261021
A profile of intimate partner violence survivors: Women who can access care for their children and not themselves
Tuesday, October 30, 2012
: 8:50 AM - 9:10 AM
Martha L. Coulter, DrPH MPH MSW
,
Department of Community and Family Health, University of South Florida, College of Public Health, Tampa, FL
Lianne Fuino Estefan, PhD, MPH
,
Community and Family Health, University of South Florida College of Public Health, Tampa, FL
Mary Ivory
,
College of Public Health, University of South Florida, Tampa, FL
Cara de la Cruz, PhD, MPH
,
Chiles Center for Healthy Mothers and Babies, University of South Florida, College of Public Health, Tampa, FL
Background: Although research data are available about access to healthcare for women in violent situations, little data exist for women who have left those circumstances. This analysis created a profile of service needs that specifically focused on women who had difficulty accessing health care for themselves although they were able to obtain it for their children. Methods: 202 women and their children were evaluated at entry into a case management intervention program for intimate partner violence survivors and their children, and approximately 18 months later at program completion. Frequency and bivariate analyses were conducted, including variables such as demographics, finances, depression, transportation, and employment. Results: 47% of clients reported difficulty accessing health care at pre-test, decreasing to 37% at post-test, while 62% reported no difficulty accessing health care for their children. Of this group, the most highly related factors to lack of health care access for women were financial problems (70% compared to 62% of all clients), depression (42% v 35%), and transportation problems (33% v 18%). 28% of women who had Medicaid coverage for themselves had difficulty accessing care for themselves but not their children, compared to 52% of women who were not on Medicaid. Conclusions: Differences were identified in the population of women who had difficulty accessing health care for themselves but not their children, compared to all clients. These findings enable appropriate targeting of women who may have difficulty accessing health care for themselves after leaving violent situations.
Learning Areas:
Advocacy for health and health education
Program planning
Learning Objectives: Identify factors related to difficulty accessing healthcare for women that have left violent situations.
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I am currently a MPH student in the behavioral health program at University of South Florida. I have been a researcher of domestic violence topics for three years. I currently am a graduate assistant for two grants related to topics of family and community violence through the Harrell Center for the study of family violence at USF.
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.
|