Intimate Partner Violence Screening Practices in California After Passage of the Affordable Care Act.
Under the Affordable Care Act (ACA), insurance coverage should include screening for intimate partner violence (IPV). In this article, we present self-reported IPV screening practices and provider confidence from a post-ACA cross-sectional survey of 137 primary care clinicians in California. Only 14% of the providers reported always screening female patients for IPV and about one third seemed never to screen. Female providers were more likely to screen and use recommended direct questioning. Most providers lacked confidence in screening, referral, and record-keeping. Serving a low-income population predicted more frequent screening and better record-keeping. Overall, IPV screening in primary care was inadequate and needs attention.
1 University of California, Los Angeles, CA, USA.
Paula
P
Tavrow
1 University of California, Los Angeles, CA, USA.
Brittnie E
BE
Bloom
2 University of Southern California, Los Angeles, CA, USA.
Mellissa H
MH
Withers
D000328:Adult; D002140:California; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D000066511:Intimate Partner Violence / Q000706:statistics & numerical data* / Q000639:trends; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D058991:Patient Protection and Affordable Care Act / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000379:methods*; D011795:Surveys and Questionnaires
Affordable Care Act; California; intimate partner violence; primary care; screening