Intimate Partner Violence and Comorbid Mental Health Conditions Among Urban Male Patients (original) (raw)
Related papers
Journal of Interpersonal Violence, 2009
It is important to understand the epidemiology of intimate partner violence (IPV) experienced by both males and females. Data were drawn from the U.S. National Comorbidity Survey Replication. The relationships between physical IPV and child abuse, mental disorders, and suicidal ideation and attempts among males and females were examined. The results indicate that child sexual abuse was associated with IPV among males, whereas child physical and sexual abuse was associated with IPV among females. IPV was associated with poor mental health outcomes for males and females, although sex differences are noted. The sex differences indicate that females experience a wider range of poor mental health outcomes compared to males. Knowledge about correlates of IPV can be useful in identifying individuals exposed to violence. Further research is required to identify effective methods to reduce exposure to IPV and to adequately address the specific needs of male and female victims of IPV.
Behaviour Change, 2009
The mental health correlates of male aggression or violence against an intimate partner (IPV) are examined using exploratory cluster analysis for 81 men who self-reported risk factors for IPV perpetration on a computer-based health risk assessment. Men disclosing IPV perpetration could be meaningfully subdivided into two different clusters: a high pathology/high violence cluster, and lower pathology/low violence cluster. These groups appear to perpetrate intimate partner violence in differing psychoemotional contexts and could be robustly identified using multiple distinct analytic methods. If men who self-disclose IPV in a health care setting can be meaningfully subdivided based on mental health symptoms and level of violence, it lends support for potential new targeted approaches to preventing partner violence perpetration by both women and men.
Intimate Partner Violence Perpetration Among Men and Emergency Department Use
The Journal of Emergency Medicine, 2011
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.
Journal of women's health (2002), 2016
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. 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). 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% ...
Objective—To assess the national incidence and mental health correlates of recent intimate partner violence. Methods—Data from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions (n=34,653) were analyzed focusing on adults who were married, recently married, or in a romantic relationship (n=25,626). Intimate partner violence (n=1,608) included minor and severe forms of violence. The main outcome measures were the prevalence of intimate partner violence and the association of intimate partner violence with new onset of Axis I disorders. Results—During the past year, 5.8% of women and 5.6% of men reported being victims of intimate partner violence. New onset axis I disorders were significantly more common among intimate partner violence victims (20.9%) than non-victims (9.4%) (OR=2.55, 2.19–2.97) and were related to frequency of violent acts. Conclusions—Intimate partner violence is common and victimization, especially if recurrent, markedly increases the risk for developing several psychiatric disorders. An increase in dating violence has heightened public concern over intimate partner violence. Intimate partner violence is defined as any threatened, attempted, or completed physical or sexual violence, and emotional abuse inflicted by a spouse, ex-spouse, current or former boyfriend or girlfriend, dating partner, or date (1). Approximately 30% of all female homicides are committed by a male intimate (2). The World Health Organization estimates that intimate partner violence costs the United States $12.6 billion or 0.1% of the gross domestic product (GDP) annually (3). Intimate partner violence accounts for 20% of nonfatal violent crimes against women and 3% of those against men (4). Accumulating evidence relates intimate partner violence to life threatening and significant adverse physical health consequences. Furthermore, intimate partner violence is associated
Correlates of Intimate Partner Violence Among Men and Women in an Inner City Emergency Department
Journal of Addictive Diseases, 2009
The present study surveyed medical and/or injured patients (men and women) in an inner city ED to examine the rates and correlates of IPV, including substance use patterns. Over a two-year period, participants (n=10,744) self-administered a computerized health survey during their ED visit that included screening items regarding past year history of IPV (including victimization and aggression). Overall, rates of any involvement in past year IPV were 8.7% (7.3% victimization and 4.4% aggression); however, women were more likely than men to report IPV. When examining participants' substance use patterns, participants who reported using both alcohol and cocaine were most likely to report IPV. Predictors of partner aggression and victimization were remarkably similar. This paper provides unique data regarding correlates of past year IPV history among a comprehensive sample of male and female ED patients presenting for medical complaints and/or injury.
Journal of the American Board of Family Medicine : JABFM
Intimate partner violence (IPV) is prevalent and has lasting impacts on the health and well-being of the entire family involved. Primary care physicians often interact with male patients who perpetrate IPV and are in a role potentially to intervene, but there is very little research and guidance about how to address perpetration of IPV in the health care setting. We reviewed the existing literature research related to physicians' interactions with male perpetrators of IPV and summarize the recommendations. If a male patient discloses IPV perpetration, physicians should assess for lethality, readiness to change, and comorbid medical conditions that could impact treatment, such as substance abuse and mental illness. Experts agree that referrals to a Batterer Intervention Program should be the primary intervention. If there are no locally available Batterer Intervention Programs or the patient is unwilling to go, then a physician should refer the abuser to a therapist who has been ...
2017
Intimate partner violence is a public health problem having tremendous impact on women's health. Also, intimidate partner violence, also known as domestic violence is the primary cause of injury to women in the United States. Physical and psychiatric problems are the result of domestic violence with victims having increase use of health services compared to those not abused. Often, domestic violence is not identified in the health services organizations when victims access health care. This analytical review of the literature addressed existing research and literature on the current status of intimate partner violence. The Holistic Model Based on Adequate Screening, Assessment and Interventions for Improving the Health Outcomes in Victims of Intimate Partner Violence is a useful model for guiding health professionals in recognizing the relevant of violence when women present certain illnesses in diverse health services organizations. Strategies for improving the health outcomes for this group include: (a) adequate screening, assessment and interventions; (b) more education for health professionals on assessing victims of violence; (c) domestic violence included in the curriculum of universities and colleges for health professionals; (d) continuing education on domestic violence in the workplace; and (e) assess for signs and symptoms of domestic violence and conduct valid screening and assessment tools on patients in certain health services organizations when women access care. More policy development is needed for victims of intimate partner violence to improve health outcomes.
Intimate Partner Violence in Men Voluntarily Attending Treatment: A Study of Couple Agreement
Violence and victims, 2016
Most studies examining couple agreement on intimate partner violence (IPV) have found low agreement on levels of violence. This study explored agreement on male-perpetrated IPV in a sample of 93 couples where the man was voluntarily seeking IPV treatment. Five different types of violence were assessed: physical, physically controlling, psychological, property, and sexual. The results were mixed. When disagreement was found, this resulted from men attending IPV treatment reporting less violence than their partners. However, only psychological violence was consistently reported differently. Reliability estimates ranged from poor to moderate. Couples reported on sexual violence with less reliability than physical or physically controlling violence when referring to a typical month last year. Measurement of different types of violence among both partners in a couple is recommended in clinical and research settings as well as thorough discussions with clients voluntarily enrolled in trea...
Public health reports (Washington, D.C. : 1974)
The purpose of this work is to formally model patterns of intimate partner violence (IPV) separately for males and females and to assess the unique contributions of different types of violence exposure to health related outcomes. Using data from the National Violence Against Women Survey--a national probability sample of U.S. men and women--latent class analyses produced a map of the underlying structure of IPV for both males and females that is defined by specific types of violent acts. Multivariable logistic regression analyses assessed the differential physical health, mental health, and substance use consequences of exposure to IPV by gender. Women and men experience similar types of IPV, although the prevalence of the different types of violence is much greater for women than men. Second, exposure to IPV for both women and men is associated with a range of negative health outcomes including increased odds of poor physical health and physical disability, psychological distress a...