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.

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

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.

Physical and Emotional Intimate Partner Violence and Women’s Health in the First Year After Childbirth: An Australian Pregnancy Cohort Study

2020 ◽  
pp. 088626052093442
Author(s):  
Kelly M. FitzPatrick ◽  
Stephanie Brown ◽  
Kelsey Hegarty ◽  
Fiona Mensah ◽  
Deirdre Gartland
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Short Form ◽  
Intimate Partner ◽  
Health Concern ◽  
Physical Factors ◽  
Care Providers ◽  
Pregnancy Cohort ◽  
Different Types

Intimate partner violence (IPV) can comprise physical, sexual, and emotional abuse, and is a widespread public health concern. Despite increasing recognition that women experience different types of IPV, the majority of research has focused on physical IPV. The present study aims to examine associations between different types of IPV (physical, emotional, physical, and emotional) and women’s mental, physical, and sexual health by analyzing longitudinal data from a prospective pregnancy cohort of 1,507 first-time mothers in Melbourne, Australia. Questionnaires included validated measures of physical and mental health (Short Form Health Survey, Edinburgh Postnatal Depression Scale) and IPV (Composite Abuse Scale). Emotional IPV alone was the most commonly reported type of IPV ( n = 128, 9.5%), followed by both physical and emotional IPV ( n = 76, 5.7%), and then physical IPV alone ( n = 30, 2.2%). Women reporting emotional IPV or physical and emotional IPV had increased odds of poor health compared with women reporting no IPV. Experience of physical and emotional IPV was most strongly associated with mental health issues, including depressive symptoms (adjusted odds ratio [OR] 4.6, 95% confidence interval [CI] = [2.9, 7.1]) and self-reported anxiety (adjusted OR 2.9, 95% CI = [1.9, 4.4]). Experience of emotional IPV alone was associated with poor mental health as well as physical factors, including poor general physical health (adjusted OR 1.9, 95% CI = [1.2, 3.1]), and pain during sex (adjusted OR 1.8, 95% CI = [1.2, 2.7]). Increased odds of poor body image were also observed for women reporting emotional IPV alone and physical and emotional IPV. These findings highlight the need for greater awareness of the diversity in women’s experiences of IPV among health care providers. This includes understanding the prevalence of emotional IPV among new mothers, and the range of health problems that are more common for women experiencing IPV.

Provider Screening and Counseling for Intimate Partner Violence: A Systematic Review of Practices and Influencing Factors

2016 ◽  
Vol 18 (5) ◽  
pp. 479-495 ◽  
Author(s):  
Carmen Alvarez ◽  
Gina Fedock ◽  
Karen Trister Grace ◽  
Jacquelyn Campbell
Keyword(s):  
Systematic Review ◽  
Intimate Partner Violence ◽  
Influencing Factors ◽  
Health Care Providers ◽  
Partner Violence ◽  
Primary Care Providers ◽  
Intimate Partner ◽  
System Level ◽  
Care Providers ◽  
Screening Practices

Background: Primary care providers have an important role in identifying survivors of intimate partner violence (IPV) and providing safety options. Routine screening rates by providers have been consistently low, indicating a need to better understand providers’ practices to ensure the translation of policy into clinical practice. Aim: This systematic review examines common themes regarding provider screening practices and influencing factors on these practices. Method: A literature search was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The search focused on research articles which met the following criteria: (1) health-care providers as participants, (2) provider reports on screening and counseling practices for IPV, and (3) were in English or Spanish. Results: A total of 35 studies were included in the review. Across studies, providers commonly acknowledged the importance of IPV screening yet often used only selective screening. Influencing factors on clinic, provider, and patient levels shaped the process and outcomes of provider screening practices. Overall, a great deal of variability exists in regard to provider screening practices. This variability may be due to a lack of clear system-level guidance for these practices and a lack of research regarding best practices. Conclusions: These findings suggest the necessity of more facilitative, clearly defined, and perhaps mandatory strategies to fulfill policy requirements. Future research directions are outlined to assist with these goals.

Assessing the Psychometric Properties of the Turkish Version of Attitudes and Practice of Health Care Providers Regarding Intimate Partner Violence Survey Scale

2014 ◽  
Vol 29 (4) ◽  
pp. 688-700 ◽  
Author(s):  
Gezgin Burçin Biçici ◽  
Aynur Uysal Toraman
Keyword(s):  
Health Care ◽  
Intimate Partner Violence ◽  
Psychometric Properties ◽  
Health Care Providers ◽  
Partner Violence ◽  
Intimate Partner ◽  
Care Providers ◽  
Turkish Version ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha

This study was planned to assess the psychometric properties of the Turkish version of the “attitudes and practices of health care providers regarding intimate partner violence” (APHCPs-IPV) survey scale. The sample consisted of 355 primary health care providers. A Likert-type scale composed of eight subfactors, and 43 items were used. Means and standard deviations were calculated for interval-level data. A p value of less than .05 was considered statistically significant. The Turkish version consisted of eight factor groups. The Cronbach’s alpha of the general scale was .66, and the Cronbach’s alpha of the factor groups ranged from .29 to .81. It was determined that the APHCPs-IPV scale was a valid and reliable scale to be used in Turkish society, on the condition that item number 33 be removed.

Health Care Providers’ Readiness to Identify and Respond to Intimate Partner Violence

2019 ◽  
pp. 088626051986770 ◽  
Author(s):  
Lynette M. Renner ◽  
Qi Wang ◽  
Mary E. Logeais ◽  
Cari Jo Clark
Keyword(s):  
Health Care ◽  
Intimate Partner Violence ◽  
Behavioral Health ◽  
Health Care Providers ◽  
Nursing Staff ◽  
Partner Violence ◽  
Intimate Partner ◽  
Health Providers ◽  
Care Providers ◽  
Medical Providers

Screening rates for intimate partner violence (IPV) among most health care providers are low; yet, positive interactions with providers can benefit people who experience IPV, with respect to increased safety, support, and self-efficacy. Missing is a broad assessment and comparison of knowledge, attitudes, and behavior across the range of providers who are likely to be involved in a response to IPV disclosure. The purpose of our study was to assess health care providers’ IPV preparation, knowledge, opinions, and practices and examine differences across three types of health care providers (medical providers, nursing staff, and social/behavioral health providers). We used an anonymous online survey to gather self-reported information on preparation, knowledge, opinions, and practices around IPV. A random sample of 402 providers was drawn from 13 clinics in a large multispecialty outpatient practice setting. The respondents ( N = 204) consisted of medical providers ( n = 70), nursing staff ( n = 107), and social/behavioral health providers ( n = 27). Data analyses consisted of univariate, bivariate, and multivariate analyses. Social/behavioral health providers reported more preparation, knowledge, victim understanding, and less job-related constraints, yet they reported lower screening rates than medical providers and nursing staff. Overall, no provider group seemed well-equipped to work with patients who disclose IPV. Our findings identify unmet needs within our health system to better train health care providers and restructure care models to support IPV identification and response. A focus on interprofessional training and care collaboration would bolster competency and reduce constraints felt by the health care workforce.

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