Intimate Partner Violence and Health Care-Seeking Patterns Among Female Users of Urban Adolescent Clinics

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dc.contributor.author Miller, Elizabeth en_US
dc.contributor.author Decker, Michele R. en_US
dc.contributor.author Raj, Anita en_US
dc.contributor.author Reed, Elizabeth en_US
dc.contributor.author Marable, Danelle en_US
dc.contributor.author Silverman, Jay G. en_US
dc.date.accessioned 2012-01-11T22:26:03Z
dc.date.available 2012-01-11T22:26:03Z
dc.date.issued 2009-9-17 en_US
dc.identifier.citation Miller, Elizabeth, Michele R. Decker, Anita Raj, Elizabeth Reed, Danelle Marable, Jay G. Silverman. "Intimate Partner Violence and Health Care-Seeking Patterns Among Female Users of Urban Adolescent Clinics" Maternal and Child Health Journal 14(6): 910-917. (2009) en_US
dc.identifier.issn 1573-6628 en_US
dc.identifier.uri http://hdl.handle.net/2144/3283
dc.description.abstract To assess the prevalence of intimate partner violence (IPV) and associations with health care-seeking patterns among female patients of adolescent clinics, and to examine screening for IPV and IPV disclosure patterns within these clinics. A self-administered, anonymous, computerized survey was administered to female clients ages 14–20 years (N = 448) seeking care in five urban adolescent clinics, inquiring about IPV history, reasons for seeking care, and IPV screening by and IPV disclosure to providers. Two in five (40%) female urban adolescent clinic patients had experienced IPV, with 32% reporting physical and 21% reporting sexual victimization. Among IPV survivors, 45% reported abuse in their current or most recent relationship. IPV prevalence was equally high among those visiting clinics for reproductive health concerns as among those seeking care for other reasons. IPV victimization was associated with both poor current health status (AOR 1.57, 95% CI 1.03–2.40) and having foregone care in the past year (AOR 2.59, 95% CI 1.20–5.58). Recent IPV victimization was associated only with past 12 month foregone care (AOR 2.02, 95% CI 1.18–3.46). A minority (30%) reported ever being screened for IPV in a clinical setting. IPV victimization is pervasive among female adolescent clinic attendees regardless of visit type, yet IPV screening by providers appears low. Patients reporting poor health status and foregone care are more likely to have experienced IPV. IPV screening and interventions tailored for female patients of adolescent clinics are needed. en_US
dc.description.sponsorship W.T. Grant Foundation Scholars Program (2529); Building Interdisciplinary Research Careers in Women’s Health (K12 HD051958); National Center for Injury Prevention and Control/Centers for Disease Control (U36/CCU300430-23) en_US
dc.language.iso en en_US
dc.publisher Springer US en_US
dc.rights Copyright Miller et al, 2009 en_US
dc.subject Intimate partner violence en_US
dc.subject Adolescent dating violence en_US
dc.subject Sexual violence en_US
dc.subject Physical violence en_US
dc.subject Adolescent health screening en_US
dc.title Intimate Partner Violence and Health Care-Seeking Patterns Among Female Users of Urban Adolescent Clinics en_US
dc.type article en_US
dc.identifier.doi 10.1007/s10995-009-0520-z en_US
dc.identifier.pubmedid 19760162 en_US
dc.identifier.pmcid 2962886 en_US

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