Screening for Partner Violence

Joan Webster · Victoria L. Holt

47 citations0/0 files storedObstetrics and Gynecology

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

Abstract

In Brief OBJECTIVE: To compare the effectiveness of a self-report checklist with a standard set of direct questions in identifying women who are experiencing domestic partner violence. METHODS: Medical records were reviewed for evidence of positive partner violence for women attending the Royal Brisbane and Women's Hospital prenatal clinic between August and September 2002. RESULTS: Records (n = 1,596) were audited, and 937 (58.7%) contained both forms. The self-report check list identified a greater number of “cases” of partner violence (151) than the direct questions (66), with the level of agreement between the two instruments being only “fair” (Kappa coefficient .34). Each of the methods identified 7 cases of major abuse, which would have been missed if only 1 instrument had been used. All cases where women stated that they were afraid of their partner using the direct questions were also identified using the self-report checklist. CONCLUSION: A self-report checklist is an effective alternative to direct questioning in detecting women who are experiencing partner violence and is acceptable to women. LEVEL OF EVIDENCE: II-3 Self-report is an effective alternative to direct questioning in identifying women experiencing domestic partner violence.

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References

1977The Measurement of Observer Agreement for Categorical Data 1979Measuring Intrafamily Conflict and Violence: The Conflict Tactics (CT) Scales 1992Assessing for Abuse During Pregnancy 1996Prevalence of Violence Against Pregnant Women 1992Primary care physicians' response to domestic violence. Opening Pandora's box 2002A global overview of gender‐based violence 1999Screening and Intervention for Intimate Partner Abuse 1994Abuse during pregnancy: effects on maternal complications and birth weight in adult and teenage women.

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