247318 Domestic Violence in Urban and Rural Romanian Communities

Sunday, October 30, 2011

Ileana M. Prejbeanu, MD, MPH, PhD , Environmental Health Department, University of Medicine and Pharmacy, Craiova, Romania
Cornelia Rada, Psycho-soc, PhD , Institute of Anthropology, Romanian Academy, Bucharest, Romania
Mihail Pirlog, Sociologst, MPH, PhD student , Psychiatry Department, University of Medicine and Pharmacy of Craiova, Craiova, Romania
Gheorghita Geana, Anthrop, PhD , Institute of Anthropology, Romanian Academy, Bucharest, Romania
Elena Dadulescu, MD, PhD , Ionizing Radiations Department, Public Health Authority of Dolj County, Craiova, Romania
Domestic violence is an important public health problem worldwide, associated with adverse health consequences. Routine screening for domestic violence by health care professionals has been recommended as an intervention strategy; but health care providers rarely incorporate universal screening into their practice, especially in communities characterized by persistent patriarchy and gender inequities. In this context, we are running a Grant (Project 72/2008, financially supported by CNCSIS-UEFISCSU) aimed to evaluate the reproductive health quality in south-western Romania. We interviewed 1.200 people, men and women, equally distributed by residence environment (urban/rural), age groups and instruction level, about violent behaviors in their families. Violent behaviors reported by the subjects (about always women) include psychological abuse such as insults, oaths and humiliation (39.1%), physical aggression such as slapping, kicking and beating (28.1%), restriction of affection (14.2%), forced intercourse (9.8%), and various controlling behaviors such as monitoring their activities, food and/or money (7.9%). The incidence of all these violent behaviors is strongly influenced by the age (p<0.001), being higher in old people. Psychological and physical aggressions occur more frequently in rural than in urban families (p<0.006); they are generated by men with an elementary educational level (p<0.001). The results of the study shows further researches are needed in order to better understand the best approach to screen for domestic violence. Screening for violence in primary health care settings may help detect and reduce violence, but intervention programs are also needed to provide support and medical services to the victims.

Learning Areas:
Implementation of health education strategies, interventions and programs
Social and behavioral sciences

Learning Objectives:
List the most frequent domestic violent behaviors. Identify variables that influence domestic violence. Describe the urgent need to build evidence about effective response to the complex social problem of domestic violence in primary care.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: For 20 years I have been teaching Environmental Health at the University of Medicine and Pharmacy and have been working in health promotion projects. I am the director of the Grant this work is part of; I have been involved in any activities concerning the research.
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.