Perinatal status and help-seeking for intimate partner violence.

Catherine L Kothari, Catherine Cerulli, Steven Marcus, Karin V Rhodes
Author Information
  1. Catherine L Kothari: Michigan State University/Kalamazoo Center for Medical Studies, Kalamazoo, Michigan 49008, USA. kothari@kcms.msu.edu

Abstract

BACKGROUND: Although there has been much research examining the relationship between pregnancy and abuse, this study is one of the few to investigate whether perinatal status (defined as pregnancy or early postpartum) impacts the help seeking of abused women.
METHODS: We retrospectively reviewed 3 years of prosecutor administrative records, police incident reports, and hospital medical records for a countywide population of adult females (n = 964) assaulted by an intimate partner in 2000. Perinatal and nonperinatal victims were compared using chi-square and a series of logistic regression models, controlling for all demographic and incident-related factors.
RESULTS: Compared with women across the county, abused women were twice as likely to become pregnant (p < 0.001). Perinatal status did not change the rate of help seeking from police (OR 1.1, p = 0.67) or emergency departments (ED) (OR 1.1, p = 0.94), but it did change the pattern of help seeking with higher ED use in the 6 months prior to the assault (p < 0.01) and a trend toward seeking help with fewer injuries (p = 0.10).
CONCLUSIONS: Abused women are more likely to become pregnant. Perinatal status impacts how victims seek help from criminal justice agencies and EDs.

References

  1. Health Soc Care Community. 2003 Jan;11(1):10-8 [PMID: 14629228]
  2. Int Fam Plan Perspect. 2004 Dec;30(4):165-73 [PMID: 15590382]
  3. Am J Prev Med. 2006 Jun;30(6):458-66 [PMID: 16704938]
  4. Am J Obstet Gynecol. 1996 Jun;174(6):1873-7; discussion 1877-8 [PMID: 8678153]
  5. Violence Against Women. 2007 Jul;13(7):676-99 [PMID: 17600305]
  6. Violence Against Women. 2008 Apr;14(4):437-56 [PMID: 18359879]
  7. Matern Child Health J. 2006 Jan;10(1):83-94 [PMID: 16362235]
  8. Am J Public Health. 2006 Aug;96(8):1423-8 [PMID: 16809594]
  9. Ann Emerg Med. 2006 Feb;47(2):190-9 [PMID: 16431233]
  10. Violence Against Women. 2005 Mar;11(3):290-310 [PMID: 16043551]
  11. Women Health. 1989;15(3):69-84 [PMID: 2815791]
  12. Obstet Gynecol. 1995 Jun;85(6):1031-8 [PMID: 7770250]
  13. J Womens Health (Larchmt). 2008 Jan-Feb;17(1):85-95 [PMID: 18240985]
  14. JAMA. 2001 Mar 21;285(11):1455-9 [PMID: 11255421]
  15. Am J Public Health. 2005 Mar;95(3):471-7 [PMID: 15727979]
  16. Ann Intern Med. 2007 Nov 6;147(9):620-7 [PMID: 17975184]
  17. Am J Obstet Gynecol. 2004 Jun;190(6):1661-8 [PMID: 15284764]
  18. Paediatr Perinat Epidemiol. 2004 Jul;18(4):260-9 [PMID: 15255879]
  19. BMJ. 2004 Mar 13;328(7440):621-4 [PMID: 15016694]
  20. J Epidemiol Community Health. 2001 Aug;55(8):547-55 [PMID: 11449011]
  21. Am J Obstet Gynecol. 2002 Oct;187(4):1002-7 [PMID: 12388996]
  22. Violence Against Women. 2005 Mar;11(3):311-36 [PMID: 16043552]
  23. West J Nurs Res. 2005 Nov;27(7):802-24; discussion 825-30 [PMID: 16275702]
  24. Violence Against Women. 2006 Mar;12(3):221-39 [PMID: 16456149]
  25. JAMA. 2001 Mar 28;285(12):1581-4 [PMID: 11268265]
  26. Womens Health Issues. 1995 Winter;5(4):214-23 [PMID: 8574118]
  27. JAMA. 1996 Jun 26;275(24):1915-20 [PMID: 8648873]
  28. Am J Obstet Gynecol. 2006 Jul;195(1):140-8 [PMID: 16813751]
  29. Obstet Gynecol. 2005 Jul;106(1):61-5 [PMID: 15994618]
  30. Violence Vict. 1999 Spring;14(1):89-104 [PMID: 10397628]

Grants

  1. K23 MH64572/NIMH NIH HHS

MeSH Term

Adult
Battered Women
Female
Humans
Interpersonal Relations
Michigan
Patient Acceptance of Health Care
Perinatal Care
Pregnancy
Pregnancy Complications
Retrospective Studies
Young Adult

Word Cloud

Created with Highcharts 10.0.0helpp0statusseekingwomen=Perinatal1pregnancyimpactsabusedrecordspoliceintimatepartnervictimslikelybecomepregnant<changeOREDBACKGROUND:AlthoughmuchresearchexaminingrelationshipabusestudyoneinvestigatewhetherperinataldefinedearlypostpartumMETHODS:retrospectivelyreviewed3yearsprosecutoradministrativeincidentreportshospitalmedicalcountywidepopulationadultfemalesn964assaulted2000nonperinatalcomparedusingchi-squareserieslogisticregressionmodelscontrollingdemographicincident-relatedfactorsRESULTS:Comparedacrosscountytwice001rate67emergencydepartments94patternhigheruse6monthspriorassault01trendtowardfewerinjuries10CONCLUSIONS:AbusedseekcriminaljusticeagenciesEDshelp-seekingviolence

Similar Articles

Cited By (1)