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Original Investigation |

Medical and Psychosocial Diagnoses in Women With a History of Intimate Partner Violence FREE

Amy E. Bonomi, PhD, MPH; Melissa L. Anderson, MS; Robert J. Reid, MD, PhD; Frederick P. Rivara, MD, MPH; David Carrell, PhD; Robert S. Thompson, MD
[+] Author Affiliations

Author Affiliations: Department of Human Development and Family Science, Ohio State University, Columbus (Dr Bonomi); and Group Health Research Institute (Ms Anderson and Drs Reid, Carrell, and Thompson); Harborview Injury Prevention and Research Center (Dr Rivara); and Departments of Epidemiology and Pediatrics, University of Washington (Dr Rivara), Seattle.


Arch Intern Med. 2009;169(18):1692-1697. doi:10.1001/archinternmed.2009.292.
Text Size: A A A
Published online

Background  We characterized the relative risk of a wide range of diagnoses in women with a history of intimate partner violence (IPV) compared with never-abused women.

Methods  The sample comprised 3568 English-speaking women who were randomly sampled from a large US health plan and who agreed to participate in a telephone survey to assess past-year IPV history using questions from the Behavioral Risk Factor Surveillance System (physical, sexual, and psychological abuse) and the Women's Experience with Battering Scale. Medical and psychosocial diagnoses in the past year were determined using automated data from health plan records. We estimated the relative risk of receiving diagnoses for women with a past-year IPV history compared with women with no IPV history.

Results  In age-adjusted models, compared with never-abused women, abused women had consistently significantly increased relative risks of these disorders: psychosocial/mental (substance use, 5.89; family and social problems, 4.96; depression, 3.26; anxiety/neuroses, 2.73; tobacco use, 2.31); musculoskeletal (degenerative joint disease, 1.71; low back pain, 1.61; trauma-related joint disorders, 1.59; cervical pain, 1.54; acute sprains and strains, 1.35); and female reproductive (menstrual disorders, 1.84; vaginitis/vulvitis/cervicitis, 1.56). Abused women had a more than 3-fold increased risk of being diagnosed with a sexually transmitted disease (3.15) and a 2-fold increased risk of lacerations (2.17) as well as increased risk of acute respiratory tract infection (1.33), gastroesophageal reflux disease (1.76), chest pain (1.53), abdominal pain (1.48), urinary tract infections (1.79), headaches (1.57), and contusions/abrasions (1.72).

Conclusion  Past-year IPV history was strongly associated with a variety of medical and psychosocial conditions observed in clinical settings.

Intimate partner violence (IPV) affects as many as 44% of women in their adult life.1 Numerous studies have documented an association between IPV history and poor self-rated health.215Population-based studies have also shown associations between IPV history and medical and psychosocial diagnoses observed in clinical settings, including trauma,16 gynecological disorders,16,17 induced abortions,16,17 suicide attempts,16,18 mental illness/disorders,1619 drug addiction,16 diseases of the digestive system,18 injury,18,19 poisoning,18 assault,18 and neurological disease.19However, these studies concentrated on clinical populations comprising severe abuse cases, such as abused women seen in emergency departments16,17 or outpatient settings17 for treatment of violence-related injury or women who had filed for a protection order to stop abuse.18 In addition, these studies included only a few types of diagnoses in their analysis, or aggregated diagnoses within major categories (eg, mental disorders, gynecological disorders, and diseases of the digestive system),1618 making it difficult to determine risks associated with specific types of diagnoses, such as depression.

Although prior survey research has shown an association between IPV history and self-reported diagnoses and health risks—such as sexually transmitted disease3,13; headaches, back pain, and abdominal pain3,13; chest pain13 and depression7,13; vaginal infections and symptoms3,14; urinary tract infections3; joint disease13,20; and asthma20—little is known about the full range of medical and psychosocial diagnoses that recently abused women commonly manifest in routine health care settings, including primary and specialty care.

The present investigation summarizes the relative risk (RR) of a wide range of common medical and psychosocial diagnoses in 18 major areas such as cardiovascular, reproductive, musculoskeletal, neurologic, and respiratory, and infections among women with an IPV history in the past year compared with women who never experienced IPV. Our study included 3568 women randomly sampled from the membership files of a large health plan and asked about their exposure to past-year physical, sexual, and psychological abuse. We used Adjusted Clinical Group (ACG) software2123 to characterize the range of medical and psychosocial diagnoses that occurred during the year of women's abuse exposure. The study provides an important snapshot of the diagnostic profiles of women with recent abuse histories who seek treatment in routine health care settings, using data from actual health plan records.

SAMPLING

The study was approved by Group Health Cooperative's Institutional Review Board. Group Health is a large health plan providing insurance and health services to more than 500 000 people in Washington state and northern Idaho. English-speaking women ages 18 to 64 years who were enrolled at Group Health for at least 3 years were randomly sampled from enrollment files to participate in a telephone survey to assess IPV exposure.1,13 An advance letter was sent by mail to women describing our interest in issues affecting women's health. We then contacted women to ascertain their interest and consent to participate in the telephone survey, and consent to access their automated medical records.1,13

Of 6666 women selected, 345 (5.2%) were excluded because they did not meet the sampling criteria originally identified (n = 209), were deceased (n = 3) or too ill (n = 15), or had a language barrier or hearing impairment (n = 118). Of the 6321 remaining women, 1829 (28.9%) refused to participate, 539 (8.5%) were located but did not complete the interview, 385 (6.1%) could not be located, and 3568 (56.4%) completed the survey. As previously reported, because of the response rate, we requested additional administrative data from the health plan to undertake a propensity score analysis; we showed that the probability of study participation was similar for women exposed to IPV compared with women who reported no IPV (0.58 vs 0.57).24 Therefore, it is unlikely that the response rate contributes to bias in the study results.

AUTOMATED DIAGNOSES

Medical and psychosocial diagnoses were assembled for the 1-year period comprising the 4 calendar quarters before and including the date of the study interview for abused and nonabused women using ACG software.2123 The ACG software uses International Disease Classification, 9th Revision (ICD-9), codes to capture the full range of primary and secondary diagnoses documented in inpatient and outpatient records. The Expanded Diagnosis Cluster methods, a component of the ACG system, involve assigning ICD-9 codes from health care visit data to 1 of 264 clusters. Expanded Diagnosis Clusters are aggregations of ICD-9 codes that group individual diagnoses into a set of clinically similar clusters and provide a way to identify women with similar types of conditions while removing differences in coding behavior among health care providers. We considered the full range of diagnosis clusters, organized under the following major categories: allergy; cardiovascular; ear, nose, and throat; endocrine; eye; female reproductive; gastrointestinal; general signs and symptoms; general surgery; genitourinary; infections; musculoskeletal; neurologic; nutrition; psychosocial/mental; reconstructive; respiratory; and skin. In order to provide meaningful estimates in our analysis, we report on only those relatively common diagnoses that were recorded for at least 5% of women in our study. There were several exceptions to the 5% criterion. Less than 5% of women received the following diagnoses, but the diagnoses were included because they have been found in prior studies to be associated with IPV: lacerations (3.7%); family and social problems (3.7%); sleep problems (3.5%); fractures (3.5%); irritable bowel syndrome (1.6%); sexually transmitted diseases and human immunodeficiency virus/AIDS (1.4%); and substance abuse (1.1%). In addition, we excluded a few diagnoses received by more than 5% of participants that were conditions extremely common among women or were likely unrelated to the experience of IPV: refractive errors (43.5%); benign and unspecified neoplasm (14.0%) and skin neoplasms (8.2%); other breast disorders (11.6%); and uncomplicated pregnancy (5.2%).

INTIMATE PARTNER VIOLENCE

Intimate partner violence victimization since age 18 years was assessed during the telephone survey using the Women's Experience with Battering (WEB) Scale25 and 5 questions from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS) survey on physical (1 question), sexual (2 questions), and psychological abuse (verbal threats and chronic controlling behavior; 2 questions).1,13 Details of the IPV assessment procedure are described elsewhere.1,13 In brief, women were asked to name their 3 most recent adult intimate (heterosexual or homosexual) partners and answered the WEB questions for each of their 3 partners. The WEB uses a Likert scale with scores ranging from 1 (strongly disagree) to 6 (strongly agree) and assesses fear and disempowerment resulting from exposure to abuse. Women who scored 20 or higher on the WEB (score range, 10-60) for any given partner were considered positive for abuse.26 If women scored positive on the WEB, they were then asked about the date that they started and stopped feeling that way with the partner; this information was used to construct the timing of abuse. Women were then asked whether they had ever experienced each of the physical, sexual, and nonphysical abuse tactics represented in the 5 BRFSS questions using a binary response option (yes/no). Women who answered yes to any of the BRFSS questions were considered positive for that abuse type. If women ever experienced any of the abuse types, they were then asked whether the abuse occurred in the past year and when the abuse first happened to them and when it last happened to them. This information (along with the information from the WEB) was used to construct the timing of women's abuse.

According to our exposure definitions, 272 women experienced IPV in the past year (7.6%), 1977 had never experienced IPV (55.4%), and 1319 had experienced IPV in the past but not within the past year (37.0%). Our study focuses on diagnoses associated with recent abuse; therefore, we excluded the 1319 women with past but not recent abuse. In addition, since we relied on automated data from the health plan to identify diagnoses, we excluded 321 women who were not enrolled in the health plan for at least 3 of the 4 calendar quarters before the study interview, resulting in a final analytic sample of 1928 women. Our analysis compares 242 women reporting abuse within the past year to the reference group of 1686 women who never experienced IPV in their adult lifetime according to the BRFSS or WEB questions.

We focused on women with past-year abuse to construct an argument about types of medical and psychosocial conditions affecting women during the year of their abuse exposure. We did not examine women who had an IPV history before but not during the past year; future analyses may include this group.

SOCIODEMOGRAPHIC CHARACTERISTICS

Women were asked about their age, household income, employment status, highest grade level completed, race/ethnicity, and number of children living in the home using questions from the US Census Bureau.27

STATISTICAL ANALYSIS

We used χ2 tests and tests for trend to compare the demographic characteristics of women with a past-year IPV history (exposed group) compared with never-abused women (reference group). Generalized linear models with a log link and binomial errors were used to estimate RRs of the dichotomous diagnoses in the exposed compared with the reference group. We ran 2 generalized linear models: an unadjusted model and a model that adjusted for women's age. As noted in the “Automated Diagnoses” subsection of this section, we excluded diagnoses that occurred in less than 5% of women, with the exception of a handful of diagnoses that occurred infrequently but bear close association to IPV.

PARTICIPANT CHARACTERISTICS

Table 1 presents the characteristics of participants by IPV history. Women with a past-year IPV history had lower annual household income (income < $50 000, 54% vs 35% of women with no IPV history), were less likely to have completed high school (18% vs 12%), and were more likely to have children younger than 18 years living in the home (38% vs 29%) than never-abused women.

Table Graphic Jump LocationTable 1. Participant Characteristics
MEDICAL AND PSYCHOSOCIAL DIAGNOSES

Table 2 presents the results of the unadjusted and age-adjusted generalized linear models. The results from the age-adjusted analysis were similar to the unadjusted results; we comment on the age-adjusted findings here. Compared with never-abused women, women with a past-year IPV history had consistently significantly increased RRs of diagnoses falling within the following major diagnostic groupings: psychosocial/mental disorders (substance use, 5.89; family and social problems, 4.96; depression, 3.26; anxiety/neuroses, 2.73; tobacco use, 2.31); musculoskeletal disorders (degenerative joint disease, 1.71; low back pain, 1.61; trauma-related joint disorders, 1.59; cervical pain, 1.54; acute sprains and strains, 1.35); and female reproductive conditions (menstrual disorders, 1.84; vaginitis/vulvitis/cervicitis, 1.56). After these major diagnostic groupings, abused women also had a more than 3-fold increased risk of being diagnosed with a sexually transmitted disease (3.15) and a 2-fold increased risk of treated lacerations (2.17) compared with never-abused women. Finally, we observed significant but less pronounced increased risk in the following diagnostic areas for women with a past-year IPV history compared with never-abused women: acute respiratory tract infection, 1.33; gastroesophageal reflux disease, 1.76; undifferentiated chest pain, 1.53; undifferentiated abdominal pain, 1.48; urinary tract infections, 1.79; undifferentiated headaches, 1.57; and contusions/abrasions, 1.72.

Table Graphic Jump LocationTable 2. Relative Risk of Diagnoses Associated With IPV Exposure

Compared with never-abused women, women with a past-year history of IPV had a pronounced increased risk of psychosocial/mental health diagnoses, with an almost 6-fold increased risk of clinically identified substance abuse, a nearly 5-fold increase in family and social problems, a more than 3-fold increase in depression, and a more than 2-fold increase in anxiety/neuroses and tobacco use. Also of note was the more than 3-fold increased risk of sexually transmitted disease diagnoses and the 2-fold increased risk of lacerations as well as consistently significantly increased risk of diagnoses within the major categories of musculoskeletal and female reproductive conditions.

Our results are consistent with prior studies involving abused women seeking treatment in trauma settings or involved in the criminal justice system, which showed increased risk of medical and psychosocial diagnoses such as gynecological disorders,16,17 mental illness,1619 substance abuse,16 injury,18,19 and neurological disorders.19 For example, our finding of a more than 3-fold increase in depression among abused women (RR, 3.26) is consistent with the finding by Kernic et al18 of a RR of 3.6 for hospitalizations for mental disorders among abused women who sought protection orders compared with other women. Moreover, our finding of increased risk of lacerations, contusions/abrasions, acute sprains and strains, and trauma-related joint disorders is consistent with prior studies showing higher rates of injury among abused women.18,19 However, as previously noted, because prior studies included only a few diagnoses or lumped diagnoses within major categories (eg, mental disorders), it is challenging to make comparisons with our study. Our study includes a broader range and more specific listings of medical and psychosocial diagnoses for women seeking treatment in routine health care settings, including primary care, specialty care, and urgent care or emergency department settings.24

Our finding of an increased risk of sexually transmitted disease, tobacco use, headache, back pain, abdominal pain, chest pain, arthritis/degenerative joint disease, depression, vaginitis, genital symptoms, urinary tract infections, and respiratory tract disease for women with a past-year IPV history is consistent with survey-based research noting associations between IPV history and each of these areas.3,7,9,1315,20,28

In addition, our study improves on the methods of prior population-based studies. We randomly sampled women from health plan enrollment files, rather than from among women seeking clinical services. We had access to diagnoses recorded by physicians and other health care providers across the full range of care received by women enrolled in the health plan (eg, primary care, specialty care, and emergency services). Furthermore, we used a multifaceted approach to assess IPV history—which included physical, sexual, and psychological aspects of abuse—to adequately characterize women's experience of abuse.

There were several limitations of our study. Women were required to be insured for at least 3 years during a 10-year period to satisfy another study component.24 Women who are not consistently insured suffer higher rates of IPV1 and may have more compromised health; therefore, our results may be conservative. Women in the sample were older, had higher income levels, and were more highly educated compared with all women in the United States.27 Because of the small number of women in our sample with a history of IPV in the past year and the low prevalence of many of the diagnoses, it was not possible to adjust for additional participant characteristics (eg, women's educational level) in our multivariate model.

These limitations notwithstanding, our study provides important information for health care providers and health plans on medical and psychosocial diagnoses commonly observed in a population-based sample of women by IPV history. The results suggest that certain conditions may be important indicators for screening women for IPV. For example, given the high RRs of psychosocial/mental health diagnoses, sexually transmitted disease, and lacerations among abused women, screening for IPV should be prioritized among women presenting with these conditions. Because women may not volunteer that they are in abusive relationships, health care providers should also maintain a high index of suspicion for underlying IPV when women present with these diagnoses and symptoms.

Studies suggest that women are comfortable with being asked about abuse by their health care providers,29,30 and, even with the lack of widespread, evidence-based treatments,31 connecting women with protection order services32 and increasing their access to community resources and social support33,34 may reduce IPV.31 Moreover, abused women recommend a number of simple strategies implemented by health care providers to help them with their situation, namely, informational interventions,30,35 individual counseling,35 and referrals,30 as well as substance abuse counseling and treatment for depression and education about how abuse affects their health.30 Our study provides concrete and compelling information on the medical and psychosocial ramifications of IPV that could be used in discussions with women.

Correspondence: Amy E. Bonomi, PhD, MPH, Department of Human Development and Family Science, Ohio State University, 135 Campbell Hall, 1787 Neil Ave, Columbus, OH 43210 (bonomi.1@osu.edu).

Accepted for Publication: June 18, 2009.

Author Contributions: Drs Bonomi, Reid, Rivara, and Thompson and Ms Anderson had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Bonomi and Rivara. Acquisition of data: Bonomi, Rivara, and Carrell. Analysis and interpretation of data: Bonomi, Anderson, Reid, Rivara, Carrell, and Thompson. Drafting of the manuscript: Bonomi. Critical revision of the manuscript for important intellectual content: Bonomi, Anderson, Reid, Rivara, Carrell, and Thompson. Statistical analysis: Bonomi and Anderson. Obtained funding: Rivara and Thompson. Administrative, technical, and material support: Rivara. Study supervision: Thompson.

Financial Disclosure: None reported.

Funding/Support: This study was developed with support from the Agency for Healthcare Research and Quality and the Group Health Foundation.

Additional Contributions: We thank the study interviewers for interviewing thousands of women.

Thompson  RSBonomi  AEAnderson  M  et al.  Intimate partner violence: prevalence, types, and chronicity in adult women. Am J Prev Med 2006;30 (6) 447- 457
PubMed Link to Article
Kramer  ALorenzon  DMueller  G Prevalence of intimate partner violence and health implications for women using emergency departments and primary care clinics. Womens Health Issues 2004;14 (1) 19- 29
PubMed Link to Article
Campbell  JJones  ASDienemann  J  et al.  Intimate partner violence and physical health consequences. Arch Intern Med 2002;162 (10) 1157- 1163
PubMed Link to Article
McCauley  JKern  DEKolodner  K  et al.  The “battering syndrome”: prevalence and clinical characteristics of domestic violence in primary care internal medicine practices. Ann Intern Med 1995;123 (10) 737- 746
PubMed Link to Article
Schei  BBakketeig  LS Gynecological impact of sexual and physical abuse by spouse: a study of a random sample of Norwegian women. Br J Obstet Gynaecol 1989;96 (12) 1379- 1383
PubMed Link to Article
Hathaway  JEMucci  LASilverman  JGBrooks  DRMathews  RPavlos  CA Health status and health care use of Massachusetts women reporting partner abuse. Am J Prev Med 2000;19 (4) 302- 307
PubMed Link to Article
Coker  ALDavis  KEArias  I  et al.  Physical and mental health effects of intimate partner violence for men and women. Am J Prev Med 2002;23 (4) 260- 268
PubMed Link to Article
Coker  ALPope  BOSmith  PHSanderson  MHussey  JR Assessment of clinical partner violence screening tools. J Am Med Womens Assoc 2001;56 (1) 19- 23
PubMed
Hegarty  KGunn  JChondros  PSmall  R Association between depression and abuse by partners of women attending general practice: descriptive, cross-sectional survey. BMJ 2004;328 (7440) 621- 624
PubMed Link to Article
Roberts  GLLawrence  JMWilliams  GMRaphael  B The impact of domestic violence on women's mental health. Aust N Z J Public Health 1998;22 (7) 796- 801
PubMed Link to Article
Brokaw  JFullerton-Gleason  LOlson  LCrandall  CMcLaughlin  SSklar  D Health status and intimate partner violence: a cross-sectional study. Ann Emerg Med 2002;39 (1) 31- 38
PubMed Link to Article
Nicolaidis  CCurry  MMcFarland  BGerrity  M Violence, mental health, and physical symptoms in an academic internal medicine practice. J Gen Intern Med 2004;19 (8) 819- 827
PubMed Link to Article
Bonomi  AEThompson  RSAnderson  ML  et al.  Intimate partner violence and women's physical, mental, and social functioning. Am J Prev Med 2006;30 (6) 458- 466
PubMed Link to Article
Ellsberg  MJansen  HAHeise  LWatts  CHGarcia-Moreno  CWHO Multi-country Study on Women's Health and Domestic Violence against Women Study Team, Intimate partner violence and women's physical and mental health in the WHO Multi-country Study on Women's Health and Domestic Violence: an observational study. Lancet 2008;371 (9619) 1165- 1172
PubMed Link to Article
Bonomi  AEAnderson  MLRivara  FPThompson  RS Health outcomes in women with physical and/or sexual intimate partner violence exposure. J Womens Health (Larchmnt) 2007;16 (7) 987- 997
PubMed Link to Article
Bergman  BBrismar  B A 5-year follow-up study of 117 battered women. Am J Public Health 1991;81 (11) 1486- 1489
PubMed Link to Article
Helweg-Larsen  KKruse  M Violence against women and consequent health problems: a register-based study. Scand J Public Health 2003;31 (1) 51- 57
PubMed Link to Article
Kernic  MAWolf  MEHolt  VL Rates and relative risk of hospital admission among women in violent intimate partner relationships. Am J Public Health 2000;90 (9) 1416- 1420
PubMed Link to Article
Jones  ASDienemann  JSchollenberger  J  et al.  Long-term costs of intimate partner violence in a sample of female HMO enrollees. Womens Health Issues 2006;16 (5) 252- 261
PubMed Link to Article
Breiding  MJBlack  MCRyan  GW Chronic disease and health risk behaviors associated with intimate partner violence: 18 U. S. states/territories, 2005. Ann Epidemiol 2008;18 (7) 538- 544
PubMed Link to Article
Starfield  BWeiner  JMumford  LSteinwachs  D Ambulatory care groups: a categorization of diagnoses for research and management. Health Serv Res 1991;26 (1) 53- 74
PubMed
Weiner  JPStarfield  BHLieberman  RN Johns Hopkins Ambulatory Care Groups (ACGs): a case-mix system for UR, QA, and capitation adjustment. HMO Pract 1992;6 (1) 13- 19
PubMed
Weiner  JPStarfield  BHSteinwachs  DMMumford  LM Development and application of a population-oriented measure of ambulatory care case-mix. Med Care 1991;29 (5) 452- 472
PubMed Link to Article
Rivara  FPAnderson  MLFishman  P  et al.  Healthcare utilization and costs for women with a history of intimate partner violence. Am J Prev Med 2007;32 (2) 89- 96
PubMed Link to Article
Smith  PHEarp  JADeVellis  R Measuring battering: development of the Women's Experience with Battering (WEB) scale. Womens Health 1995;1 (4) 273- 288
PubMed
Coker  ALSmith  PHMcKeown  REKing  MJ Frequency and correlates of intimate partner violence by type: physical, sexual and psychological battering. Am J Public Health 2000;90 (4) 553- 559
PubMed Link to Article
 The American Community Survey. US Census Bureau Web site. http://www.census.gov/acs/www/. Accessed April 11, 2009
Mouton  CPRodabough  RJRovi  SLD  et al.  Prevalence and 3-year incidence of abuse among postmenopausal women. Am J Public Health 2004;94 (4) 605- 612
PubMed Link to Article
Coker  ALFlerx  VCSmith  PH  et al.  Partner violence screening in rural health care clinics. Am J Public Health 2007;97 (7) 1319- 1325
PubMed Link to Article
Zink  TElder  NJacobson  JKlostermann  B Medical management of intimate partner violence considering the stages of change: precontemplation and contemplation. Ann Fam Med 2004;2 (3) 231- 239
PubMed Link to Article
Wathen  CNMacMillan  HL Interventions for violence against women: scientific review. JAMA 2003;289 (5) 589- 600
PubMed Link to Article
Holt  VLKernic  MAWolf  MERivara  FP Do protection orders affect the likelihood of future partner violence and injury? Am J Prev Med 2003;24 (1) 16- 21
PubMed Link to Article
McFarlane  JMGroff  JYO’Brien  JAWatson  K Secondary prevention of intimate partner violence: a randomized controlled trial. Nurs Res 2006;55 (1) 52- 61
PubMed Link to Article
Sullivan  CMBybee  DI Reducing violence using community-based advocacy for women with abusive partners. J Consult Clin Psychol 1999;67 (1) 43- 53
PubMed Link to Article
Chang  JCCluss  PARanieri  L  et al.  Health care interventions for intimate partner violence: what women want. Womens Health Issues 2005;15 (1) 21- 30
PubMed Link to Article

Figures

Tables

Table Graphic Jump LocationTable 1. Participant Characteristics
Table Graphic Jump LocationTable 2. Relative Risk of Diagnoses Associated With IPV Exposure

References

Thompson  RSBonomi  AEAnderson  M  et al.  Intimate partner violence: prevalence, types, and chronicity in adult women. Am J Prev Med 2006;30 (6) 447- 457
PubMed Link to Article
Kramer  ALorenzon  DMueller  G Prevalence of intimate partner violence and health implications for women using emergency departments and primary care clinics. Womens Health Issues 2004;14 (1) 19- 29
PubMed Link to Article
Campbell  JJones  ASDienemann  J  et al.  Intimate partner violence and physical health consequences. Arch Intern Med 2002;162 (10) 1157- 1163
PubMed Link to Article
McCauley  JKern  DEKolodner  K  et al.  The “battering syndrome”: prevalence and clinical characteristics of domestic violence in primary care internal medicine practices. Ann Intern Med 1995;123 (10) 737- 746
PubMed Link to Article
Schei  BBakketeig  LS Gynecological impact of sexual and physical abuse by spouse: a study of a random sample of Norwegian women. Br J Obstet Gynaecol 1989;96 (12) 1379- 1383
PubMed Link to Article
Hathaway  JEMucci  LASilverman  JGBrooks  DRMathews  RPavlos  CA Health status and health care use of Massachusetts women reporting partner abuse. Am J Prev Med 2000;19 (4) 302- 307
PubMed Link to Article
Coker  ALDavis  KEArias  I  et al.  Physical and mental health effects of intimate partner violence for men and women. Am J Prev Med 2002;23 (4) 260- 268
PubMed Link to Article
Coker  ALPope  BOSmith  PHSanderson  MHussey  JR Assessment of clinical partner violence screening tools. J Am Med Womens Assoc 2001;56 (1) 19- 23
PubMed
Hegarty  KGunn  JChondros  PSmall  R Association between depression and abuse by partners of women attending general practice: descriptive, cross-sectional survey. BMJ 2004;328 (7440) 621- 624
PubMed Link to Article
Roberts  GLLawrence  JMWilliams  GMRaphael  B The impact of domestic violence on women's mental health. Aust N Z J Public Health 1998;22 (7) 796- 801
PubMed Link to Article
Brokaw  JFullerton-Gleason  LOlson  LCrandall  CMcLaughlin  SSklar  D Health status and intimate partner violence: a cross-sectional study. Ann Emerg Med 2002;39 (1) 31- 38
PubMed Link to Article
Nicolaidis  CCurry  MMcFarland  BGerrity  M Violence, mental health, and physical symptoms in an academic internal medicine practice. J Gen Intern Med 2004;19 (8) 819- 827
PubMed Link to Article
Bonomi  AEThompson  RSAnderson  ML  et al.  Intimate partner violence and women's physical, mental, and social functioning. Am J Prev Med 2006;30 (6) 458- 466
PubMed Link to Article
Ellsberg  MJansen  HAHeise  LWatts  CHGarcia-Moreno  CWHO Multi-country Study on Women's Health and Domestic Violence against Women Study Team, Intimate partner violence and women's physical and mental health in the WHO Multi-country Study on Women's Health and Domestic Violence: an observational study. Lancet 2008;371 (9619) 1165- 1172
PubMed Link to Article
Bonomi  AEAnderson  MLRivara  FPThompson  RS Health outcomes in women with physical and/or sexual intimate partner violence exposure. J Womens Health (Larchmnt) 2007;16 (7) 987- 997
PubMed Link to Article
Bergman  BBrismar  B A 5-year follow-up study of 117 battered women. Am J Public Health 1991;81 (11) 1486- 1489
PubMed Link to Article
Helweg-Larsen  KKruse  M Violence against women and consequent health problems: a register-based study. Scand J Public Health 2003;31 (1) 51- 57
PubMed Link to Article
Kernic  MAWolf  MEHolt  VL Rates and relative risk of hospital admission among women in violent intimate partner relationships. Am J Public Health 2000;90 (9) 1416- 1420
PubMed Link to Article
Jones  ASDienemann  JSchollenberger  J  et al.  Long-term costs of intimate partner violence in a sample of female HMO enrollees. Womens Health Issues 2006;16 (5) 252- 261
PubMed Link to Article
Breiding  MJBlack  MCRyan  GW Chronic disease and health risk behaviors associated with intimate partner violence: 18 U. S. states/territories, 2005. Ann Epidemiol 2008;18 (7) 538- 544
PubMed Link to Article
Starfield  BWeiner  JMumford  LSteinwachs  D Ambulatory care groups: a categorization of diagnoses for research and management. Health Serv Res 1991;26 (1) 53- 74
PubMed
Weiner  JPStarfield  BHLieberman  RN Johns Hopkins Ambulatory Care Groups (ACGs): a case-mix system for UR, QA, and capitation adjustment. HMO Pract 1992;6 (1) 13- 19
PubMed
Weiner  JPStarfield  BHSteinwachs  DMMumford  LM Development and application of a population-oriented measure of ambulatory care case-mix. Med Care 1991;29 (5) 452- 472
PubMed Link to Article
Rivara  FPAnderson  MLFishman  P  et al.  Healthcare utilization and costs for women with a history of intimate partner violence. Am J Prev Med 2007;32 (2) 89- 96
PubMed Link to Article
Smith  PHEarp  JADeVellis  R Measuring battering: development of the Women's Experience with Battering (WEB) scale. Womens Health 1995;1 (4) 273- 288
PubMed
Coker  ALSmith  PHMcKeown  REKing  MJ Frequency and correlates of intimate partner violence by type: physical, sexual and psychological battering. Am J Public Health 2000;90 (4) 553- 559
PubMed Link to Article
 The American Community Survey. US Census Bureau Web site. http://www.census.gov/acs/www/. Accessed April 11, 2009
Mouton  CPRodabough  RJRovi  SLD  et al.  Prevalence and 3-year incidence of abuse among postmenopausal women. Am J Public Health 2004;94 (4) 605- 612
PubMed Link to Article
Coker  ALFlerx  VCSmith  PH  et al.  Partner violence screening in rural health care clinics. Am J Public Health 2007;97 (7) 1319- 1325
PubMed Link to Article
Zink  TElder  NJacobson  JKlostermann  B Medical management of intimate partner violence considering the stages of change: precontemplation and contemplation. Ann Fam Med 2004;2 (3) 231- 239
PubMed Link to Article
Wathen  CNMacMillan  HL Interventions for violence against women: scientific review. JAMA 2003;289 (5) 589- 600
PubMed Link to Article
Holt  VLKernic  MAWolf  MERivara  FP Do protection orders affect the likelihood of future partner violence and injury? Am J Prev Med 2003;24 (1) 16- 21
PubMed Link to Article
McFarlane  JMGroff  JYO’Brien  JAWatson  K Secondary prevention of intimate partner violence: a randomized controlled trial. Nurs Res 2006;55 (1) 52- 61
PubMed Link to Article
Sullivan  CMBybee  DI Reducing violence using community-based advocacy for women with abusive partners. J Consult Clin Psychol 1999;67 (1) 43- 53
PubMed Link to Article
Chang  JCCluss  PARanieri  L  et al.  Health care interventions for intimate partner violence: what women want. Womens Health Issues 2005;15 (1) 21- 30
PubMed Link to Article

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