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. 2000 Sep;90(9):1416–1420. doi: 10.2105/ajph.90.9.1416

Rates and relative risk of hospital admission among women in violent intimate partner relationships.

M A Kernic 1, M E Wolf 1, V L Holt 1
PMCID: PMC1447623  PMID: 10983199

Abstract

OBJECTIVES: This study assessed the history of hospitalization among women involved in violent intimate relationships. METHODS: In this 1-year retrospective cohort study, female residents of King County, Washington, who were aged 18 to 44 years and who had filed for a protection order were compared with nonabused women in the same age group. Outcome measures included overall and diagnosis-specific hospital admission rates and relative risk of hospitalization associated with abuse. RESULTS: Women known to be exposed to a violent intimate relationship were significantly more likely to be hospitalized with any diagnosis (age-specific relative risks [RRs] ranging from 1.2 to 2.1), psychiatric diagnoses (RR = 3.6, 95% confidence interval [CI] = 2.8, 4.6), injury and poisoning diagnoses (RR = 1.8, 95% CI = 1.2, 2.8), digestive system diseases (RR = 1.9, 95% CI = 1.3, 2.9), and diagnoses of assault (RR = 4.9, 95% CI = 1.1, 22.1) or attempted suicide (RR = 3.7, 95% CI = 1.6, 9.2) in the year before filing a protection order. CONCLUSIONS: This study showed an increased relative risk of both overall and diagnosis-specific hospitalizations among abused women. Intimate partner violence has a significant impact on women's health and use of health care.

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Selected References

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  1. Abbott J., Johnson R., Koziol-McLain J., Lowenstein S. R. Domestic violence against women. Incidence and prevalence in an emergency department population. JAMA. 1995 Jun 14;273(22):1763–1767. doi: 10.1001/jama.273.22.1763. [DOI] [PubMed] [Google Scholar]
  2. Astin M. C., Lawrence K. J., Foy D. W. Posttraumatic stress disorder among battered women: risk and resiliency factors. Violence Vict. 1993 Spring;8(1):17–28. [PubMed] [Google Scholar]
  3. Astin M. C., Ogland-Hand S. M., Coleman E. M., Foy D. S. Posttraumatic stress disorder and childhood abuse in battered women: comparisons with maritally distressed women. J Consult Clin Psychol. 1995 Apr;63(2):308–312. doi: 10.1037//0022-006x.63.2.308. [DOI] [PubMed] [Google Scholar]
  4. Bergman B., Brismar B. A 5-year follow-up study of 117 battered women. Am J Public Health. 1991 Nov;81(11):1486–1489. doi: 10.2105/ajph.81.11.1486. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Bergman B., Brismar B. Suicide attempts by battered wives. Acta Psychiatr Scand. 1991 May;83(5):380–384. doi: 10.1111/j.1600-0447.1991.tb05560.x. [DOI] [PubMed] [Google Scholar]
  6. Bergman B., Larsson G., Brismar B., Klang M. Psychiatric morbidity and personality characteristics of battered women. Acta Psychiatr Scand. 1987 Dec;76(6):678–683. doi: 10.1111/j.1600-0447.1987.tb02939.x. [DOI] [PubMed] [Google Scholar]
  7. Brismar B., Bergman B., Larsson G., Strandberg A. Battered women: a diagnostic and therapeutic dilemma. Acta Chir Scand. 1987 Jan;153(1):1–5. [PubMed] [Google Scholar]
  8. Drossman D. A., Talley N. J., Leserman J., Olden K. W., Barreiro M. A. Sexual and physical abuse and gastrointestinal illness. Review and recommendations. Ann Intern Med. 1995 Nov 15;123(10):782–794. doi: 10.7326/0003-4819-123-10-199511150-00007. [DOI] [PubMed] [Google Scholar]
  9. Gleason W. J. Mental disorders in battered women: an empirical study. Violence Vict. 1993 Spring;8(1):53–68. [PubMed] [Google Scholar]
  10. Goldberg W. G., Tomlanovich M. C. Domestic violence victims in the emergency department. New findings. JAMA. 1984 Jun 22;251(24):3259–3264. [PubMed] [Google Scholar]
  11. Grunfeld A. F., Ritmiller S., Mackay K., Cowan L., Hotch D. Detecting domestic violence against women in the emergency department: a nursing triage model. J Emerg Nurs. 1994 Aug;20(4):271–274. [PubMed] [Google Scholar]
  12. Jaffe P., Wolfe D. A., Wilson S., Zak L. Emotional and physical health problems of battered women. Can J Psychiatry. 1986 Oct;31(7):625–629. doi: 10.1177/070674378603100705. [DOI] [PubMed] [Google Scholar]
  13. Kaslow N. J., Thompson M. P., Meadows L. A., Jacobs D., Chance S., Gibb B., Bornstein H., Hollins L., Rashid A., Phillips K. Factors that mediate and moderate the link between partner abuse and suicidal behavior in African American women. J Consult Clin Psychol. 1998 Jun;66(3):533–540. doi: 10.1037//0022-006x.66.3.533. [DOI] [PubMed] [Google Scholar]
  14. Kuller L. H. Invited commentary on "Prospective study of intentionality of weight loss and mortality in older women: the Iowa Women's Health Study" and "Prospective study of intentional weight loss and mortality in overweight white men aged 40-64 years.". Am J Epidemiol. 1999 Mar 15;149(6):515–520. doi: 10.1093/oxfordjournals.aje.a009845. [DOI] [PubMed] [Google Scholar]
  15. Limandri B. J., Tilden V. P. Domestic violence: ethical issues in the health care system. AWHONNS Clin Issues Perinat Womens Health Nurs. 1993;4(3):493–502. [PubMed] [Google Scholar]
  16. 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]
  17. Morrison L. J. The battering syndrome: a poor record of detection in the emergency department. J Emerg Med. 1988 Nov-Dec;6(6):521–526. doi: 10.1016/0736-4679(88)90412-x. [DOI] [PubMed] [Google Scholar]
  18. Salber P. S. Improving emergency department response to victims of domestic violence. West J Med. 1993 Nov;159(5):599–600. [PMC free article] [PubMed] [Google Scholar]
  19. Saunders D. G. Posttraumatic stress symptom profiles of battered women: a comparison of survivors in two settings. Violence Vict. 1994 Spring;9(1):31–44. [PubMed] [Google Scholar]
  20. Sheridan D. J., Taylor W. K. Developing hospital-based domestic violence programs, protocols, policies, and procedures. AWHONNS Clin Issues Perinat Womens Health Nurs. 1993;4(3):471–482. [PubMed] [Google Scholar]
  21. 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]
  22. Talley N. J., Fett S. L., Zinsmeister A. R. Self-reported abuse and gastrointestinal disease in outpatients: association with irritable bowel-type symptoms. Am J Gastroenterol. 1995 Mar;90(3):366–371. [PubMed] [Google Scholar]

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