Online Program

Intimate partner violence in Appalachia: Associations with physical and mental health outcomes

Tuesday, November 5, 2013 : 1:30 p.m. - 1:50 p.m.

Danielle Davidov, PhD, Department of Emergency Medicine, School of Medicine; Department of Social & Behavioral Health Sciences, School of Public Health, West Virginia University, Morgantown, WV
Jonathan Bond, MPH, Department of Emergency Medicine, West Virginia University, Morgantown, WV
Brandon Shiflett, MS, School of Medicine, Marshall University, Huntington, WV
Stephen Davis, MPA, MSW, Department of Emergency Medicine, West Virginia University, Morgantown, WV
Caitlin Kennedy, MD, Department of Emergency Medicine, West Virginia University, Morgantown, WV
Intimate partner violence (IPV) is associated with a plethora of negative physical and psychological health outcomes, many of which are documented health disparity conditions. These issues have not previously been examined in the culturally and geographically defined region of Appalachia—a historically underserved area. The purpose of the current study was to investigate the relationship between intimate partner violence and associated physical and mental health outcomes. A convenience sample of female patients presenting to an emergency department or urgent care in a medically underserved Appalachian county were eligible for inclusion. Participants 18 to 65 years of age were administered a survey focusing on health and IPV. Data collection is ongoing. To date, 70 participants have been enrolled in the current study (response rate = 93%). Most participants were white (96%) and their mean age was 35 years. Nearly 30% of women reported “fair” or “poor” health as well as limitations in daily activities due to physical or mental problems. Additionally, 31% and 40% had been diagnosed with an anxiety or depressive disorder, respectively. Over one-quarter of participants reported lifetime physical IPV and 12% reported unwanted sex. Participants that reported ever experiencing physical IPV were significantly more likely (p<.05) to have a diagnosis of an anxiety disorder (55% vs. 13%) or a depressive disorder (72% vs. 28%) than those who did not report IPV. Women in underserved regions of Appalachian may be at increased risk for negative health outcomes associated with IPV. Further investigation of this health disparity population is warranted.

Learning Areas:

Public health or related research
Social and behavioral sciences

Learning Objectives:
Identify three barriers to the provision of services for victims of intimate partner violence in Appalachia

Keyword(s): Domestic Violence, Mental Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have served as the principal investigator on several clinical research studies in my department. Furthermore, I have received NIMHD's Loan Repayment Program Award for my work related to intimate partner violence in the Appalachian region. My research interests involve the intersection between violence against women and women's reproductive and sexual health.
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.