American Journal of Epidemiology Advance Access published online on January 25, 2007
American Journal of Epidemiology, doi:10.1093/aje/kwk074
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ORIGINAL CONTRIBUTION |
Intimate Partner Violence Incidence and Continuation in a Primary Care Screening Program
1 University of Texas Health Science Center, School of Public Health, Houston, TX
2 Institute for Families in Society, University of South Carolina, Columbia, SC
3 Center for Women's Health and Wellness, University of North Carolina at Greensboro, Greensboro, NC
4 Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA
5 University of Texas-Houston School of Public Health at Brownsville, Brownsville, TX
Correspondence to Dr. Ann L. Coker, University of Texas School of Public Health, 1200 Herman Pressler Drive, Room E-643, P.O. Box 20186, Houston, TX 77225 (e-mail: ann.l.coker{at}uth.tmc.edu).
There are few longitudinal estimates of intimate partner violence (IPV) incidence and continuation. This report provides estimates of IPV incidence and continuation in women receiving health care in clinics participating in an IPV assessment and services intervention study. The Women's Experience with Battering Scale was used in combination with questions addressing physical and sexual assault to annually screen women for IPV. Between April 2002 and August 2005, 657 women in rural South Carolina consented and were screened at least twice. Among those with a current partner (n = 530), the majority (86.2%) had never experienced IPV. Among prevalent victims, IPV continued over time for 37%. IPV continuation rates were higher among older women and those who considered abuse as a problem in their relationship. Of those women who were IPV negative at time 1, IPV incidence at time 2 was 4.2%. A higher score on the Women's Experience with Battering Scale at time 1, a marker of psychological abuse, was a strong predictor of physical IPV incidence (ptrend = 0.0001). These data suggest that the incidence of IPV over a short follow-up period is relatively low and that the majority of IPV desists over this short follow-up period.
crisis intervention; domestic violence; mass screening; women
Abbreviations: IPV, intimate partner violence; WEB, Women's Experience with Battering
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