shing Wong ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Hong Kong ◽  
Partner Violence ◽  
Help Seeking ◽  
Intimate Partner ◽  
Help Seeking Behavior ◽  
Injury Patterns ◽  
Seeking Behavior

Improving Intimate Partner Violence Protocols for Emergency Departments

2002 ◽  
Vol 8 (3) ◽  
pp. 320-338 ◽  
Author(s):  
Andrea Craig Dodge ◽  
Elizabeth McLoughlin ◽  
Linda E. Saltzman ◽  
Gregory Nah ◽  
Peggy Skaj ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Emergency Departments ◽  
Intimate Partner

Hidradenitis Suppurativa, Intimate Partner Violence, and Sexual Assault

2017 ◽  
Vol 21 (5) ◽  
pp. 383-387 ◽  
Author(s):  
Mia Sisic ◽  
Jerry Tan ◽  
Kathryn D. Lafreniere
Keyword(s):  
Intimate Partner Violence ◽  
Sexual Assault ◽  
Health Care Providers ◽  
Partner Violence ◽  
Hidradenitis Suppurativa ◽  
Short Form ◽  
Intimate Partner ◽  
Sexual Consent ◽  
Care Providers ◽  
Dermatology Clinic

Background: Sexual assault and intimate partner violence have never been examined in individuals with hidradenitis suppurativa. The research is important, because prior studies show higher incidences of intimate partner violence and sexual assault in individuals with disabilities, and hidradenitis suppurativa meets criteria for a disability. Objectives: The objective of the study is to examine whether individuals with hidradenitis suppurativa are at significantly higher risk of intimate partner violence and sexual assault compared with individuals who have acne, a recognised disability. Methods: Participants who met criteria for hidradenitis suppurativa and acne were recruited from a mid-sized university and a dermatology clinic. Participants spoke English and were over the age of sexual consent. Group (hidradenitis suppurativa and acne) differences on intimate partner violence and sexual assault were analysed. Victimisation within the past 12 months was measured using the Checklist for Controlling Behaviours, a measure of intimate partner violence, as well as the Sexual Experiences Survey–Short Form Victim, a measure of sexual assault. Results: In total, 243 participants (n = 128 for hidradenitis suppurativa; n = 115 for acne) were surveyed. Individuals with hidradenitis suppurativa were significantly more likely to report being victimised by intimate partner violence. Conclusions: Intimate partner violence was more frequently observed in individuals with hidradenitis suppurativa. Health care providers should be aware of this issue when interacting with patients with hidradenitis suppurativa.

Transgender Intimate Partner Violence and Help-Seeking Patterns

2019 ◽  
pp. 088626051988017 ◽  
Author(s):  
Victoria Kurdyla ◽  
Adam M. Messinger ◽  
Milka Ramirez
Keyword(s):  
Intimate Partner Violence ◽  
Health Care Providers ◽  
Sexual Minority ◽  
Partner Violence ◽  
Help Seeking ◽  
The United States ◽  
Intimate Partner ◽  
Self Report ◽  
Care Providers ◽  
Convenience Sample

Intimate partner violence (IPV) against transgender individuals is highly prevalent and impactful, and thus research is needed to examine the extent to which survivors are able to reach needed assistance and safety. To our knowledge, no U.S.-based quantitative studies have explored transgender utilization patterns and perceptions regarding a broad range of help-giving resources (HGRs). The present article fills this gap in the literature by exploring help-seeking attitudes and behaviors of a convenience sample of 92 transgender adults and 325 cisgender sexual minority adults in the United States. Results from an online questionnaire indicate that, among the subsample experiencing IPV ( n = 187), help-seeking rates were significantly higher among transgender survivors (84.1%) than cisgender sexual minority survivors (67.1%). In addition, transgender survivors most commonly sought help from friends (76.7%), followed by mental health care providers (39.5%) and family (30.2%), whereas formal HGRs such as police, IPV telephone hotlines, and survivor shelters had low utilization rates. Among all transgender participants, IPV survivors were significantly less likely than nonsurvivors to perceive family, medical doctors, and survivor hotlines as helpful HGRs for other survivors in general. Finally, transgender survivors were significantly less likely than nonsurvivors to self-report a willingness to disclose any future IPV to family. Although replication with larger, probability samples is needed, these findings suggest that friends often represent the primary line of defense for transgender survivors seeking help, and thus bystander intervention trainings and education should be adapted to address not just cisgender but also transgender IPV. Furthermore, because most formal HGR types appear to be underutilized and perceived more negatively by transgender survivors, renewed efforts are needed to tailor services, service advertising, and provider trainings to the needs of transgender communities. Directions for future research are reviewed.

Sign in / Sign up

Export Citation Format

Share Document