Primary care assessment of intimate partner violence and referrals may prevent its recurrence

2006 ◽  
Keyword(s):  
Primary Care ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Intimate Partner ◽  
Care Assessment

Intimate Partner Violence (IPV) Screening and Referral Outcomes among Transgender Patients in a Primary Care Setting

2021 ◽  
pp. 088626052199746
Author(s):  
Kirsten J. H. Das ◽  
Sarah Peitzmeier ◽  
Iman K. Berrahou ◽  
Jennifer Potter
Keyword(s):  
Primary Care ◽  
Intimate Partner Violence ◽  
Gender Identity ◽  
Partner Violence ◽  
Care Setting ◽  
Primary Care Setting ◽  
Screening Program ◽  
Intimate Partner ◽  
Related Services ◽  
Specific Care

Transgender patients are at elevated risk of intimate partner violence (IPV), but national guidelines do not recommend routine screening for this population. This paper explores the feasibility and effectiveness of routine IPV screening of transgender patients in a primary care setting by describing an existing screening program and identifying factors associated with referral and engagement in IPV-related care for transgender patients. An IPV “referral cascade” was created for 1,947 transgender primary care patients at an urban community health center who were screened for IPV between January 1, 2014 to May 31, 2016: (a) Of those screening positive, how many were referred? (b) Of those referred, how many engaged in IPV-specific care within 3 months? Logistic regression identified demographic correlates of referral and engagement. Of the 1,947 transgender patients screened for IPV, 227 screened positive. 110/227 (48.5%) were referred to either internal or external IPV-related services. Of those referred to on-site services, 65/103 (63.1%) had an IPV-related appointment within 3 months of a positive screen. IPV referral was associated with being assigned male at birth (AMAB) versus assigned female at birth (AFAB) (AOR = 2.69, 95% CI 1.52, 4.75) and with nonbinary, rather than binary, gender identity (AOR = 2.07, 95%CI 1.09, 3.73). Engagement in IPV-related services was not associated with any measured demographic characteristics. Similar to published rates for cisgender women, half of transgender patients with positive IPV screens received referrals and two-thirds of those referred engaged in IPV-specific care. These findings support routine IPV screening and referral for transgender patients in primary care settings. Provider training should focus on how to ensure referrals are made for all transgender patients who screen positive for IPV, regardless of gender identity, to ensure the benefits of screening accrue equally for all patients.

scholarly journals Intimate Partner Violence: Perspectives on Universal Screening for Women in VHA Primary Care

2013 ◽  
Vol 23 (2) ◽  
pp. e73-e76 ◽  
Author(s):  
Alison C. Sweeney ◽  
Julie C. Weitlauf ◽  
Elizabeth A. Manning ◽  
Jocelyn A. Sze ◽  
Angela E. Waldrop ◽  
...  
Keyword(s):  
Primary Care ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Universal Screening ◽  
Intimate Partner

Exploring Intimate Partner Violence Among Women Attending Malaysian Primary Care Clinics

2019 ◽  
pp. 088626051983942 ◽  
Author(s):  
Sajaratulnisah Othman ◽  
Choo Wan Yuen ◽  
Norhasmah Mohd Zain ◽  
Azah Abdul Samad
Keyword(s):  
Primary Care ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Intimate Partner ◽  
Primary Care Clinics

Encouraging Asian Immigrant Women to Disclose Intimate Partner Violence in Primary Care Settings

2020 ◽  
pp. 088626052095964
Author(s):  
Paula Tavrow ◽  
Danny Azucar ◽  
Dan Huynh ◽  
Caroline Yoo ◽  
Di Liang ◽  
...  
Keyword(s):  
Primary Care ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Immigrant Women ◽  
Cultural Beliefs ◽  
Primary Care Clinic ◽  
The United States ◽  
Intimate Partner ◽  
Asian Immigrant ◽  
Care Clinic

Risks of intimate partner violence (IPV) often are higher among immigrant women, due to dependency, language barriers, deportation fears, cultural beliefs, and limited access to services. In the United States, Asian immigrant women experiencing IPV often are reluctant to disclose abuse. Viewing videos that depict IPV survivors who have successfully obtained help might encourage disclosure. After conducting formative research, we created brief videos in four Asian languages (Korean, Mandarin Chinese, Thai, and Vietnamese) for use in primary care clinic consultation rooms. We then conducted in-depth interviews with 60 Asian immigrant women in California to get their perspectives on how helpful the videos might be in achieving disclosure. Most participants believed the videos would promote disclosure in clinics, although those who had been abused seemed more skeptical. Many had stereotyped views of victims, who they felt needed to be emotive to be credible. Videos should be upbeat, highlighting the positive outcomes of escaping violence and showing clearly each step of the process. Various types of IPV should be described, so that women understand the violence is not exclusively physical. Victims would need reassurance that they will not be arrested, deported, or forced to leave their abusers. Discussing the benefits of escaping violence to children could be influential. Victims also must be convinced that providers are trustworthy, confidential, and want to help. To assist immigrant populations to disclose IPV to a health provider, videos need to be culturally relevant, explain various types of violence, allay fears, and show clear processes and benefits.

scholarly journals Violence against women, Espírito Santo, Brazil

2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Franciele Marabotti Costa Leite ◽  
Maria Helena Costa Amorim ◽  
Fernando C Wehrmeister ◽  
Denise Petrucci Gigante
Keyword(s):  
Primary Care ◽  
Intimate Partner Violence ◽  
Sexual Violence ◽  
Violence Against Women ◽  
Partner Violence ◽  
Intimate Partner ◽  
Maternal History ◽  
Care Services ◽  
Primary Care Services ◽  
History Of

ABSTRACT OBJECTIVE To estimate the prevalence and factors associated with psychological, physical and sexual violence in women victims of intimate partner violence assisted in the primary care services. METHODS This is a cross-sectional study, conducted in 26 health units in Vitória, State of Espírito Santo, from March to September 2014. We interviewed 991 women aged 20-59 years. To classify the psychological, physical and sexual violence, the World Health Organization instrument on violence against women was used and a questionnaire to investigate the sociodemographic, behavioral characteristics, and the women’s family and life history was developed. The statistical analyzes used were Poisson regression, Fisher’s exact test and Chi-square. RESULTS The prevalence we observed were psychological 25.3% (95%CI 22.6–28.2); physical 9.9% (95%CI 8.1–11.9) and sexual 5.7% (95%CI 4.3–7.3). Psychological violence remained associated with education, marital status, maternal history of intimate partner violence, sexual violence in childhood and drug use, while physical assault was related to age, education, marital status and maternal history of intimate partner violence. Sexual violence occurred the most among women with low income, and victims of sexual violence in childhood. CONCLUSIONS Psychological, physical and sexual violence showed highly frequency among women assisted by primary care services. Sociodemographic and behavioral factors, personal experiences, and maternal violence influence the phenomenon.

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