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APHA Scientific Session and Event Listing

Recorded presentation

Kathleen Jones, MPH¹, Leslie L. Davidson, MD, MSc², Niki Palmetto, MPH², Vicki Breitbart, MSW³, Jini Tanenhaus, PA³, Melissa Forbes³, Michelle Zeitler, MPH⁴, Leslie Rottenberg, LCSW³, and Vaughn I. Rickert, PsyD¹. (1) Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, 649 Prospect Place, 1B, Brooklyn, NY 11216, 4197337558, kej2106@columbia.edu, (2) Department of Epidemiology, Columbia University Mailman School of Public Health, 722 W 168 St, rm 1612, New York, NY 10032, (3) Planned Parenthood New York City, 26 Bleeker St, New York, NY 10012, (4) Obstetrics and Gynecology, Columbia University, 622 W 168th St, New York, NY 10032

As part of a RCT evaluating screening young women (aged 15-24) seeking reproductive care for partner violence (IPV), we compared prevalence estimates found on screening and those determined by health provider assessment during the clinical interview.

699 young women were randomized to one of three IPV screens using audio-CASI. Each screen contained core questions assessing lifetime physical partner violence and sexual violence from anyone, as well as current partner violence (physical and sexual). Two of the screens included 2-3 additional questions. Health providers reviewed the women's responses to the screening questions and assessed whether the patient had experienced physical and/or sexual violence in their current relationship and/or in their past relationship, and/or had experienced forced sex by a stranger.

Of the 208 women who screened positive for one or more episodes of violent behavior (physical or sexual) using the core questions, 153 were assessed by providers as having experienced sexually or physically violent relationships. Providers identified three additional women as experiencing violence. Agreement between computer screening and provider assessment on lifetime relationship violence and all sexual violence was high, with a kappa of .791. Agreement declined only slightly for lifetime measures of physical violence (.787) and sexual violence (.727). The 55 young women who screened positive for violent relationships but were assessed as negative by providers had a lower mean violence score on screening than women who were then assessed by the provider as positive for violent relationships. Provider and patient views of the screening and assessment will be discussed.

Learning Objectives:

• 1. Understand differences between prevalence estimates of partner violence derived from anonymous vs confidential screening and those from health provider interview.
• 2. Understand the prevalence of sexual and physical partner violence in young women.
• 3. Understand challenges in conducting research in areas where women’s disclosure may be influenced by issues of anonymity and confidentiality.
• 4. Know more about young women’s views regarding screening for partner violence in health care settings.

Keywords: Adolescent Health, Violence Prevention

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation