 |
 |
|
Home |
Current Issue |
Past Issues |
Audio/Video |
CME |
Collections |
In the Clinic |
Mobile |
Subscribe |
Tools |
Help |
ACP Online
|
2 March 2004 | Volume 140 Issue 5 | Pages 387-396
Background: Family and intimate partner violence is common in the United States and is often associated with acute and chronic health problems. Although the clinician's role in identification and intervention is considered a professional, ethical, and sometimes legal responsibility, the effectiveness of screening is uncertain.
Purpose: To examine evidence on the benefits and harms of screening women and elderly adults in health care settings for family and intimate partner violence.
Data Sources: MEDLINE, PsycINFO, CINAHL, Health & Psychosocial Instruments, AARP Ageline, Cochrane Controlled Trials Register, reference lists, and experts.
Study Selection: The authors selected English-language studies that included original data focusing on the performance of screening instruments (14 studies for women, 3 for elderly persons) and the effectiveness of interventions based in health care settings (2 studies for women, none for elderly persons).
Data Extraction: Study design, patient samples and settings, methods of assessment or intervention, and outcome measures were extracted, and a set of criteria was applied to evaluate study quality.
Data Synthesis: No trials of the effectiveness of screening in a health care setting for reducing harm have been published. Several screening instruments have been developed; some have demonstrated fair to good internal consistency and some have been validated with longer instruments, but none have been evaluated against measurable violence or health outcomes. Few intervention studies have been conducted. Existing intervention studies focused on pregnant women, and study limitations restrict their interpretation.
Conclusion: Although the literature on family and intimate partner violence is extensive, few studies provide data on detection and management to guide clinicians.
Author and Article Information
From Oregon Health & Science University and Veterans Affairs Medical Center, Portland, Oregon; and University of Rochester, Rochester, New York.
Disclaimer: The authors of this article are responsible for its contents, including clinical or treatment recommendations. No statement in this article should be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.
Acknowledgments: The authors thank members of the USPSTF and reviewers of the full evidence report for their contributions to this project; Patty Davis for conducting the library search; and Miranda Norbraten for helping prepare the manuscript.
Grant Support: This study was conducted by the Oregon Evidence-based Practice Center under contract to the Agency for Healthcare Research and Quality (contract no. 290-97-0018, Task Order Number 2, Rockville, Maryland). Dr. McInerney was supported by the Veterans Affairs special fellowship in Health Issues of Women Veterans.
Potential Financial Conflicts of Interest: None disclosed.
Requests for Single Reprints: Reprints are available from the Agency for Healthcare Research and Quality Web site (http://www.preventiveservices.ahrq.gov) and through the Agency for Healthcare Research and Quality Publications Clearinghouse (telephone, 800-358-9295).
Current Author Addresses: Dr. Nelson and Ms. Nygren: Oregon Health & Science University, Mail Code BICC 504, 3181 SW Sam Jackson Park Road, Portland, OR 97201.
Dr. McInerney: 13107 Mindanao Way, #1, Marina del Rey, CA 90292.
Dr. Klein: Department of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642. CLINICAL GUIDELINES
Screening Women and Elderly Adults for Family and Intimate Partner Violence: A Review of the Evidence for the U.S. Preventive Services Task Force
Related articles in Annals:
This article has been cited by other articles:
|
|
 |
|
  K. V. Rhodes, R. M. Frankel, N. Levinthal, E. Prenoveau, J. Bailey, and W. Levinson "You're Not a Victim of Domestic Violence, Are You?" Provider Patient Communication about Domestic Violence Ann Intern Med, November 6, 2007; 147(9): 620 - 627. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. L. Coker, V. C. Flerx, P. H. Smith, D. J. Whitaker, M. K. Fadden, and M. Williams Partner Violence Screening in Rural Health Care Clinics Am J Public Health, July 1, 2007; 97(7): 1319 - 1325. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 U. Pikarinen, T. Saisto, B. Schei, K. Swahnberg, and E. Halmesmaki Experiences of Physical and Sexual Abuse and Their Implications for Current Health Obstet. Gynecol., May 1, 2007; 109(5): 1116 - 1122. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. B. Plichta Interactions Between Victims of Intimate Partner Violence Against Women and the Health Care System: Policy and Practice Implications Trauma Violence Abuse, April 1, 2007; 8(2): 226 - 239. [Abstract] [PDF]
|
|
|
|
 |
|
 N. El-Bassel, L. Gilbert, E. Wu, M. Chang, C. Gomes, D. Vinocur, and T. Spevack Intimate partner violence prevalence and HIV risks among women receiving care in emergency departments: implications for IPV and HIV screening Emerg. Med. J., April 1, 2007; 24(4): 255 - 259. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. A. Walsh, J. Ploeg, L. Lohfeld, J. Horne, H. MacMillan, and D. Lai Violence Across the Lifespan: Interconnections Among Forms of Abuse as Described by Marginalized Canadian Elders and their Care-givers Br. J. Soc. Work, April 1, 2007; 37(3): 491 - 514. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. E. Bonomi, M. L. Anderson, R. J. Reid, D. Carrell, P. A. Fishman, F. P. Rivara, and R. S. Thompson Intimate Partner Violence in Older Women Gerontologist, February 1, 2007; 47(1): 34 - 41. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. L. MacMillan, C. N. Wathen, E. Jamieson, M. Boyle, L.-A. McNutt, A. Worster, B. Lent, M. Webb, and for the McMaster Violence Against Women Research G Approaches to screening for intimate partner violence in health care settings: a randomized trial. JAMA, August 2, 2006; 296(5): 530 - 536. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. A. Edwardsen and D. Morse Intimate Partner Violence Resource Materials: Assessment of Information Distribution. J Interpers Violence, August 1, 2006; 21(8): 971 - 981. [Abstract] [PDF]
|
|
|
|
 |
|
 P. Janssen, H. Dascal-Weichhendler, and M. McGregor Assessment for intimate partner violence: where do we stand? J Am Board Fam Med, July 1, 2006; 19(4): 413 - 415. [Full Text] [PDF]
|
|
|
|
|
|
S. L. Wenzel, J. S. Tucker, K. Hambarsoomian, and M. N. Elliott Toward a more comprehensive understanding of violence against impoverished women. J Interpers Violence, June 1, 2006; 21(6): 820 - 839. [Abstract] [PDF]
|
|
|
|
 |
|
 K. V. Rhodes, M. Drum, E. Anliker, R. M. Frankel, D. S. Howes, and W. Levinson Lowering the threshold for discussions of domestic violence: a randomized controlled trial of computer screening. Arch Intern Med, May 22, 2006; 166(10): 1107 - 1114. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. S. Feder, M. Hutson, J. Ramsay, and A. R. Taket Women Exposed to Intimate Partner Violence: Expectations and Experiences When They Encounter Health Care Professionals: A Meta-analysis of Qualitative Studies Arch Intern Med, January 9, 2006; 166(1): 22 - 37. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P.-H. Chen, S. Rovi, M. Vega, A. Jacobs, and M. S Johnson Screening for domestic violence in a predominantly Hispanic clinical setting Fam. Pract., December 1, 2005; 22(6): 617 - 623. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. C. Holmes and M. D. Sammel Brief Communication: Physical Abuse of Boys and Possible Associations with Poor Adult Outcomes Ann Intern Med, October 18, 2005; 143(8): 581 - 586. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. L. MacMillan and C. N. Wathen Family Violence Research: Lessons Learned and Where From Here? JAMA, August 3, 2005; 294(5): 618 - 620. [Full Text] [PDF]
|
|
|
|
|
|
T. Zink and F. Putnam Intimate Partner Violence Research in the Health Care Setting: What Are Appropriate and Feasible Methodological Standards? J Interpers Violence, April 1, 2005; 20(4): 365 - 372. [Abstract] [PDF]
|
|
|
|
|
|
P. A. Janssen, T. L. Nicholls, R. A. Kumar, H. Stefanakis, A. L. Spidel, and E. M. Simpson Of Mice and Men: Will the Intersection of Social Science and Genetics Create New Approaches for Intimate Partner Violence? J Interpers Violence, January 1, 2005; 20(1): 61 - 71. [Abstract] [PDF]
|
|
|
|
 |
|
 Other articles noted Evid. Based Med., September 1, 2004; 9(5): e5 - e5. [Full Text] [PDF]
|
|
|
|
|
|
C. Nicolaidis and the American Medical Women's Association and The P Screening for Family and Intimate Partner Violence Ann Intern Med, July 6, 2004; 141(1): 81 - 82. [Full Text] [PDF]
|
|
|
|
 |
|
 Other articles noted: 06 Feb 2004 to 16 Apr 2004 Evid. Based Nurs., July 1, 2004; 7(3): e3 - e3. [Full Text] [PDF]
|
|
|
|
 |
|
 Screening for Family and Intimate Partner Violence: Insufficient Evidence Journal Watch (General), March 26, 2004; 2004(326): 2 - 2. [Full Text]
|
|
|
|
 |
|
 L. E Ferris Intimate partner violence BMJ, March 13, 2004; 328(7440): 595 - 596. [Full Text] [PDF]
|
|
|
|
|
|
M. S. Lachs Screening for Family Violence: What's an Evidence-Based Doctor To Do? Ann Intern Med, March 2, 2004; 140(5): 399 - 400. [Full Text] [PDF]
|
|
|
|
 |
|
 U.S. Preventive Services Task Force Screening for Family and Intimate Partner Violence: Recommendation Statement Ann. Fam. Med, March 1, 2004; 2(2): 156 - 160. [Full Text] [PDF]
|
|
|
|
|
|
P. Nygren, H. D. Nelson, and J. Klein Screening Children for Family Violence: A Review of the Evidence for the US Preventive Services Task Force Ann. Fam. Med, March 1, 2004; 2(2): 161 - 169. [Abstract] [Full Text] [PDF]
|
|
Read all Rapid Responses
Article
