title: Relationship of Physical Intimate Partner Violence with Mental Health Diagnoses in the Nationwide Emergency Department Sample.
abstract: We examined associations of physical intimate partner violence (PIPV) with selected mental health disorders using a nationally representative sample of emergency department (ED) discharges corresponding to men and women (18-64 years) from the 2010 Nationwide Emergency Department Sample.
  
  
  
  PIPV was determined using International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) external cause of injury code E967.3 (battering by spouse or partner). ICD-9-CM clinical classification of discharge diagnoses was used to identify mental health disorders. Multivariable logistic regression models were constructed to estimate adjusted odds ratios (ORadj) and their 95% confidence intervals (CIs).
  
  
  
  PIPV prevalence was estimated at 0.36 per 1000 ED discharges. The strongest correlates of PIPV were alcohol-related (ORadj= 3.02, 95% CI: 2.62-3.50), adjustment (ORadj= 2.37, 95% CI: 1.56-3.58), intentional self-harm (ORadj= 1.41, 95% CI: 1.05-1.89), anxiety (ORadj= 1.23, 95% CI: 1.07-1.40), drug-related (ORadj= 1.22, 95% CI: 1.01-1.47), and mood (ORadj= 1.16, 95% CI: 1.04-1.31) disorders. PIPV's association with alcohol-related disorders was stronger among women (ORadj= 3.22, 95% CI: 2.79-3.72) versus men (ORadj= 1.98, 95% CI: 1.42-2.77). Similarly, drug-related disorders were stronger correlates of PIPV among women (ORadj= 1.32, 95% CI: 1.09-1.60) versus men (ORadj= 0.59, 95% CI: 0.31-1.16).
  
  
  
  In EDs, PIPV was linked to several mental health disorders, with women experiencing comorbid PIPV and substance use more frequently than men.
authors: 1 Graduate Program in Public Health, Eastern Virginia Medical School , Norfolk, Virginia.
authors: Hind A
authors: HA
authors: Beydoun
authors: 2 National Institute on Aging Intramural Research Program , Baltimore, Maryland.|3 University of Maryland , Baltimore County, Catonsville, Maryland.
authors: Megan
authors: M
authors: Williams
authors: 2 National Institute on Aging Intramural Research Program , Baltimore, Maryland.
authors: May A
authors: MA
authors: Beydoun
authors: 4 Johns Hopkins University School of Medicine , Baltimore, Maryland.
authors: Shaker M
authors: SM
authors: Eid
authors: 2 National Institute on Aging Intramural Research Program , Baltimore, Maryland.
authors: Alan B
authors: AB
authors: Zonderman
mesh_terms: D000293:Adolescent; D000328:Adult; D019973:Alcohol-Related Disorders / Q000453:epidemiology*; D001008:Anxiety Disorders / Q000453:epidemiology*; D016208:Databases, Factual; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D000066511:Intimate Partner Violence / Q000523:psychology*; D016015:Logistic Models; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D019964:Mood Disorders / Q000453:epidemiology*; D015999:Multivariate Analysis; D016017:Odds Ratio; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: emergency department; intimate partner violence; mental health; surveillance