Intimate partner violence and substance abuse among minority women receiving care from an inner-city emergency department.
A woman's drug and alcohol use has been found to increase her risk of experiencing intimate partner violence (IPV).


OBJECTIVE
The study describes the rates of lifetime and current IPV among women awaiting care in an emergency department and explores the association between IPV and having a drug abuse problem, and IPV and having an alcohol abuse problem, after controlling for demographic factors and history of childhood victimization.


METHODS
Face-to-face interviews were conducted with 143 low-level triaged women recruited from an inner-city emergency department.


RESULTS
Nearly one-half reported ever experiencing IPV, and over 18% reported IPV during the year before the interview. A higher proportion of abused women reported a history of regular crack, cocaine, or heroin use and visiting shooting galleries or crack houses. Participants who were physically abused by their partner during the past year (15%, n = 21) were more likely than nonabused women (85%, n = 122) to report higher scores on the Alcohol Use Disorders Identification Test (AUDIT) (4.9 vs. 2.4), a measure of alcohol-related problems, and the Drug Abuse Severity Test (DAST) (3.0 vs. 1.3), a measure of drug-related problems. Sexually abused women (6%, n = 9) were more likely than their counterparts (94%, n = 134) to have significantly higher AUDIT scores (6.4 vs. 2.5). The findings have implications for how the intersecting public health problems of IPV and substance abuse should be taken into consideration in research and patient care protocols in emergency departments.
El-Bassel
Nabila
N
Social Intervention Group, Columbia University School of Social Work, New York City, New York 10025, USA. ne5@columbia.edu
Gilbert
Louisa
L
Witte
Susan
S
Wu
Elwin
E
Gaeta
Theodore
T
Schilling
Robert
R
Wada
Takeshi
T
D000328:Adult; D018585:Battered Women / Q000523:psychology / Q000706:statistics & numerical data*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D004638:Emergency Treatment; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data*; D006786:Hospitals, Urban; D006801:Humans; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior / Q000208:ethnology / Q000523:psychology / Q000706:statistics & numerical data*; D013179:Spouse Abuse / Q000208:ethnology / Q000523:psychology / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000208:ethnology / Q000523:psychology; D011795:Surveys and Questionnaires