Document Detail

Intimate partner violence and health care-seeking patterns among female users of urban adolescent clinics.
MedLine Citation:
PMID:  19760162     Owner:  NLM     Status:  MEDLINE    
To assess the prevalence of intimate partner violence (IPV) and associations with health care-seeking patterns among female patients of adolescent clinics, and to examine screening for IPV and IPV disclosure patterns within these clinics. A self-administered, anonymous, computerized survey was administered to female clients ages 14-20 years (N = 448) seeking care in five urban adolescent clinics, inquiring about IPV history, reasons for seeking care, and IPV screening by and IPV disclosure to providers. Two in five (40%) female urban adolescent clinic patients had experienced IPV, with 32% reporting physical and 21% reporting sexual victimization. Among IPV survivors, 45% reported abuse in their current or most recent relationship. IPV prevalence was equally high among those visiting clinics for reproductive health concerns as among those seeking care for other reasons. IPV victimization was associated with both poor current health status (AOR 1.57, 95% CI 1.03-2.40) and having foregone care in the past year (AOR 2.59, 95% CI 1.20-5.58). Recent IPV victimization was associated only with past 12 month foregone care (AOR 2.02, 95% CI 1.18-3.46). A minority (30%) reported ever being screened for IPV in a clinical setting. IPV victimization is pervasive among female adolescent clinic attendees regardless of visit type, yet IPV screening by providers appears low. Patients reporting poor health status and foregone care are more likely to have experienced IPV. IPV screening and interventions tailored for female patients of adolescent clinics are needed.
Elizabeth Miller; Michele R Decker; Anita Raj; Elizabeth Reed; Danelle Marable; Jay G Silverman
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Maternal and child health journal     Volume:  14     ISSN:  1573-6628     ISO Abbreviation:  Matern Child Health J     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-25     Completed Date:  2011-04-11     Revised Date:  2013-05-31    
Medline Journal Info:
Nlm Unique ID:  9715672     Medline TA:  Matern Child Health J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  910-7     Citation Subset:  IM    
Department of Pediatrics, UC Davis School of Medicine, Ticon II, 2516 Stockton Blvd., Rm 382, Sacramento, CA 95817, USA.
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MeSH Terms
Adolescent Health Services / utilization*
Ambulatory Care Facilities
Cross-Sectional Studies
Domestic Violence* / psychology,  statistics & numerical data
Health Status
Interpersonal Relations*
Mass Screening
Patient Acceptance of Health Care / statistics & numerical data*
Self Disclosure
Sex Offenses / statistics & numerical data*
Sexual Partners
Urban Population
Young Adult
Grant Support
K12 HD051958/HD/NICHD NIH HHS; U36/CCU300430-23//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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