Article2005

The Role of Intimate Partner Violence, Race, and Ethnicity in Help-Seeking Behaviors

Sherry Lipsky · Raúl Caetano · Craig A. Field · Gregory Luke Larkin

204 citations0/0 files storedEthnicity and Health

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

Abstract

OBJECTIVE: Women experiencing intimate partner violence (IPV) have multiple health and social service needs but many, especially Hispanic, women may not access these resources. This research sought to examine the relationship between IPV and health and social services utilization (help-seeking behaviors), with a focus on racial and ethnic disparities. DESIGN: Case-control study from an urban US emergency department population in which cases (women with IPV) and controls (women without IPV) were frequency matched by age group and race/ethnicity. Logistic regression analyses were performed to examine the relationship between IPV and help-seeking behaviors and between help-seeking behaviors and race/ethnicity among abused women. In addition, a stratified analysis was conducted to examine the relationship between acculturation and help-seeking behaviors among Hispanic women. RESULTS: The sample included 182 cases and 147 controls. Among the health services, alcohol program, emergency department, and hospital utilization were significantly increased among IPV victims compared to non-victims after taking demographic and substance use factors into account. Similarly, IPV victims were more likely to access social/case worker services and housing assistance compared to non-victims. Specific help-seeking behaviors were significantly associated with race and ethnicity among IPV victims, with non-Hispanic white and black women more likely to use housing assistance and emergency department services and black women more likely to use police assistance compared to Hispanic women. Among all Hispanic women, low acculturation was associated with decreased utilization of social services overall and with any healthcare utilization, particularly among abused women. CONCLUSIONS: Social service and healthcare workers should be alerted to and screen for IPV among all clients. The need for increased outreach and accessibility of services for abused women in Hispanic communities in the USA should be addressed, with cultural and language relevance a key component of these efforts.

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References

2003Diagnostic and Statistical Manual of Mental Disorders (DSM-IV)2002The world report on violence and health 1996The Revised Conflict Tactics Scales (CTS2)1979Measuring Intrafamily Conflict and Violence: The Conflict Tactics (CT) Scales 2002Physical and mental health effects of intimate partner violence for men and women 2001Mental Health: Culture, Race, and Ethnicity—A Supplement to Mental Health: A Report of the Surgeon General 1999Intimate Partner Violence as a Risk Factor for Mental Disorders: A Meta-Analysis 2002World Report on Violence and Health, World Health Organization

Cited by

2007Health Disparities and Violence Against Women 2018Intimate Partner Violence and Help-Seeking Behaviour: A Systematic Review of Cross-Cultural Differences 2011Help seeking and barriers of Hispanic partner violence survivors: A systematic review of the literature 2009Intimate Partner Violence and Barriers To Mental Health Care for Ethnically Diverse Populations of Women 2017Intimate Partner Violence and Help-Seeking 2012

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