nach oben

Journal of Community Health

Erschienen in:

01.10.2013 | Original Paper

How You Screen is as Important as Whether You Screen: A Qualitative Analysis of Violence Screening Practices in Reproductive Health Clinics

verfasst von: Daesha V. Ramachandran, Laura Covarrubias, Catherine Watson, Michele R. Decker

Erschienen in: Journal of Community Health | Ausgabe 5/2013

Einloggen, um Zugang zu erhalten

Abstract

Adolescent and young adult women are disproportionately burdened by violence at the hands of dating and intimate partners. Evidence supports routine screening in clinical settings for detection and intervention. Although screening for intimate partner violence in reproductive health care settings is widely endorsed, little is known about screening practices. We conducted qualitative in-depth interviews with healthcare providers (n = 14) in several urban reproductive health clinics in Baltimore City, Maryland to understand screening practices, including related barriers and motivations. Interviews were transcribed verbatim and analyzed using inductive content analysis. Findings demonstrated substantial variation in screening practices as well as related referral and follow-up, despite the existence of a screening tool. Factors that appeared to undermine consistent and successful screening implementation included lack of a common goal for screening, lack of clarity in staff roles, a gap in on-site support services, as well as lack of time and confidence. Findings affirm the value of applying a systems model to intimate partner violence (IPV) screening programs. This research advances the understanding of the implementation challenges for violence-related screening for high-risk populations such as adolescents and young adults in reproductive health care settings and is particularly relevant given the recent endorsement by the DHHS to cover IPV screening under the Affordable Care Act.

Eaton, D. K., Kann, L., Kinchen, S., et al. (2012). Youth risk behavior surveillance—United States, 2011. DC: Washington.

Black M., Basile K., & Breiding M., et al. (2011). National intimate partner and sexual violence survey 2010 summary report. In: Injury prevention. Atlanta, GA, 124.

Glass, N., Fredland, N., Campbell, J., Yonas, M., Sharps, P., & Kub, J. (2003). Adolescent dating violence: Prevalence, risk factors, health outcomes, and implications for clinical practice. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 32, 227–238.PubMedCrossRef

Alleyne-Green, B., Coleman-Cowger, V. H., & Henry, D. B. (2012). Dating violence perpetration and/or victimization and associated sexual risk behaviors among a sample of inner-city African American and Hispanic adolescent females. Journal of Interpersonal Violence, 27(8), 1457–1473.PubMedCrossRef

Decker, M., Silverman, J. G., & Raj, A. (2005). Dating violence and sexually transmitted disease/HIV testing and diagnosis among adolescent females. Pediatrics, 116(2), e272–e276.PubMedCrossRef

Silverman, J. G., Raj, A., Mucci, L. A., & Hathaway, J. E. (2001). Dating violence against adolescent girls and associated substance use, unhealthy weight control, sexual risk behavior, pregnancy, and suicidality. Journal of the American Medical Association, 286, 572–579.PubMedCrossRef

Wingood, G., DiClemente, R., McCree, D., Harrington, K., & Davies, S. (2001). Dating violence and the sexual health of black adolescent females. Pediatrics, 107(5), E72.PubMedCrossRef

Smith, P. H., White, J. W., & Holland, L. J. (2003). A longitudinal perspective on dating violence among adolescent and college-age women. American Journal of Public Health, 93(7), 1104–1109.PubMedCrossRef

Humphrey, J., & White, J. W. (2000). Women’s vulnerability to sexual assault from adolescence to young adulthood. Journal of Adolescent Health, 27, 419–424.PubMedCrossRef

10.

Coker, A. L., McKeown, R. E., Sanderson, M., Davis, K. E., Valois, R. F., & Huebner, E. S. (2000). Severe dating violence and quality of life among South Carolina high school students. American Journal of Preventive Medicine, 19, 220–227.PubMedCrossRef

11.

Campbell, J. C. (2002). Health consequences of intimate partner violence. Lancet, 359(9314), 1331–1336.PubMedCrossRef

12.

Rickert, V., Wiemann, C. M., Harrykissoon, S. D., Berenson, A. B., & Kolb, E. (2002). The relationship among demographics, reproductive characteristics, and intimate partner violence. American Journal of Obstetatrics & Gynecology, 1871, 1002–1007.CrossRef

13.

Keeling, J., & Birch, L. (2004). The prevalence rates of domestic abuse in women attending a family planning clinic. Journal of Family Planning and Reproductive Health Care, 301, 113–114.CrossRef

14.

Nelson, H. D. (2012). Screening women for intimate partner violence: A systematic review to update the US preventive services task force recommendation. Annals of Internal Medicine, 156(11), 796–808.PubMedCrossRef

15.

O’Campo, P., Kirst, M., Tsamis, C., Chambers, C., & Ahmad, F. (2011). Implementing successful intimate partner violence screening programs in health care settings: Evidence generated from a realist-informed systematic review. Social Science and Medicine, 72(6), 855–866.PubMedCrossRef

16.

American Academy of Family Physicians. (1994). Family violence: An AAFP white paper.

17.

American Academy of Pediatrics Committee on Child Abuse and Neglect. (1998). The role of the pediatrician in recognizing and intervening on behalf of abused women. Pediatrics, 101, 1091–1092.CrossRef

18.

American College of Emergency Physicians. (1995). Emergency medicine and domestic violence. Annals of Emergency Medicine, 25, 442–443.

19.

Committee on Injury Violence, and Poison Prevention. (2009). Policy statement—Role of the pediatrician in youth violence prevention. Pediatrics, 124(1), 393–402.CrossRef

20.

Council on Scientific Affairs American Medical Association. (1992). Violence against women: Relevance for medical practitioners. Journal of the American Medical Association, 267, 3184–3189.CrossRef

21.

Institute of Medicine. (2011). Clinical preventive services for women: Closing the gaps. Washington, DC: The National Academies Press.

22.

Chang, J. C., Decker, M. R., Moracco, K. E., Martin, S. L., Petersen, R., & Frasier, P. Y. (2005). Asking about intimate partner violence: Advice from female survivors to health care providers. Patient Education and Counseling, 59(2), 141–147.PubMedCrossRef

23.

Covington, D., Dalton, V., Diehl, S., Wright, B., & Piner, M. (1997). Improving detection of violence among pregnant adolescents. Journal of Adolescent Health, 21(1), 18–24.PubMedCrossRef

24.

Brown, L., Puster, K., Vazquez, E., Hunter, H., & Lescano, C. (2007). Screening practices for adolescent dating violence. Journal of Interpersonal Violence, 22(4), 456–464.PubMedCrossRef

25.

Miller, E., Decker, M. R., Raj, A., Reed, E., Marable, D., & Silverman, J. G. (2010). Intimate partner violence and health care-seeking patterns among female users of urban adolescent clinics. Maternal and Child Health Journal, 14(6), 910–917.PubMedCrossRef

26.

Miller, E., Decker, M. R., McCauley, H. L., et al. (2011). A family planning clinic partner violence intervention to reduce risk associated with reproductive coercion. Contraception, 83(3), 274–280.PubMedCrossRef

27.

Klevens, J., Sadowski, L., Kee, R., Trick, W., & Garcia, D. (2012). Comparison of screening and referral strategies for exposure to partner violence. Women’s Health Issues, 22(1), e45–e52.PubMedCrossRef

28.

Wathen, C. N., & MacMillan, H. L. (2012). Health care’s response to women exposed to partner violence moving beyond universal screening. Journal of the American Medical Association, 308(7), 712–713.PubMedCrossRef

29.

Anderst, J., Hill, T., & Siegel, R. (2004). A comparison of domestic violence screening methods in a pediatric office. Clinical Pediatrics, 43, 103–105.PubMedCrossRef

30.

McFarlane, J., Christoffel, K., Bateman, L., Miller, V., & Bullock, L. (1991). Assessing for abuse: Self-report versus nurse interview. Public Health Nursing, 8(4), 245–250.PubMedCrossRef

31.

Glass, N., Dearwater, S., & Campbell, J. (2001). Intimate partner violence screening and intervention: Data from eleven Pennsylvania and California community hospital emergency departments. Journal of Emergency Nursing, 27(2), 141–149.PubMedCrossRef

32.

Chen, P. H., Rovi, S., Vega, M., Jacobs, A., & Johnson, M. S. (2005). Screening for domestic violence in a predominantly Hispanic clinical setting. Family Practice, 22(6), 617–623.PubMedCrossRef

33.

Kapur, N. A., & Windish, D. M. (2011). Optimal methods to screen men and women for intimate partner violence: Results from an internal medicine residency continuity clinic. Journal of Interpersonal Violence, 26(12), 2335–2352.PubMedCrossRef

34.

McCaw, B., Berman, W., Syme, S., & Hunkeler, E. (2001). Beyond screening for domestic violence: A systems model approach in a managed care setting. American Journal of Preventive Medicine, 21(3), 170–176.PubMedCrossRef

35.

McNutt, L., Carlson, B., Rose, I., & Robinson, D. (2002). Partner violence intervention in the busy primary care environment. American Journal of Preventive Medicine, 22(2), 84–91.PubMedCrossRef

36.

Thurston, W., Tutty, L., Eisener, A., Lalonde, L., Belenky, C., & Osborne, B. (2009). Implementation of universal screening for domestic violence in an urgent care community health center. Health Promotion Practice, 10(4), 517.PubMedCrossRef

37.

Thurston, W., Tutty, L., Eisener, A., Lalonde, L., Belenky, C., & Osborne, B. (2007). Domestic violence screening in a community health center urgent care centre. Research in Nursing & Health, 30, 611–619.CrossRef

38.

Beynon, C. E., Gutmanis, I. A., Tutty, L. M., Wathen, C. N., & Macmillan, H. L. (2012). Why physicians and nurses ask (or don’t) about partner violence. A qualitative analysis. BMC Public Health, 12(1), 473.PubMedCrossRef

39.

Waalen, J., Goodwin, M. M., Spitz, A. M., Petersen, R., & Saltzman, L. E. (2000). Screening for intimate partner violence by health care providers: Barriers and interventions. American Journal of Preventive Medicine, 19(4), 230–237.PubMedCrossRef

40.

McGrath, M., Bettacchi, A., Duffy, S. J., et al. (1997). Violence against women: Provider barriers to intervention in emergency departments. Academic Emergency Medicine, 4, 297–300.PubMedCrossRef

41.

Parsons, L., Zaccaro, D., Wells, B., & Stovall, T. G. (1995). Methods of and attitudes toward screening obstetrics and gynecology patients for domestic violence. American Journal of Obstetrics and Gynecology, 173, 381–386.PubMedCrossRef

42.

McCaw, B., Bauer, H., Berman, W., Mooney, L., Holmberg, M., & Hunkeler, E. (2002). Women referred for on-site domestic violence services in a managed care organization. Women and Health, 35(2–3), 23–40.PubMed

43.

Decker, M., Frattaroli, S., McCaw, B., Coker, A., Miller, E., Sharps, P., et al. (2012). Transforming the healthcare response to intimate partner violence and taking best practices to scale. Journal of Women’s Health (Larchmt), 21(12), 1222–1229.CrossRef

44.

Short, L., Hadley, S., & Bates, B. (2002). Assessing the success of the WomanKind program: An integrated model of 24-hour health care response to domestic violence. Women and Health, 35(2–3), 101–119.PubMed

45.

Davis, D., O’Brien, M., Freemantle, N., Wolf, F., Mazmanian, P., & Taylor-Vaisey, A. (1999). Impact of formal continuing medical education: Do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes? Journal of the American Medical Association, 282(9), 867–874.PubMedCrossRef

46.

Davis, D., Thomson, M., Oxman, A., & Haynes, R. (1995). Changing physician performance. A systematic review of the effect of continuing medical education strategies. Journal of the American Medical Association, 274(9), 700–705.PubMedCrossRef

47.

Mazmanian, P., Daffron, S., Johnson, R., Davis, D., & Kantrowitz, M. (1998). Information about barriers to planned change: A randomized controlled trial involving continuing medical education lectures and commitment to change. Academic Medicine, 73(8), 882–886.PubMedCrossRef

48.

D’Avolio, D. (2011). System issues: Challenges to intimate partner violence screening and intervention. Clinical Nursing Research, 20(1), 64–80.PubMedCrossRef

49.

Chamberlain, L., & Levenson, R. (2012). Addressing intimate partner violence, reproductive and sexual coercion: A guide for obstetric, gynecologic and reproductive health care settings. San Francisco, CA: Futures Without Violence.

Titel: How You Screen is as Important as Whether You Screen: A Qualitative Analysis of Violence Screening Practices in Reproductive Health Clinics
verfasst von: Daesha V. Ramachandran
Laura Covarrubias
Catherine Watson
Michele R. Decker
Publikationsdatum: 01.10.2013
Verlag: Springer US
Erschienen in: Journal of Community Health / Ausgabe 5/2013
Print ISSN: 0094-5145
Elektronische ISSN: 1573-3610
DOI: https://doi.org/10.1007/s10900-013-9690-0

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2013

Adherence to Repeat Fecal Occult Blood Testing in an Urban Community Health Center Network

Using GIS to Evaluate a Fire Safety Program in North Carolina

Is Obesity Contagious by Way of Body Image? A Study on Japanese Female Students in the United States

Using Business Plan Development as a Capstone Project for MPH Programs in Canada: Validation Through the Student Perspective

Eradication of Hepatitis B: A Nationwide Community Coalition Approach to Improving Vaccination, Screening, and Linkage to Care

Sexual Risk Behavior and Symptoms of Historical Loss in American Indian Men