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Trajectories for women who disclose intimate partner violence in health care settings: the key role of abuse severity

Author

Listed:
  • C. Nadine Wathen

    (Western University
    Western University)

  • Masako Tanaka

    (McMaster University)

  • Jennifer C. D. MacGregor

    (Western University
    Western University)

  • Mark A. Ferro

    (McMaster University)

  • Christine McKee

    (McMaster University)

  • Michael Boyle

    (McMaster University)

  • Marilyn Ford-Gilboe

    (Western University)

  • Harriet L. MacMillan

    (McMaster University)

Abstract

Objectives To examine the role of abuse severity in predicting women’s trajectories in mental and physical health and psychological quality of life during the 18 months following abuse identification in a health care setting. Methods The present analysis used growth curve modeling in a sample of 411 women positive for abuse on the Composite Abuse Scale. Results A high proportion of women experienced severe combined abuse (SCA; 55 % at baseline and 29 % at 18 months). On average, there was an improvement in depressive symptoms and psychological quality of life over time. Controlling for sociodemographic characteristics, women scoring positive versus negative for SCA experienced increased depressive symptoms and decreased quality of life; however, exposure to severe abuse did not affect the rate of change over time in these outcomes. Severe abuse was not associated with physical health. Conclusions There is an important association between abuse severity and women’s health and well-being over time. Understanding the role of different abuse experiences, risk and protective factors, and trajectories can assist in more accurate identification and appropriate care provision for women exposed to IPV.

Suggested Citation

  • C. Nadine Wathen & Masako Tanaka & Jennifer C. D. MacGregor & Mark A. Ferro & Christine McKee & Michael Boyle & Marilyn Ford-Gilboe & Harriet L. MacMillan, 2016. "Trajectories for women who disclose intimate partner violence in health care settings: the key role of abuse severity," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(8), pages 873-882, November.
    • Handle: RePEc:spr:ijphth:v:61:y:2016:i:8:d:10.1007_s00038-016-0852-6
    DOI: 10.1007/s00038-016-0852-6
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    Cited by:

    1. Jennifer A. Wagman & Blake Charvat & Marie E. Thoma & Anthony Ndyanabo & Fred Nalugoda & Joseph Ssekasanvu & Grace Kigozi & David Serwadda & Joseph Kagaayi & Maria J. Wawer & Ronald H. Gray, 2016. "Intimate partner violence as a predictor of marital disruption in rural Rakai, Uganda: a longitudinal study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(8), pages 961-970, November.

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