182773 Intimate partner violence and risk for asthma in a population-based sample of women

Wednesday, October 29, 2008

Kristen Clements-Nolle, PhD, MPH , School of Public Health, University of Nevada, Reno, Reno, NV
William Lee, BS , Nevada Center for Health Statistics and Informatics, University of Nevada, Reno, Reno, NV
Wei Yang, MD, PhD , School of Public Health, University of Nevada Reno, Reno, NV

Recent research suggests that psychosocial stressors such as chronic exposure to violence may partially explain social disparities in asthma among children in the United States. However, little is known about the influence of violence on asthma morbidity among adult women.


To determine whether intimate partner violence (IPV) is independently associated with asthma in a population-based sample of women in the United States.


Data from the nationally representative Behavioral Risk Factor Surveillance System (BRFSS) was used. Nine U.S. states that completed an IPV module in 2005 were included in the analyses (N=27,641). Weighted multiple logistic regression models were used to determine whether history of IPV (physical and sexual) is independently associated with current asthma prevalence. The analyses were repeated with five states where household smoking policy and population density data were available.


After adjusting for age, race, education, income, marital status, body mass index, and smoking history, asthma risk remained higher for women who experienced physical IPV (OR=1.52; 95% CI=1.26, 1.83) and sexual IPV (OR=1.73; 95% CI=1.38, 2.18). Additional control for household smoking policies and state population density in five states, did not alter the relationship between asthma and partner violence.


Our results suggest that intimate partner violence is an unrecognized risk factor for asthma risk among adult women. Future studies should evaluate the IPV-asthma link prospectively and should continue to explore the stress-induced mechanisms that may contribute to asthma expression.

Learning Objectives:
1. Identify IPV as an emerging risk factor for asthma risk among adult women. 2. Recognize the potential stress-induced mechanisms that link IPV with asthma development and expression.

Keywords: Asthma, Violence

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator for the study that is being presented and I was involved in analyzing/interpreting the data for this poster.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.