Patterns of medication use among women survivors of intimate partner violence.
OBJECTIVE
Our objective was to describe patterns of medication use in a convenience sample of 309 women with a history of intimate partner violence (IPV) participating in a study of women's health after leaving an abusive partner (WHES).


METHODS
Using data collected through interviews and health assessments, frequencies of past-month use of medications; abuse experienced, health problems and medical diagnoses; and selected demographics were calculated. Associations among abuse history, employment status, health problems, diagnoses, and medications were explored. Comparisons of rates of medication use in women in the WHES and the Canadian Community Health Survey (CCHS) 2.1 were calculated.


RESULTS
Almost half of participants were taking pain and/or psychotropic medications, with almost one third taking antidepressants. Child abuse history, adult sexual assault history and unemployment were associated with taking psychotropic medications. Overall rates of medication use were similar to those of Canadian women of similar age in the CCHS 2.1. However, women in the WHES were more likely to be taking antidepressants, anxiolytics and inhalants, and less likely to be taking oral contraceptives, over-the counter (OTC) pain relievers, and OTC cough and cold medications.


CONCLUSIONS
The pattern of medication use in women who have experienced IPV differs from that in the general population. The complex associations found among health problems, employment, diagnoses, and medication use highlight the need to consider treatment patterns within the context of the impact of lifetime abuse, economic survival, and parenting demands. Medication use must be understood as only one of a range of health interventions available to assist abused women to promote their health.
Wuest
Judith
J
University of New Brunswick, Faculty of Nursing, Federicton, Canada. wuest@unb.ca
Merritt-Gray
Marilyn
M
Lent
Barbara
B
Varcoe
Colleen
C
Connors
Alison J
AJ
Ford-Gilboe
Marilyn
M
D000293:Adolescent; D000328:Adult; D002170:Canada; D002648:Child; D002649:Child Abuse; D002675:Child, Preschool; D003625:Data Collection; D017579:Domestic Violence / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008603:Mental Health; D008875:Middle Aged; D004364:Pharmaceutical Preparations; D055553:Prescription Drugs; D011619:Psychotropic Drugs; D011902:Rape; D012307:Risk Factors; D012742:Sex Offenses; D018454:Spouses / Q000523:psychology* / Q000706:statistics & numerical data; D017741:Survivors / Q000523:psychology* / Q000706:statistics & numerical data; D016387:Women's Health
D004364:Pharmaceutical Preparations; D055553:Prescription Drugs; D011619:Psychotropic Drugs