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Are gynaecological and pregnancy-associated conditions in family practice indicators of intimate partner violence?

Are gynaecological and pregnancy-associated conditions in family practice indicators of intimate... AbstractBackground. Some gynaecological and pregnancy-associated conditions are more common in abused women than in non-abused women, but this has not been examined in family practice.Objective. We aimed to investigate intimate partner violence (IPV) prevalence in family practice and to investigate whether gynaecological and pregnancy-associated conditions are more common in abused women than in non-abused women.Methods. We conducted a cross-sectional waiting room survey in 12 family practices in the Netherlands in 2012. Women were eligible if they were of 18 years or older. Questionnaires measured IPV and gynaecological and pregnancy-associated conditions. Chi-square tests were used to assess the differences in gynaecological and pregnancy-associated conditions between abused women and non-abused women.Results. The response rate was 86% (262 of 306 women). The past-year prevalence of IPV in women who had had an intimate relationship in the past year and were not accompanied by their partner was 8.7% (n = 195). Lifetime prevalence of women who had ever had an intimate relationship, but not in the past year, was 17.6% (n = 51). Sexually transmitted infections (STIs) [odds ratio (OR) = 4.6, 95% confidence interval [CI] = 1.7–12.5, n = 240], menstrual disorders (OR = 3.7, 95% CI = 1.2–11.2, n = 143), sexual problems (OR = 3.3, 95% CI = 1.2–9.3, n = 229), miscarriages (OR = 2.5, 95% CI = 1.062–5.8, n = 202) and induced abortions (OR = 2.7, 95% CI = 1.028–7.3, n = 202) were significantly more common in abused women than in non-abused women.Conclusion. Family physicians should ask about IPV when women present with STIs, menstrual disorders, sexual problems, miscarriages or induced abortions. To improve the recognition of IPV, future research needs to investigate whether a combination of symptoms offers improved prediction of IPV. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Family Practice Oxford University Press

Are gynaecological and pregnancy-associated conditions in family practice indicators of intimate partner violence?

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References (21)

Publisher
Oxford University Press
Copyright
© The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
ISSN
0263-2136
eISSN
1460-2229
DOI
10.1093/fampra/cmw021
pmid
27073193
Publisher site
See Article on Publisher Site

Abstract

AbstractBackground. Some gynaecological and pregnancy-associated conditions are more common in abused women than in non-abused women, but this has not been examined in family practice.Objective. We aimed to investigate intimate partner violence (IPV) prevalence in family practice and to investigate whether gynaecological and pregnancy-associated conditions are more common in abused women than in non-abused women.Methods. We conducted a cross-sectional waiting room survey in 12 family practices in the Netherlands in 2012. Women were eligible if they were of 18 years or older. Questionnaires measured IPV and gynaecological and pregnancy-associated conditions. Chi-square tests were used to assess the differences in gynaecological and pregnancy-associated conditions between abused women and non-abused women.Results. The response rate was 86% (262 of 306 women). The past-year prevalence of IPV in women who had had an intimate relationship in the past year and were not accompanied by their partner was 8.7% (n = 195). Lifetime prevalence of women who had ever had an intimate relationship, but not in the past year, was 17.6% (n = 51). Sexually transmitted infections (STIs) [odds ratio (OR) = 4.6, 95% confidence interval [CI] = 1.7–12.5, n = 240], menstrual disorders (OR = 3.7, 95% CI = 1.2–11.2, n = 143), sexual problems (OR = 3.3, 95% CI = 1.2–9.3, n = 229), miscarriages (OR = 2.5, 95% CI = 1.062–5.8, n = 202) and induced abortions (OR = 2.7, 95% CI = 1.028–7.3, n = 202) were significantly more common in abused women than in non-abused women.Conclusion. Family physicians should ask about IPV when women present with STIs, menstrual disorders, sexual problems, miscarriages or induced abortions. To improve the recognition of IPV, future research needs to investigate whether a combination of symptoms offers improved prediction of IPV.

Journal

Family PracticeOxford University Press

Published: Aug 1, 2016

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