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133rd Annual Meeting & Exposition
December 10-14, 2005
Lucy Clarke, BA, MPH 20061, Sharon Tsui, BA, MPH 20061, Natalie Hoyt, BA, MPH 20061, and Vanda Asapahu, BA, BS, MPH 20062. (1) School of Epidemiology and Public Health, Global Health, Yale University, 367 Cedar Street BOX 1114, New Haven, CT 06510, 617-642-9844, firstname.lastname@example.org, (2) School of Epidemiology and Public Health, Health Policy and Administration, Yale University, 44 Orange Apt #521, New Haven, CT 06510
Domestic abuse is of public health significance and an urgent challenge to the Bridgeport Community Health Center (BCHC). A 2004 prevalence survey of the female clientele of BCHC showed that Hispanic and African-American women experienced a disproportionate burden of domestic violence as compared to national statistics, reporting 27% and 13% higher prevalence for total women and pregnant women, respectively. The American Medical Association recommended health practitioners to develop abuse screening protocols and referral/ intervention procedures in response to high prevalence of domestic abuse. Therefore, BCHC initiated a domestic violence survey and intervention program for delivery of care to adolescent females, which includes structural and process changes. First, structural changes included hiring a case manager to coordinated medical, social, and mental health services for abused teens. Second, process changes included universal and age-specific screening, individual and group therapy, and partnerships with Bridgeport community resources. The purposes of this study are two-fold. First, this retrospective cohort study of adolescent females evaluates prevalent risk factors of domestic abuse and levels of self-esteem level. Second, semi-structured interviews with BCHC staff and community partners examine coping mechanisms and efficacy of existing and potential performance improvement projects. Quantitative and qualitative data are analyzed using statistical univariate and biavariate methods and theme content analysis, respectively. Findings from this study will be used for making recommendations for structural and process changes, as well as empowerment and risk reduction for adolescent females.
Keywords: Domestic Violence, Adolescent Health
Presenting author's disclosure statement:
I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.
The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA