Article2012

Feasibility of Screening for Intimate Partner Violence at Orthopedic Trauma Hospitals in India

Zahra N. Sohani · Harry S. Shannon · Jason Walter Busse · Diana Tikacz · Parag Kantilal Sancheti · Mangesh Shende +1 more

14 citations0/0 files storedJournal of Interpersonal Violence

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Intimate Partner and Family Violence Sexual Assault and Victimization Studies Elder Abuse and Neglect

Abstract

BACKGROUND: Intimate Partner Violence (IPV) involves behavior that causes physical, psychological, or sexual harm, and has significant health consequences. Given the prevalence of and impact of IPV, various organizations recommend routine IPV screening for women by health-care professionals. OBJECTIVE: We investigated the feasibility of screening women for IPV at a hospital in India. Specifically, we assessed prevalence of IPV, method of questionnaire administration, response rate, availability of IPV related community services for referrals, environment of screening, and explored perspectives of health professionals regarding in-hospital screening. STUDY DESIGN: We administered two questionnaires to consenting women; the composite abuse scale (CAS) and Woman Abuse Screening Tool (WAST). Health professionals involved in conducting the study and in managing care for patients were also interviewed. RESULTS: Forty-seven patients were enrolled in the study. The most reported injury was fractures (39% [CI 25%-54%]) and the greatest proportion involved spine and neck (28% [CI 16%-43%]). Prevalence of IPV was 30% [CI 17%-45%] according to the WAST and 40% [CI 26%-56%] according to the CAS. A majority of the participants used self-report as the method of questionnaire administration. Additionally, the self-report group had greater disclosure than the interview-administered group. The environment at this private hospital was considered adequate for screening and we found several IPV support networks in the community. However, health professionals were reluctant to screen for IPV. CONCLUSIONS: Our findings suggest that screening for IPV at an orthopaedic clinic in India is feasible.

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2002The world report on violence and health 2000Qualitative research in health care: Analysing qualitative data 2002Health consequences of intimate partner violence 1995The “Battering Syndrome”: Prevalence and Clinical Characteristics of Domestic Violence in Primary Care Internal Medicine Practices 2003Women's Status and Domestic Violence in Rural Bangladesh: Individual- and Community-Level Effects 2001Researching Domestic Violence Against Women: Methodological and Ethical Considerations 2005Researching violence against women: a practical guide for researchers and activists 2009Screening for Intimate Partner Violence in Health Care Settings A Randomized Trial

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