Racial and ethnic disparities in police-reported intimate partner violence and risk of hospitalization among women.
OBJECTIVE
We sought to examine racial and ethnic disparities in police-reported intimate partner violence (IPV) and hospitalization rates and rate ratios among women with police-reported IPV relative to those without such reports.


METHODS
This retrospective cohort study linked adult male-to-female IPV police records of non-Hispanic Black, Hispanic, and non-Hispanic White women residing in a south central US city with regional hospital discharge data. Rates and incidence rate ratios (IRR) were calculated and age-adjusted where the data allowed.


RESULTS
Police-reported IPV rates were 2-3 times higher among Black and Hispanic women compared with White women. Overall, hospitalization rates were higher among Black and White victims and lower among Hispanic victims than their counterparts in the comparison group (age-adjusted IRR [aIRR], 1.23; 95% confidence interval [CI], 1.08-1.41; aIRR, 1.46; 95% CI, 1.19-1.79; and aIRR, 0.68; 95% CI, 0.54-0.86, respectively). Rate ratios were significant for victims among 1) White women for any mental disorder (aIRR, 2.02; 95% CI, 1.30-3.13) and for episodic mood/depressive disorders in particular (aIRR, 2.18; 95% CI, 1.33-3.59); 2) Black and White women for any injury-related diagnosis (aIRR, 2.46; 95% CI, 1.48-4.10 and aIRR, 3.20; 95% CI, 1.65-6.19, respectively); and 3) all women for intentional injury (IRR, 10.45; 95% CI, 3.56-30.69) and self-inflicted injury (IRR, 4.91; 95% CI, 2.12-11.37).


CONCLUSIONS
Exposure to IPV as reported to police increases the rate of hospital utilization among Black and White women, but lowers the rate for Hispanic women. Screening for IPV in hospitals may identify a substantial number of IPV-exposed women. Primary and secondary prevention efforts related to IPV should be culturally informed and specific.
Lipsky
Sherry
S
Dept. of Psychiatry & Behavioral Sciences, Center for Healthcare Improvement for Addictions, Mental Illness and Medically Vulnerable Populations, University of Washington at Harborview Medical Center, Seattle, WA 98104-2499, USA. lipsky@u.washington.edu
Caetano
Raul
R
Roy-Byrne
Peter
P
D000328:Adult; D000368:Aged; D044383:Black People / Q000706:statistics & numerical data*; D015331:Cohort Studies; D016001:Confidence Intervals; D019548:Crime Victims / Q000523:psychology / Q000706:statistics & numerical data*; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D016017:Odds Ratio; D010343:Patient Admission / Q000706:statistics & numerical data*; D016495:Police / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D013179:Spouse Abuse / Q000523:psychology / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology; D014505:Urban Population / Q000706:statistics & numerical data; D044465:White People / Q000706:statistics & numerical data*; D001741:Black or African American