191519 Intimate Partner Violence and Gynecologic Health: Focus on Women in Kentucky

Wednesday, October 29, 2008: 8:30 AM

Ann L. Coker, PhD , Department of Obstetrics & Gynecology, University of Kentucky College of Medicine, Lexington, KY
James E. Ferguson, MD , Department of Obstetrics & Gynecology, University of Kentucky, Lexington, KY
Heather M. Bush, Dr , Biostatistics, University Of Kentucky, College of Public Health, Lexington, KY
Carol Jordan, MS , Center for Research on Violence Against Women, University of Kentucky, Lexington, KY
Leslie Crofford, MD , Internal Medicine/Rheumatology, University of Kentucky, Lexington, KY
The purpose of this cross-sectional analysis was to determine whether women who had experienced intimate partner violence (IPV) had higher prevalence rates of poor gynecologic health defined as ever having a sexually transmitted infection (STI), cervical neoplasia, chronic pelvic pain, frequent urinary tract infection or bladder incontinence, menstrual irregularities, and menopausal symptoms. Included in the sample were women ages 18-88 who joined the Kentucky Women's Health Registry (2006-2007) and completed an extensive online questionnaire. Of 4,708 participants with no missing data on IPV and confounding factors (e.g. age, pack years smoking, education level), 36% had ever experienced IPV. IPV was associated with having an STI (adjusted rate ratio [aRR] = 1.9; 95% CI =1.7-2.2), invasive cervical cancer (aRR = 2.6; 95% CI =1.7- 4.0), and chronic pelvic pain (aRR=1.6; 95% CI=1.2-2.1). IPV was also associated with having frequent urinary tract infections (aRR=1.4; 95% CI=1.1-1.9) and pelvic pain in the past year (aRR=1.4; 95% CI=1.1-1.7). IPV was associated with a range of menstrual irregularities including premenstrual syndrome (aRR=1.6; 95% CI=1.3-2.0) and in the past year with menstrual mood swings, (aRR=1.3; 95% CI=1.2-1.5), irregular menses (aRR=1.5; 95% CI=1.3-1.8), painful menses (aRR=1.4; 95% CI=1.2-1.6), and prolonged menses (aRR=1.8; 95% CI=1.5-2.1). Finally, IPV was associated with urinary incontinence (aRR=1.2; 95% CI=1.1-1.5) yet not with other menopausal symptoms among older women. Screening for lifetime and current IPV may help clinicians identify women at greater risk of potentially preventable gynecologic health conditions.

Learning Objectives:
By the end of the session, participants will be able to: 1. To become familiar with the Kentucky Women's Health Registry as a resource for future research; and 2. To identify gynecologic health conditions which IPV may adverse affect.

Keywords: Violence, Women's Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: researcher
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.