Sherry Lipsky - Academia.edu (original) (raw)
Papers by Sherry Lipsky
JAMA: The Journal of the American Medical Association, 1999
Journal of Substance Abuse Treatment, Apr 1, 2010
American Journal of Perinatology, Sep 1, 2005
Small for gestational age (SGA) infants are at increased risk for morbidity and mortality. The ob... more Small for gestational age (SGA) infants are at increased risk for morbidity and mortality. The objective of this study was to develop a birthweight for gestational age reference that more accurately represents the Washington state population, focusing on SGA. Washington state birth certificate files of singleton births in 1989 to 1998 were used to develop the 3rd, 10th, 50th, and 90th percentiles of birthweight for gestational age for males and females. The Washington state 10th percentile curve most closely approximates a nationally representative reference, whereas an earlier but widely used California-based reference had the lowest centiles across gestational age with few exceptions. Using the Washington reference, 8.4% of Washington births would be classified as SGA (<10th percentile), compared with 5.5 and 7.4% using the California and national reference, respectively. The new reference may be helpful in assessing local regional data, and other areas with similar demographics, and provide more relevant clinical guidance.
Drug and Alcohol Dependence, Apr 1, 2005
Objective: Few emergency department (ED) studies have described the relationship between family v... more Objective: Few emergency department (ED) studies have described the relationship between family violence and subsequent intimate partner violence (IPV) or accounted for partner alcohol use in IPV victimization. This study sought to identify family history and substance-use factors associated with IPV among women presenting to an urban emergency department. Methods: Case-control study in which cases (women identified as having IPV concerns and an IPV history) and controls (women without IPV) were frequency-matched by age group and race/ethnicity. Logistic regression was performed to calculate adjusted odds ratios (AOR) for any IPV, physical IPV, and sexual IPV. Results: The sample included 182 cases and 147 controls. Living with a partner (not married) and witnessing parental violence were independent risk factors for any IPV (AOR 2.55 and AOR 2.21, respectively). Partner's alcohol use (AOR 1.22 for every five drinks consumed per week) and heavier drinking (AOR 5.07) were also significant risk factors, but not subject's substance-use. The pattern of risk factors varied only slightly for physical IPV and sexual IPV. Conclusion: This study suggests a substantial relationship between partner alcohol use and IPV among women beyond the woman's substanceuse and confirms previous reports regarding the cycle of violence in women's lives.
141st APHA Annual Meeting (November 2 - November 6, 2013), Nov 4, 2013
Aims To determine the prevalence of comorbid probable post-traumatic stress disorder and alcohol ... more Aims To determine the prevalence of comorbid probable post-traumatic stress disorder and alcohol misuse in a UK military cohort study and to determine the level of cooccurrence between these disorders; further aims were to investigate the association between alcohol misuse and the different PTSD symptom clusters, and to assess what factors are associated with probable PTSD in participants with alcohol misuse. Methods Data from 9984 participants of Phase 2 of the health and well-being survey of serving and ex-serving members of the UK Armed Forces were assessed for probable PTSD and alcohol misuse using the PTSD checklist (PCL-C) and the alcohol use disorders identification test (AUDIT), respectively. Results 1.8 % [95 % confidence interval (CI) 1.5-2.1] of the sample met the criteria for both PTSD and alcohol misuse. All three symptom clusters of PTSD were significantly associated with alcohol misuse, with similar odds ranging from 2.46 to 2.85. Factors associated with probable PTSD in individuals reporting alcohol misuse were age [ages 30-34 (years):
Social Psychiatry and Psychiatric Epidemiology, Aug 13, 2015
Purpose-The aims of this study were to examine the relationship between adult onset posttraumatic... more Purpose-The aims of this study were to examine the relationship between adult onset posttraumatic stress disorder (PTSD) and subsequent alcohol use outcomes (frequent heavy drinking, alcohol abuse, and alcohol dependence) in non-Hispanic White, non-Hispanic Black, and Hispanic U.S. women, and whether this relationship was moderated by ethnic minority stressors (discrimination and acculturation) Methods-The study sample was drawn from two waves of the National Epidemiologic Surveys of Alcohol and Related Conditions, employing time-dependent data to conduct multiple extended Cox regression Results-Women with PTSD were over 50% more likely than those without PTSD to develop alcohol dependence (adjusted hazards ratio [aHR] 1.55; 95% confidence interval [CI] 1.15, 2.08). Hispanic and Black women were at lower risk of most alcohol outcomes than White women. In race/ethnic specific analyses, however, PTSD only predicted alcohol abuse among Hispanic women (aHR 3.02; CI 1.33, 6.84). Higher acculturation was positively associated with all alcohol outcomes among Hispanic women and discrimination was associated with AUD among Hispanic and Black women. Acculturation and discrimination modified the effect of PTSD on AUD among Hispanic women: PTSD predicted alcohol dependence among those with low acculturation (aHR 10.2; CI 1.27, 81.80) and alcohol abuse among those without reported discrimination (aHR 6.39; CI 2.76, 16.49) Conclusions-PTSD may influence the development of hazardous drinking, especially among Hispanic women. The influence of PTSD on alcohol outcomes is most apparent, however, when ethnic minority stressors are not present.
Maternal and Child Health Journal, Jun 1, 2004
Objectives: Intimate partner violence (IPV) is a significant public health problem and the abuse ... more Objectives: Intimate partner violence (IPV) is a significant public health problem and the abuse of women during pregnancy is of particular concern. Few studies have addressed the relationship between IPV and antenatal hospitalization. This study utilized a novel approach to examine the impact of IPV during pregnancy on antenatal hospitalization not associated with delivery. Methods: This retrospective cohort study included Seattle women residents 16-49 years of age. Exposed subjects were women with a police-reported IPV incident during pregnancy in the years 1995 through 1998 and who subsequently had a singleton live birth or fetal death. The unexposed group was composed of randomly selected residents with a singleton birth or fetal death and without a police-reported IPV incident during the study period. Linked hospital discharge files and birth records were utilized to determine study outcomes. Logistic regression was used to calculate adjusted odds ratios (aOR) and 95% confidence intervals (CI). Results: Women reporting any IPV during pregnancy were twice as likely as unexposed women to experience an antenatal hospitalization not associated with delivery (aAOR 2.39, CI 1.77, 3.24). Women with IPV were more likely to have been hospitalized with a substance abuse-related diagnosis (aOR 2.70, CI 1.52, 4.78) or a mental health-related diagnosis (aOR 1.93, CI 0.96, 3.91). Physical IPV was more strongly associated with antenatal hospitalization than nonphysical IPV or IPV overall. Conclusion: This study suggests that women hospitalized during pregnancy, particularly those with substance abuse and mental health-related conditions, may be at high risk for concurrent IPV.
Thesis (Ph. D.)--University of Washington, 2002Background. Intimate partner violence (IPV) is a s... more Thesis (Ph. D.)--University of Washington, 2002Background. Intimate partner violence (IPV) is a significant public health problem of particular concern during pregnancy. Adverse maternal and neonatal health outcomes may be associated with IPV although studies to date have been inconsistent. This study employed a novel approach to identify IPV exposure with the use of police records.Methods. This is a retrospective cohort study of women reporting IPV during pregnancy from 1995 through 1998. Police records and Washington State birth and hospitalization files were linked and police records were abstracted to examine the relationship between IPV and maternal and neonatal outcomes. A new reference for small-for-gestational-age (SGA) infants was also developed. Unconditional logistic regression was used in bivariate and multivariate analyses to calculate odds ratios (OR) and 95% confidence intervals (CI).Results. Women reporting any IPV were significantly more likely than women who did not report IPV to have a low birth weight (LBW) infant (adjusted OR [aOR] 1.70, CI 1.20, 2.40), a very LBW infant (aOR 2.54, CI 1.32, 4.91), a preterm birth (PTB) (aOR 1.61, CI 1.14, 2.28), a very PTB (aOR 2.90, CI 1.38, 6.12), and a neonatal death (aOR 3.18, CI 1.32, 7.63). Women reporting physical IPV also had a significantly greater risk of LBW, very LBW, and very PTB. Neonatal death was associated with both physical and nonphysical IPV. Only very LBW and very PTB were significantly associated with moderate physical IPV. Hospitalization during pregnancy was strongly associated with any IPV (aOR 2.39, CI 1.77, 3.24), particularly with substance abuse and mental health-related diagnoses. Premature rupture of membranes and abruptio placenta were associated with nonphysical IPV and moderate physical IPV.Conclusions. IPV during pregnancy is significantly associated with adverse maternal and neonatal health outcomes. The findings in this study point to the critical need to identify pregnancy and provide health information and referrals to women at the time of an IPV incident and during subsequent contact with community service and domestic violence programs. These findings may also serve to better inform the legal and justice systems of the potential impact of IPV on the health of pregnant women and their offspring
Violence & Victims, Dec 1, 2005
ABSTRACT
Journal of Studies on Alcohol and Drugs, 2008
American Psychological Association eBooks, 2009
The Journal of emergency medicine, Jun 1, 2011
Background-Intimate partner violence (IPV) perpetration and emergency department (ED) use share c... more Background-Intimate partner violence (IPV) perpetration and emergency department (ED) use share common risk factors, such as risk-taking behaviors, but little is known about the relationship between IPV perpetration and ED use or the effect of risk-taking on this relationship. Study Objectives-This study examined the relationship between IPV perpetration, risk-taking, and ED utilization among men in the general U.S. population. Methods-This cross-sectional study utilized data from the 2002 National Survey on Drug Use and Health, focusing on non-Hispanic white, non-Hispanic black, and Hispanic male respondents 18 to 49 years of age cohabiting with a spouse or partner. Logistic regression was used to calculate adjusted odds ratios (AOR) and 95% confidence intervals (CI). Results-Approximately 38% of IPV perpetrators reported ED use in the previous year compared to 24% of nonperpetrators. Several risk-taking factors (e.g. perception of risk-taking, transportation-related risk-taking, aggression-related arrest), alcohol and illicit drug use and abuse or dependence, and serious mental illness were positively associated with IPV perpetration. Men reporting IPV were 1.5 times (AOR 1.47, CI 1.01-2.13) more likely than nonperpetrators to utilize the ED, after taking all factors into account. Drug abuse or dependence, transportation-related risk behaviors, and serious mental illness also were independently associated with ED use. Conclusions-The results indicate that men who perpetrate IPV are more likely than nonperpetrators to use ED services. These findings suggest that screening for IPV, as well as risktaking and mental illness, among men accessing ED services may increase opportunities for intervention and referral.
American Journal of Drug and Alcohol Abuse, 2005
Journal of Trauma-injury Infection and Critical Care, Aug 1, 2004
American Journal of Public Health, Dec 1, 2007
Objectives. We examined the relationship between intimate partner violence victimization among wo... more Objectives. We examined the relationship between intimate partner violence victimization among women in the general population and emergency department use. We sought to discern whether race/ethnicity moderates this relationship and to explore these relationships in race/ethnic–specific models.Methods. We used data on non-Hispanic White, Non-Hispanic Black, and His-panic married or cohabiting women from the 2002 National Survey on Drug Use and Health. Adjusted odds ratios (AORs) and 95% confidence intervals (CIs) were calculated using logistic regression.Results. Women who reported intimate partner violence victimization were 1.5 times more likely than were nonvictims to use the emergency department, after we accounted for race/ethnicity and substance use. In race/ethnic–specific analyses, only Hispanic victims were more likely than their nonvictim counterparts to use the emergency department (AOR = 3.68; 95% CI = 1.89, 7.18), whereas substance use factors varied among groups.Conclusions. Our findings suggest that the emergency department is an opportune setting to screen for intimate partner violence victimization, especially among Hispanic women. Future research should focus on why Hispanic victims are more likely to use the emergency department compared with nonvictims, with regard to socioeconomic and cultural determinants of health care utilization.
Violence Against Women, Nov 29, 2015
This study sought to examine specific types of potentially traumatic experiences as predictors of... more This study sought to examine specific types of potentially traumatic experiences as predictors of posttraumatic stress disorder (PTSD) and the moderating effect of race/ethnicity and major depressive disorder (MDD) among non-Hispanic White, non-Hispanic Black, and Hispanic U.S. women. The study sample was drawn from two waves of the National Epidemiologic Surveys of Alcohol and Related Conditions. Sexual assault, intimate partner violence, and childhood trauma were the strongest predictors of PTSD compared to the reference group (indirect/witnessed trauma). Similar patterns were revealed across racial/ethnic groups, although the estimates were most robust among White women. Findings also suggest that MDD moderates the effect of traumatic experiences on PTSD.
Journal of Ethnicity in Substance Abuse, Aug 18, 2009
The importance of conducting substance abuse research among ethnic minorities is underscored by f... more The importance of conducting substance abuse research among ethnic minorities is underscored by findings that members of many ethnic minorities in the United States report higher rates of heavy drinking and alcohol-related problems than do Whites and have increased rates of illicit drug use, abuse, and dependence. It is important to better understand ethnic-specific substance use from a public health perspective. Recent data suggest that the prevalence of past month alcohol use and heavy alcohol use among Hispanics is lower than and the prevalence of binge drinking and alcohol abuse or dependence is comparable to that of non-Hispanic Whites. These estimates vary among Hispanic subgroups and across gender and age groups. The prevalence of past month illicit drug use is also lower among Hispanics than that of several other groups, including non-Hispanic Whites. These trends are consistent among both men and women, although the prevalence for men is nearly twice that of women in nearly all subgroups. Conversely, the prevalence of illicit drug abuse or dependence among Hispanics is slightly higher than that of non-Hispanic Whites. This article describes national level epidemiological data on the prevalence of alcohol and illicit drug use, abuse, and dependence among Latinos/Hispanics in the United States in comparison to other race and ethnic groups. Previous findings in the literature will be reviewed and new analyses using the 2002 National Survey on Drug Use and Health will be presented. Given the heterogeneity of Hispanics in the United States, data for Hispanics will be broken down by national groups whenever possible.
Social Psychiatry and Psychiatric Epidemiology, Jun 26, 2010
Obstetrics & Gynecology, Sep 1, 2003
Ethnicity & Health, May 1, 1999
We examined adverse birth outcomes among Mexican-Americans to determine the effect of country of ... more We examined adverse birth outcomes among Mexican-Americans to determine the effect of country of maternal birth, a measure of acculturation. We conducted a retrospective cohort analysis of birth outcomes among 4800 Mexico-born and 4800 US-born Mexican-American women using Washington State birth certificate data from 1989 to 1994. Length of residence at current address was used to help refine our measure of acculturation. US-born women had a slightly increased risk of preterm birth relative to Mexico-born women [relative risk (RR) 1.18, 95% confidence interval (CI) 1.04-1.33]. Among Mexico-born women, the risk of preterm birth increased with greater duration of current residence. US-born Mexican-American women had a slightly increased risk of preterm birth despite having more adequate prenatal care, more education, and higher socioeconomic indicators. This may be due to acculturation factors, such as earlier pregnancy, loss of social support systems, and increased smoking or alcohol use. Reducing this risk depends on recognition among health care workers and policy-makers of the potential influence of acculturation on health in this population.
JAMA: The Journal of the American Medical Association, 1999
Journal of Substance Abuse Treatment, Apr 1, 2010
American Journal of Perinatology, Sep 1, 2005
Small for gestational age (SGA) infants are at increased risk for morbidity and mortality. The ob... more Small for gestational age (SGA) infants are at increased risk for morbidity and mortality. The objective of this study was to develop a birthweight for gestational age reference that more accurately represents the Washington state population, focusing on SGA. Washington state birth certificate files of singleton births in 1989 to 1998 were used to develop the 3rd, 10th, 50th, and 90th percentiles of birthweight for gestational age for males and females. The Washington state 10th percentile curve most closely approximates a nationally representative reference, whereas an earlier but widely used California-based reference had the lowest centiles across gestational age with few exceptions. Using the Washington reference, 8.4% of Washington births would be classified as SGA (<10th percentile), compared with 5.5 and 7.4% using the California and national reference, respectively. The new reference may be helpful in assessing local regional data, and other areas with similar demographics, and provide more relevant clinical guidance.
Drug and Alcohol Dependence, Apr 1, 2005
Objective: Few emergency department (ED) studies have described the relationship between family v... more Objective: Few emergency department (ED) studies have described the relationship between family violence and subsequent intimate partner violence (IPV) or accounted for partner alcohol use in IPV victimization. This study sought to identify family history and substance-use factors associated with IPV among women presenting to an urban emergency department. Methods: Case-control study in which cases (women identified as having IPV concerns and an IPV history) and controls (women without IPV) were frequency-matched by age group and race/ethnicity. Logistic regression was performed to calculate adjusted odds ratios (AOR) for any IPV, physical IPV, and sexual IPV. Results: The sample included 182 cases and 147 controls. Living with a partner (not married) and witnessing parental violence were independent risk factors for any IPV (AOR 2.55 and AOR 2.21, respectively). Partner's alcohol use (AOR 1.22 for every five drinks consumed per week) and heavier drinking (AOR 5.07) were also significant risk factors, but not subject's substance-use. The pattern of risk factors varied only slightly for physical IPV and sexual IPV. Conclusion: This study suggests a substantial relationship between partner alcohol use and IPV among women beyond the woman's substanceuse and confirms previous reports regarding the cycle of violence in women's lives.
141st APHA Annual Meeting (November 2 - November 6, 2013), Nov 4, 2013
Aims To determine the prevalence of comorbid probable post-traumatic stress disorder and alcohol ... more Aims To determine the prevalence of comorbid probable post-traumatic stress disorder and alcohol misuse in a UK military cohort study and to determine the level of cooccurrence between these disorders; further aims were to investigate the association between alcohol misuse and the different PTSD symptom clusters, and to assess what factors are associated with probable PTSD in participants with alcohol misuse. Methods Data from 9984 participants of Phase 2 of the health and well-being survey of serving and ex-serving members of the UK Armed Forces were assessed for probable PTSD and alcohol misuse using the PTSD checklist (PCL-C) and the alcohol use disorders identification test (AUDIT), respectively. Results 1.8 % [95 % confidence interval (CI) 1.5-2.1] of the sample met the criteria for both PTSD and alcohol misuse. All three symptom clusters of PTSD were significantly associated with alcohol misuse, with similar odds ranging from 2.46 to 2.85. Factors associated with probable PTSD in individuals reporting alcohol misuse were age [ages 30-34 (years):
Social Psychiatry and Psychiatric Epidemiology, Aug 13, 2015
Purpose-The aims of this study were to examine the relationship between adult onset posttraumatic... more Purpose-The aims of this study were to examine the relationship between adult onset posttraumatic stress disorder (PTSD) and subsequent alcohol use outcomes (frequent heavy drinking, alcohol abuse, and alcohol dependence) in non-Hispanic White, non-Hispanic Black, and Hispanic U.S. women, and whether this relationship was moderated by ethnic minority stressors (discrimination and acculturation) Methods-The study sample was drawn from two waves of the National Epidemiologic Surveys of Alcohol and Related Conditions, employing time-dependent data to conduct multiple extended Cox regression Results-Women with PTSD were over 50% more likely than those without PTSD to develop alcohol dependence (adjusted hazards ratio [aHR] 1.55; 95% confidence interval [CI] 1.15, 2.08). Hispanic and Black women were at lower risk of most alcohol outcomes than White women. In race/ethnic specific analyses, however, PTSD only predicted alcohol abuse among Hispanic women (aHR 3.02; CI 1.33, 6.84). Higher acculturation was positively associated with all alcohol outcomes among Hispanic women and discrimination was associated with AUD among Hispanic and Black women. Acculturation and discrimination modified the effect of PTSD on AUD among Hispanic women: PTSD predicted alcohol dependence among those with low acculturation (aHR 10.2; CI 1.27, 81.80) and alcohol abuse among those without reported discrimination (aHR 6.39; CI 2.76, 16.49) Conclusions-PTSD may influence the development of hazardous drinking, especially among Hispanic women. The influence of PTSD on alcohol outcomes is most apparent, however, when ethnic minority stressors are not present.
Maternal and Child Health Journal, Jun 1, 2004
Objectives: Intimate partner violence (IPV) is a significant public health problem and the abuse ... more Objectives: Intimate partner violence (IPV) is a significant public health problem and the abuse of women during pregnancy is of particular concern. Few studies have addressed the relationship between IPV and antenatal hospitalization. This study utilized a novel approach to examine the impact of IPV during pregnancy on antenatal hospitalization not associated with delivery. Methods: This retrospective cohort study included Seattle women residents 16-49 years of age. Exposed subjects were women with a police-reported IPV incident during pregnancy in the years 1995 through 1998 and who subsequently had a singleton live birth or fetal death. The unexposed group was composed of randomly selected residents with a singleton birth or fetal death and without a police-reported IPV incident during the study period. Linked hospital discharge files and birth records were utilized to determine study outcomes. Logistic regression was used to calculate adjusted odds ratios (aOR) and 95% confidence intervals (CI). Results: Women reporting any IPV during pregnancy were twice as likely as unexposed women to experience an antenatal hospitalization not associated with delivery (aAOR 2.39, CI 1.77, 3.24). Women with IPV were more likely to have been hospitalized with a substance abuse-related diagnosis (aOR 2.70, CI 1.52, 4.78) or a mental health-related diagnosis (aOR 1.93, CI 0.96, 3.91). Physical IPV was more strongly associated with antenatal hospitalization than nonphysical IPV or IPV overall. Conclusion: This study suggests that women hospitalized during pregnancy, particularly those with substance abuse and mental health-related conditions, may be at high risk for concurrent IPV.
Thesis (Ph. D.)--University of Washington, 2002Background. Intimate partner violence (IPV) is a s... more Thesis (Ph. D.)--University of Washington, 2002Background. Intimate partner violence (IPV) is a significant public health problem of particular concern during pregnancy. Adverse maternal and neonatal health outcomes may be associated with IPV although studies to date have been inconsistent. This study employed a novel approach to identify IPV exposure with the use of police records.Methods. This is a retrospective cohort study of women reporting IPV during pregnancy from 1995 through 1998. Police records and Washington State birth and hospitalization files were linked and police records were abstracted to examine the relationship between IPV and maternal and neonatal outcomes. A new reference for small-for-gestational-age (SGA) infants was also developed. Unconditional logistic regression was used in bivariate and multivariate analyses to calculate odds ratios (OR) and 95% confidence intervals (CI).Results. Women reporting any IPV were significantly more likely than women who did not report IPV to have a low birth weight (LBW) infant (adjusted OR [aOR] 1.70, CI 1.20, 2.40), a very LBW infant (aOR 2.54, CI 1.32, 4.91), a preterm birth (PTB) (aOR 1.61, CI 1.14, 2.28), a very PTB (aOR 2.90, CI 1.38, 6.12), and a neonatal death (aOR 3.18, CI 1.32, 7.63). Women reporting physical IPV also had a significantly greater risk of LBW, very LBW, and very PTB. Neonatal death was associated with both physical and nonphysical IPV. Only very LBW and very PTB were significantly associated with moderate physical IPV. Hospitalization during pregnancy was strongly associated with any IPV (aOR 2.39, CI 1.77, 3.24), particularly with substance abuse and mental health-related diagnoses. Premature rupture of membranes and abruptio placenta were associated with nonphysical IPV and moderate physical IPV.Conclusions. IPV during pregnancy is significantly associated with adverse maternal and neonatal health outcomes. The findings in this study point to the critical need to identify pregnancy and provide health information and referrals to women at the time of an IPV incident and during subsequent contact with community service and domestic violence programs. These findings may also serve to better inform the legal and justice systems of the potential impact of IPV on the health of pregnant women and their offspring
Violence & Victims, Dec 1, 2005
ABSTRACT
Journal of Studies on Alcohol and Drugs, 2008
American Psychological Association eBooks, 2009
The Journal of emergency medicine, Jun 1, 2011
Background-Intimate partner violence (IPV) perpetration and emergency department (ED) use share c... more Background-Intimate partner violence (IPV) perpetration and emergency department (ED) use share common risk factors, such as risk-taking behaviors, but little is known about the relationship between IPV perpetration and ED use or the effect of risk-taking on this relationship. Study Objectives-This study examined the relationship between IPV perpetration, risk-taking, and ED utilization among men in the general U.S. population. Methods-This cross-sectional study utilized data from the 2002 National Survey on Drug Use and Health, focusing on non-Hispanic white, non-Hispanic black, and Hispanic male respondents 18 to 49 years of age cohabiting with a spouse or partner. Logistic regression was used to calculate adjusted odds ratios (AOR) and 95% confidence intervals (CI). Results-Approximately 38% of IPV perpetrators reported ED use in the previous year compared to 24% of nonperpetrators. Several risk-taking factors (e.g. perception of risk-taking, transportation-related risk-taking, aggression-related arrest), alcohol and illicit drug use and abuse or dependence, and serious mental illness were positively associated with IPV perpetration. Men reporting IPV were 1.5 times (AOR 1.47, CI 1.01-2.13) more likely than nonperpetrators to utilize the ED, after taking all factors into account. Drug abuse or dependence, transportation-related risk behaviors, and serious mental illness also were independently associated with ED use. Conclusions-The results indicate that men who perpetrate IPV are more likely than nonperpetrators to use ED services. These findings suggest that screening for IPV, as well as risktaking and mental illness, among men accessing ED services may increase opportunities for intervention and referral.
American Journal of Drug and Alcohol Abuse, 2005
Journal of Trauma-injury Infection and Critical Care, Aug 1, 2004
American Journal of Public Health, Dec 1, 2007
Objectives. We examined the relationship between intimate partner violence victimization among wo... more Objectives. We examined the relationship between intimate partner violence victimization among women in the general population and emergency department use. We sought to discern whether race/ethnicity moderates this relationship and to explore these relationships in race/ethnic–specific models.Methods. We used data on non-Hispanic White, Non-Hispanic Black, and His-panic married or cohabiting women from the 2002 National Survey on Drug Use and Health. Adjusted odds ratios (AORs) and 95% confidence intervals (CIs) were calculated using logistic regression.Results. Women who reported intimate partner violence victimization were 1.5 times more likely than were nonvictims to use the emergency department, after we accounted for race/ethnicity and substance use. In race/ethnic–specific analyses, only Hispanic victims were more likely than their nonvictim counterparts to use the emergency department (AOR = 3.68; 95% CI = 1.89, 7.18), whereas substance use factors varied among groups.Conclusions. Our findings suggest that the emergency department is an opportune setting to screen for intimate partner violence victimization, especially among Hispanic women. Future research should focus on why Hispanic victims are more likely to use the emergency department compared with nonvictims, with regard to socioeconomic and cultural determinants of health care utilization.
Violence Against Women, Nov 29, 2015
This study sought to examine specific types of potentially traumatic experiences as predictors of... more This study sought to examine specific types of potentially traumatic experiences as predictors of posttraumatic stress disorder (PTSD) and the moderating effect of race/ethnicity and major depressive disorder (MDD) among non-Hispanic White, non-Hispanic Black, and Hispanic U.S. women. The study sample was drawn from two waves of the National Epidemiologic Surveys of Alcohol and Related Conditions. Sexual assault, intimate partner violence, and childhood trauma were the strongest predictors of PTSD compared to the reference group (indirect/witnessed trauma). Similar patterns were revealed across racial/ethnic groups, although the estimates were most robust among White women. Findings also suggest that MDD moderates the effect of traumatic experiences on PTSD.
Journal of Ethnicity in Substance Abuse, Aug 18, 2009
The importance of conducting substance abuse research among ethnic minorities is underscored by f... more The importance of conducting substance abuse research among ethnic minorities is underscored by findings that members of many ethnic minorities in the United States report higher rates of heavy drinking and alcohol-related problems than do Whites and have increased rates of illicit drug use, abuse, and dependence. It is important to better understand ethnic-specific substance use from a public health perspective. Recent data suggest that the prevalence of past month alcohol use and heavy alcohol use among Hispanics is lower than and the prevalence of binge drinking and alcohol abuse or dependence is comparable to that of non-Hispanic Whites. These estimates vary among Hispanic subgroups and across gender and age groups. The prevalence of past month illicit drug use is also lower among Hispanics than that of several other groups, including non-Hispanic Whites. These trends are consistent among both men and women, although the prevalence for men is nearly twice that of women in nearly all subgroups. Conversely, the prevalence of illicit drug abuse or dependence among Hispanics is slightly higher than that of non-Hispanic Whites. This article describes national level epidemiological data on the prevalence of alcohol and illicit drug use, abuse, and dependence among Latinos/Hispanics in the United States in comparison to other race and ethnic groups. Previous findings in the literature will be reviewed and new analyses using the 2002 National Survey on Drug Use and Health will be presented. Given the heterogeneity of Hispanics in the United States, data for Hispanics will be broken down by national groups whenever possible.
Social Psychiatry and Psychiatric Epidemiology, Jun 26, 2010
Obstetrics & Gynecology, Sep 1, 2003
Ethnicity & Health, May 1, 1999
We examined adverse birth outcomes among Mexican-Americans to determine the effect of country of ... more We examined adverse birth outcomes among Mexican-Americans to determine the effect of country of maternal birth, a measure of acculturation. We conducted a retrospective cohort analysis of birth outcomes among 4800 Mexico-born and 4800 US-born Mexican-American women using Washington State birth certificate data from 1989 to 1994. Length of residence at current address was used to help refine our measure of acculturation. US-born women had a slightly increased risk of preterm birth relative to Mexico-born women [relative risk (RR) 1.18, 95% confidence interval (CI) 1.04-1.33]. Among Mexico-born women, the risk of preterm birth increased with greater duration of current residence. US-born Mexican-American women had a slightly increased risk of preterm birth despite having more adequate prenatal care, more education, and higher socioeconomic indicators. This may be due to acculturation factors, such as earlier pregnancy, loss of social support systems, and increased smoking or alcohol use. Reducing this risk depends on recognition among health care workers and policy-makers of the potential influence of acculturation on health in this population.