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Intimate partner violence-related hospitalizations in Appalachia and the non-Appalachian United States

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Listed:
  • Danielle M Davidov
  • Stephen M Davis
  • Motao Zhu
  • Tracie O Afifi
  • Melissa Kimber
  • Abby L Goldstein
  • Nicole Pitre
  • Kelly K Gurka
  • Carol Stocks

Abstract

The highly rural region of Appalachia faces considerable socioeconomic disadvantage and health disparities that are recognized risk factors for intimate partner violence (IPV). The objective of this study was to estimate the rate of IPV-related hospitalizations in Appalachia and the non-Appalachian United States for 2007–2011 and compare hospitalizations in each region by clinical and sociodemographic factors. Data on IPV-related hospitalizations were extracted from the State Inpatient Databases, which are part of the Healthcare Cost and Utilization Project. Hospitalization day, year, in-hospital mortality, length of stay, average and total hospital charges, sex, age, payer, urban-rural location, income, diagnoses and procedures were compared between Appalachian and non-Appalachian counties. Poisson regression models were constructed to test differences in the rate of IPV-related hospitalizations between both regions. From 2007–2011, there were 7,385 hospitalizations related to IPV, with one-third (2,645) occurring in Appalachia. After adjusting for age and rurality, Appalachian counties had a 22% higher hospitalization rate than non-Appalachian counties (ARR = 1.22, 95% CI: 1.14–1.31). Appalachian residents may be at increased risk for IPV and associated conditions. Exploring disparities in healthcare utilization and costs associated with IPV in Appalachia is critical for the development of programs to effectively target the needs of this population.

Suggested Citation

  • Danielle M Davidov & Stephen M Davis & Motao Zhu & Tracie O Afifi & Melissa Kimber & Abby L Goldstein & Nicole Pitre & Kelly K Gurka & Carol Stocks, 2017. "Intimate partner violence-related hospitalizations in Appalachia and the non-Appalachian United States," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-17, September.
    • Handle: RePEc:plo:pone00:0184222
    DOI: 10.1371/journal.pone.0184222
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    References listed on IDEAS

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    1. Coker, A.L. & Smith, P.H. & McKeown, R.E. & King, M.J., 2000. "Frequency and correlates of intimate partner violence by type: Physical, sexual, and psychological battering," American Journal of Public Health, American Public Health Association, vol. 90(4), pages 553-559.
    2. repec:mpr:mprres:6066 is not listed on IDEAS
    3. Kernic, M.A. & Wolf, M.E. & Holt, V.L., 2000. "Rates and relative risk of hospital admission among women in violent intimate partner relationships," American Journal of Public Health, American Public Health Association, vol. 90(9), pages 1416-1420.
    4. El-Bassel, N. & Gilbert, L. & Wu, E. & Go, H. & Hill, J., 2005. "Relationship between drug abuse and intimate partner violence: A longitudinal study among women receiving methadone," American Journal of Public Health, American Public Health Association, vol. 95(3), pages 465-470.
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