Preventive Healthcare Use, Smoking, and Alcohol Use among Rhode Island Women Experiencing Intimate Partner Violence

Stephenie C. Lemon · W G Verhoek

112 citations0/0 files storedJournal of Women s Health & Gender-Based Medicine

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Intimate Partner and Family Violence Substance Abuse Treatment and Outcomes Sexual Assault and Victimization Studies

Abstract

OBJECTIVE: Intimate partner violence (IPV) poses major health threats to women, including increased risk for several chronic health conditions. The impact of IPV on use of preventive health services is not well understood. Although several studies indicate that female victims of IPV have higher rates of alcohol abuse, this has not been replicated in population-based studies. The association of IPV with smoking has not been a major research focus. The purpose of this study was to examine the association between physical and psychological IPV in the past 12 months and preventive healthcare use, smoking, and alcohol use among women. METHODS: Data on 1643 women aged 18-54 from the 1999 Rhode Island Behavioral Risk Factor Surveillance System were analyzed. Logistic regression, controlling for age, race, marital status, education, insurance status, and functional disability, was used to model the associations of IPV with (1) checkups, (2) clinical breast examinations (CBEs), (3) Pap smear screening, (4) cigarette smoking, and (5) high-risk alcohol use. RESULTS: Prevalence of physical IPV was 4.1%. The prevalence of psychological IPV, in the absence of physical IPV was 4.5%. Physical IPV was associated with receiving regular Pap smears odds ratio ([OR] = 2.39, 95% confidence interval [CI] 1.01-5.70), current smoking (OR = 2.07, 95% CI 1.03-4.18), and high-risk alcohol use (OR = 4.85, 95% CI 2.02-11.60). Psychological IPV was associated with high-risk alcohol use (OR = 3.22, 95% CI 1.46-7.09). CONCLUSIONS: Women experiencing IPV regularly access preventive healthcare, providing healthcare providers with opportunities to assess and counsel women for IPV in addition to smoking and high-risk alcohol use.

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References

2000Full Report of the Prevalence, Incidence, and Consequences of Violence Against Women 1990Physical Violence in American Families: Risk Factors and Adaptations to Violence in 8,145 Families.1986Societal Change and Change in Family Violence from 1975 to 1985 as Revealed by Two National Surveys 2000Physical Health Consequences of Physical and Psychological Intimate Partner Violence 1998Prevalence, Incidence, and Consequences of Violence Against Women: Findings From the National Violence Against Women Survey.1990Sexual and Physical Abuse in Women with Functional or Organic Gastrointestinal Disorders 2017Battered Woman Syndrome 1992Primary care physicians' response to domestic violence. Opening Pandora's box

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