Table 2.
Factors Associated with Screening <10% of Women Patients for Domestic Violence
| Factor | Bivariate OR (95% CI)* | Multivariate OR (95% CI)† |
|---|---|---|
| Specialty | ||
| Obstetrics-gynecology | 0.55 (0.38 to 0.78) | 0.49 (0.31 to 0.78) |
| Emergency medicine | 1.19 (0.86 to 1.66)‡ | 1.72 (1.13 to 2.63)§ |
| Internal medicine | 1.35 (0.94 to 0.196)‡ | 1.02 (0.63 to 1.65)‡ |
| Family medicine | 1.0 | 1.0 |
| Training on domestic violence | ||
| Within the previous 12 mo | 0.26 (0.18 to 0.37) | 0.46 (0.29 to 0.74) |
| >12 mo prior | 0.46 (0.32 to 0.66) | 0.54 (0.34 to 0.85) |
| No training | 1.0 | 1.0 |
| Female physician gender | 0.41 (0.31 to 0.54) | 0.51 (0.35 to 0.73) |
| Estimate of lifetime prevalence of DV (per 10% of women patients)‖ | ||
| In respondent's state | 0.78 (0.71 to 0.85) | — |
| In respondent's practice | 0.75 (0.66 to 0.82) | 0.72 (0.65 to 0.80) |
| Physician has been in an abusive relationship with a parent, relative, sexual partner, or friend | 0.51 (0.35 to 0.74) | — |
| Agreement that…¶ | ||
| I am very confident in my ability to recognize DV victims‖ | 0.61 (0.53 to 0.71) | 0.71 (0.58 to 0.87) |
| I am very confident in my ability to assist recognized DV victims ‖ | 0.66 (0.58 to 0.76) | 0.79 (0.66 to 0.96)§ |
| Professionals in my discipline have as much responsibility to deal with domestic violence as with other clinical problems | 0.71 (0.62 to 0.82) | — |
| Routinely asking female patients about DV should be part of the annual physical exam‖ | 0.55 (0.49 to 0.63) | 0.76 (0.63 to 0.91) |
| I do not have the resources to adequately help abused women | 1.31 (1.17 to 1.47) | — |
| I do not have adequate training in appropriate questions to ask | 1.77 (1.56 to 2.02) | — |
| I do not need to question my patients; if DV is a problem they will let me know‖ | 2.60 (2.14 to 3.15) | 1.60 (1.25 to 2.05) |
| Questions about DV may offend or anger my patients‖ | 1.53 (1.35 to 1.73) | 1.18 (1.00 to 1.39)# |
| I do not have time to ask routinely about domestic violence | 1.52 (1.35 to 1.73) | — |
| I usually forget to ask routinely about domestic violence | 1.82 (1.59 to 2.08) | 1.69 (1.42 to 2.02) |
*
Odds ratios (ORs) and 95% confidence intervals (CIs) from bivariate logistic regression models. All P values < .01, except where noted.
†
Odds ratios and 95% confidence intervals from multivariate logistic regression adjusting for other covariates in the column. All P values < .01, except where noted.
‡
P, not significant.
§
P < .05.
‖
DV signifies domestic violence.
¶
On 5-point Likert scales of agreement ranging from ‘strongly disagree’ to ‘strongly agree.’
#
P = .051.