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. 1998 Dec;169(6):337–341.

Patient attitudes about mandatory reporting of domestic violence. Implications for health care professionals.

M A Rodriguez 1, A M Craig 1, D R Mooney 1, H M Bauer 1
PMCID: PMC1305400  PMID: 9866430

Abstract

As of January 1994, California physicians are required to report to police all patients who are suspected to be victims of domestic violence. This article describes the results from a focus group study of abused women (n = 51) that explored their experiences with and perspectives on medical care. The eight focus groups included two Latina (total n = 14), two Asian (total n = 14), two African-American (total n = 9), and two Caucasian (total n = 14) groups of women who had been the victims of domestic abuse within the previous 2 years. The women were recruited through community-based organizations in the San Francisco Bay Area. With regard to physician reporting of domestic violence to police, five themes were identified: fear of retaliation by the abuser, fear of family separation, mistrust of the legal system, desire for police protection, and preference for confidentiality and autonomy in the patient-health professional relationship. Our results indicate that mandatory reporting may pose a threat to the safety and well-being of abused women and may create barriers to their seeking help and communicating with health care professionals about domestic violence.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bauer H. M., Rodriguez M. A. Letting compassion open the door: battered women's disclosure to medical providers. Camb Q Healthc Ethics. 1995 Fall;4(4):459–465. doi: 10.1017/s0963180100006289. [DOI] [PubMed] [Google Scholar]
  2. Conway T., Hu T. C., Kim P., Bullon A. Prevalence of violence victimization among patients seen in an urban public hospital walk-in clinic. J Gen Intern Med. 1994 Aug;9(8):430–435. doi: 10.1007/BF02599057. [DOI] [PubMed] [Google Scholar]
  3. Freund K. M., Bak S. M., Blackhall L. Identifying domestic violence in primary care practice. J Gen Intern Med. 1996 Jan;11(1):44–46. doi: 10.1007/BF02603485. [DOI] [PubMed] [Google Scholar]
  4. Gazmararian J. A., Lazorick S., Spitz A. M., Ballard T. J., Saltzman L. E., Marks J. S. Prevalence of violence against pregnant women. JAMA. 1996 Jun 26;275(24):1915–1920. [PubMed] [Google Scholar]
  5. Gin N. E., Rucker L., Frayne S., Cygan R., Hubbell F. A. Prevalence of domestic violence among patients in three ambulatory care internal medicine clinics. J Gen Intern Med. 1991 Jul-Aug;6(4):317–322. doi: 10.1007/BF02597429. [DOI] [PubMed] [Google Scholar]
  6. Hamberger L. K., Saunders D. G., Hovey M. Prevalence of domestic violence in community practice and rate of physician inquiry. Fam Med. 1992 May-Jun;24(4):283–287. [PubMed] [Google Scholar]
  7. Hyman A., Schillinger D., Lo B. Laws mandating reporting of domestic violence. Do they promote patient well-being? JAMA. 1995 Jun 14;273(22):1781–1787. [PubMed] [Google Scholar]
  8. McCauley J., Kern D. E., Kolodner K., Dill L., Schroeder A. F., DeChant H. K., Ryden J., Bass E. B., Derogatis L. R. The "battering syndrome": prevalence and clinical characteristics of domestic violence in primary care internal medicine practices. Ann Intern Med. 1995 Nov 15;123(10):737–746. doi: 10.7326/0003-4819-123-10-199511150-00001. [DOI] [PubMed] [Google Scholar]
  9. McFarlane J., Parker B., Soeken K., Bullock L. Assessing for abuse during pregnancy. Severity and frequency of injuries and associated entry into prenatal care. JAMA. 1992 Jun 17;267(23):3176–3178. doi: 10.1001/jama.267.23.3176. [DOI] [PubMed] [Google Scholar]
  10. McLeer S. V., Anwar R. A study of battered women presenting in an emergency department. Am J Public Health. 1989 Jan;79(1):65–66. doi: 10.2105/ajph.79.1.65. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Rodriguez M. A., Quiroga S. S., Bauer H. M. Breaking the silence. Battered women's perspectives on medical care. Arch Fam Med. 1996 Mar;5(3):153–158. doi: 10.1001/archfami.5.3.153. [DOI] [PubMed] [Google Scholar]
  12. Stark E., Flitcraft A. Killing the beast within: woman battering and female suicidality. Int J Health Serv. 1995;25(1):43–64. doi: 10.2190/H6V6-YP3K-QWK1-MK5D. [DOI] [PubMed] [Google Scholar]
  13. Sugg N. K., Inui T. Primary care physicians' response to domestic violence. Opening Pandora's box. JAMA. 1992 Jun 17;267(23):3157–3160. [PubMed] [Google Scholar]

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