264144 Examining the link between intimate partner violence and screening behaviors

Tuesday, October 30, 2012

Monique J. Brown, MPH , Department of Family Medicine and Population Health, Division of Epidemiology, Virginia Commonwealth University School of Medicine, Richmond, VA
Sherry H. Weitzen, PhD , Community Health, Brown University, Providence, RI
Kate L. Lapane, PhD , Department of Epidemiology and Community Health, Virginia Commonwealth University, Richmond, VA
Intimate partner violence (IPV) is defined as physical, sexual or psychological harm that can be perpetrated by a former or current spouse. IPV has been linked to sexually transmitted infections and chronic diseases, and IPV victims tend to need more healthcare overall, compared to populations who are not victims of IPV. Research has shown that there is an important association between IPV exposure and HIV testing among Pacific Islanders. We sought to determine the extent to which IPV exposure is associated with screening behaviors including HIV, cholesterol levels, pap smear tests, and clinical breast exams among a more generalizable population. We used data from eight states that collected IPV information in the 2006 or 2007 Behavioral Risk Factor Surveillance System survey (n=44,720). Multivariable logistic regression models provided adjusted estimates of odds ratios (aOR) and 95% confidence intervals (CI). Twenty-two percent of women and 10.8% of men reported a history of IPV, with 1.9% of women and 1.3% of men reporting IPV in the past year. Relative to those who did not report a history of IPV, IPV victims were twice as likely to get tested for HIV (aOR: 2.05; 95% CI: 1.81 to 2.31), have had a breast exam (aOR: 1.67; 95% CI: 1.27 to 2.18) and a pap test (aOR: 1.94; 95% CI: 1.16 to 3.26). IPV victims are vigilant about screening practices. Nevertheless, intervention and prevention programs to reduce IPV and its impact are warranted. Making use of opportunities for IPV intervention and prevention during screening for other adverse health outcomes is suggested.

Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs

Learning Objectives:
Describe the association between intimate partner violence and screening behaviors. List some screening behaviors that are associated with intimate partner violence.

Keywords: Violence, Screening

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been working with BRFSS datasets for the past four years. I am also the second author on a published manuscript on HIV testing. I have also had experience in violence epidemiology research for three years. My prior experience as a Data Analyst at the local governmental level and currently, as a doctoral student in Epidemiology has given me the proper tools and skill set needed to be a qualified author on this abstract.
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.