IPV screening may not be effective.
Article Type: Brief article
Subject: Public health (Services)
Public health (Demographic aspects)
Medical screening (Methods)
Family violence (Health aspects)
Family violence (Prevention)
Women (Health aspects)
Women (Management)
Pub Date: 10/01/2009
Publication: Name: Community Practitioner Publisher: Ten Alps Publishing Audience: Academic Format: Magazine/Journal Subject: Health; Health care industry Copyright: COPYRIGHT 2009 Ten Alps Publishing ISSN: 1462-2815
Issue: Date: Oct, 2009 Source Volume: 82 Source Issue: 10
Topic: Event Code: 200 Management dynamics; 360 Services information Computer Subject: Company business management
Product: Product Code: 9101226 Domestic Violence (Families); 8000120 Public Health Care; 9005200 Health Programs-Total Govt; 9105200 Health Programs NAICS Code: 92219 Other Justice, Public Order, and Safety Activities; 62 Health Care and Social Assistance; 923 Administration of Human Resource Programs; 92312 Administration of Public Health Programs
Geographic: Geographic Scope: United Kingdom Geographic Code: 4EUUK United Kingdom
Accession Number: 209163258
Full Text: Universal intimate partner violence (IPV) screening in health care settings does not result in significant changes in subsequent reports of IPV or quality of life, according to a study. Proponents support screening women for IPV in healthcare settings because of high prevalence of IPV and associated impairment, and availability of feasible screening techniques. However, some organisations have concluded that insufficient evidence exists to recommend it.

To examine the effectiveness of IPV screening and communication of a positive screening result to clinicians--compared with no screening--in reducing subsequent violence and improving quality of life, researchers conducted a randomised controlled trial in Ontario, among 6743 female patients aged 18 to 64 years presenting to healthcare facilities. The women were randomised to undergo screening via questionnaire for the occurrence of IPV in the past year, either just before or after seeing a clinician (those screened beforehand could be referred to social services by clinicians). Follow-up questionnaires assessed recurrent IPV. By 18 months, the rate of recurrent violence did not differ significantly between the group whose clinicians received the results of the screening at the index visit (46%) and those whose did not (53%).The researchers conclude that the results do not provide sufficient evidence to support IPV screening in healt care settings, and that evidence regarding effective interventions to assist women who disclose abuse in healthcare settings is urgently required.

MacMillan H, Wathen N, Jamieson E, Boyle M, Shannon H, Ford-Gilboe M, Worster A, Lent B, Coben J, Campbell C, McNutt L-A; McMaster Violence Against Women Research Group. Screening for intimate partner violence in health care settings: a randomized trial. Journal of the American Medical Association, 2009; 302(5): 493-501.
Gale Copyright: Copyright 2009 Gale, Cengage Learning. All rights reserved.