238379 Intimate partner violence among low-income African American women with a recent adverse pregnancy outcome

Tuesday, November 1, 2011

Erica Abu-Ghallous, MSN, MPH, RN , Division of Patient Safety and Quality, Illinois Department of Public Health, Chicago, IL
L. Michele Issel, PhD RN , School of Public Health, University of Illinois-Chicago, Chicago, IL
Kamal Eldeirawi, PhD , College of Nursing, Department of Health Systems Science, University of Illinois at Chicago, Chicago
Stephanie Townsell, MPH , HIV Surveillance, Chicago Department of Public Health, Chicago, IL
Arden Handler, DrPH , Community Health Sciences Division, University of Illinois at Chicago, School of Public Health, Chicago, IL
Background: Intimate Partner Violence (IPV) negatively impacts women's health directly and indirectly through depletion of personal, social, and economic resources and is associated with unintended pregnancy and adverse pregnancy outcomes. Methods: Low-income African American women enrolled in an interconceptional care program for women who delivered a preterm or low birth-weight infant or experienced fetal death participated in structured interviews. Student's t-test compared women who experienced recent IPV to women who did not on Rosenberg Self-Esteem and Family APGAR scales. Fisher's Exact test and odds ratios were calculated to assess the association of recent IPV with economic stress and depression. Results: Of 108 respondents, (mean age 23.6 years, 72.6% household income <$500/month), 23.1% (n=25) reported experiencing IPV in the previous 3 months. The most frequent type of IPV was having daily activities controlled (n=20; 18.5%) and physical harm was reported by 32% of women who reported any form of IPV (n=8). Women who experienced recent IPV had lower scores on the Rosenberg Self Esteem scale (p-value .027) and Family APGAR (p-value .003), were more likely to have many unpaid bills (OR 3.6; CI 1.8-9.2), been recently homeless (OR 12.8; CI 2.4-68.4), and to have experienced recent depression (OR 6.17; CI 1.9-18.8) than women who did not report recent IPV. Conclusions: Women targeted by interconceptional care programs have a high prevalence of IPV, which provides further emphasis for the need to routinely screen for IPV. Women affected by IPV require targeted support with a particular emphasis on safe housing.

Learning Areas:
Public health or related nursing
Social and behavioral sciences

Learning Objectives:
1. Describe the prevalence of intimate partner violence (IPV) among women served by an interconceptional care program. 2. Discuss the relationship between IPV, self worth, social support, and economic resources among low-income African American women.

Keywords: Domestic Violence, Women's Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a Nursing Instructor with an MPH focused in Maternal and Child Health and a Masters of Science in Community Health Nursing. I worked with the PI for this study while conducting research as part of my masters’ capstone.
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.