Intimate Partner Violence ... Serious health outcomes, last long after the violence has ended. ... Pregnancy and Violence ...
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Intimate Partner Violence: Urgent Implications for Women's Health
Nancy Glass, PhD, MPH, RN
Co-Director, Center for Health Disparities Research
Oregon Health & Science Universitywww.ohsu.edu/healthdisparities/
Intimate Partner Violence
Population-based telephone survey (N=8000 women) (Tjaden & Thoennes, 1998)
25% of women reported lifetime physical and/or sexual assault by an intimate or ex-intimate partner
Estimated 4.8 million women report physical/sexual violence from an intimate in the past year.
40% of assaults result in injuries
20% seek health care services related to the assault
10% of Oregon women report physical/sexual violence from an intimate in the past year (Oregon DHHS).
Sexual (N = 243)
Emotional (N = 677)
Physical (N = 649)
Health Effects - 5 Major Studies(controlled, pop based or large HMO – Campbell et. al. ’02; Coker et.al.’00; Leserman et.al.’98; McCauley et.al.’95; Plichta ‘96)
Health Effects - 5 Major Studies(controlled, pop based or large HMO – Campbell et. al. 02; Coker et.al.’00; Leserman et.al.’98; McCauley et.al.’95; Plichta ‘96)
Public Health Problem
Health Policy: Screening
“Sometimes clinical judgement trumps Cochrane. Sometimes humanity trumps evidence. Or perhaps the type of evidence we demand for this kind of healing should be different from what we demand for the efficacy of anticoagulation in atrial fibrillation.”
Lachs, Ann Intern Med 2004 p. 400
Abuse Assessment Screen
1. Have you ever been emotionally or physically abused by your partner or someone important to you?
2. Within the last year, have you been hit, slapped, kicked, pushed or shoved, or otherwise physically hurt by your partner or ex-partner?
If YES, by whom
Number of times
3. Does your partner ever force you into sex?
4. Are you afraid of your partner or ex-partner?
Heltin & McFarlane, 1986
Mark the area of any injury on body map.