Relationship of Physical Intimate Partner Violence with Mental Health Diagnoses in the Nationwide Emergency Department Sample

Hind A. Beydoun · Megan Williams · May A. Beydoun · Shaker M. Eid · Alan B. Zonderman

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Intimate Partner and Family Violence Child Abuse and Trauma Elder Abuse and Neglect

Abstract

Objectives: We examined associations of physical intimate partner violence (PIPV) with selected mental health disorders using a nationally representative sample of emergency department (ED) discharges corresponding to men and women (18–64 years) from the 2010 Nationwide Emergency Department Sample. Methods: PIPV was determined using International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) external cause of injury code E967.3 (battering by spouse or partner). ICD-9-CM clinical classification of discharge diagnoses was used to identify mental health disorders. Multivariable logistic regression models were constructed to estimate adjusted odds ratios (ORadj) and their 95% confidence intervals (CIs). Results: PIPV prevalence was estimated at 0.36 per 1000 ED discharges. The strongest correlates of PIPV were alcohol-related (ORadj = 3.02, 95% CI: 2.62–3.50), adjustment (ORadj = 2.37, 95% CI: 1.56–3.58), intentional self-harm (ORadj = 1.41, 95% CI: 1.05–1.89), anxiety (ORadj = 1.23, 95% CI: 1.07–1.40), drug-related (ORadj = 1.22, 95% CI: 1.01–1.47), and mood (ORadj = 1.16, 95% CI: 1.04–1.31) disorders. PIPV's association with alcohol-related disorders was stronger among women (ORadj = 3.22, 95% CI: 2.79–3.72) versus men (ORadj = 1.98, 95% CI: 1.42–2.77). Similarly, drug-related disorders were stronger correlates of PIPV among women (ORadj = 1.32, 95% CI: 1.09–1.60) versus men (ORadj = 0.59, 95% CI: 0.31–1.16). Conclusions: In EDs, PIPV was linked to several mental health disorders, with women experiencing comorbid PIPV and substance use more frequently than men.

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References

2002Health consequences of intimate partner violence 2002Physical and mental health effects of intimate partner violence for men and women 1999Intimate Partner Violence as a Risk Factor for Mental Disorders: A Meta-Analysis 2006Intimate Partner Violence 2013Intimate Partner Violence and Incident Depressive Symptoms and Suicide Attempts: A Systematic Review of Longitudinal Studies n.d.Extent, nature, and consequences of intimate partner violence /1998Prevalence, Incidence, and Consequences of Violence Against Women: Findings From the National Violence Against Women Survey.2006The Impact of Physical, Psychological, and Sexual Intimate Male Partner Violence on Women's Mental Health: Depressive Symptoms, Posttraumatic Stress Disorder, State Anxiety, and Suicide

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