The Role of Alcohol Use and Depression in Intimate Partner Violence Among Black and Hispanic Patients in an Urban Emergency Department

Sherry Lipsky · Raúl Caetano · Craig A. Field · Shahrzad Hejazi Bazargan

103 citations0/0 files storedThe American Journal of Drug and Alcohol Abuse

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Intimate Partner and Family Violence Substance Abuse Treatment and Outcomes Elder Abuse and Neglect

Abstract

OBJECTIVES: The primary objective of this study was to assess the role of alcohol use and depression in intimate partner violence (IPV) victimization and perpetration among Blacks and Hispanics in an underserved urban emergency department population. METHODS: This cross-sectional study surveyed male and female patients presenting to an urban emergency department. The outcome measures were physical or sexual IPV victimization and perpetration in the previous 12 months. The independent predictors included demographic variables, alcohol and drug use, and depressive symptoms. Logistic regression analyses calculated the adjusted odds ratio (AOR) and 95% confidence interval (CI) for predictors of IPV victimization and perpetration in separate models. RESULTS: The prevalence of IPV victimization among Blacks and Hispanics were similar (14% and 10%, respectively) but blacks were nearly twice as likely to report IPV perpetration (17% vs. 9%, respectively). Predictors of IPV perpetration were Black race, married or living with a partner, heavy drinking, illicit drug use, and current depression. Depression, but not substance use, also predicted IPV victimization, in addition to Black race, married or living with a partner, and younger age. Screening for substance abuse and depression in an inner city emergency department population may help to identify individuals at high risk of IPV, particularly IPV perpetration.

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References

1977The CES-D Scale 1979Measuring Intrafamily Conflict and Violence: The Conflict Tactics (CT) Scales 2002Physical and mental health effects of intimate partner violence for men and women 2000Extent, Nature, and Consequences of Intimate Partner Violence: Findings from the National Violence Against Women Survey 2000Frequency and correlates of intimate partner violence by type: physical, sexual, and psychological battering 1980Reliability of the CES-D scale in different ethnic contexts 1995Domestic violence against women. Incidence and prevalence in an emergency department population 1997Gender differences in partner violence in a birth cohort of 21-year-olds: Bridging the gap between clinical and epidemiological approaches.

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2010Bidirectional, Unidirectional, and Nonviolence: A Comparison of the Predictors Among Partnered Young Adults 2011Substance use and partner violence among urban women seeking emergency care.2016Changes in Economic Hardship and Intimate Partner Violence: A Family Stress Framework 2012Patterns of Intimate Partner Violence: a study of female victims in Malawi

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