Although intimate partner violence (IPV) is routinely encountered in health care, it often goes undetected. Medical organizations recommend routine screening of women alone without children or partner. Separating a mother from her children may not be feasible in busy practices. Therefore, screening may not occur. Little research has examined women's desires about IPV screening in front of their children. This study interviewed 32 mothers/survivors who were in either an IPV shelter or support group regarding their wishes about IPV screening and discussions in front of their children. Interviews were audio taped, transcribed, and analyzed using thematic analysis techniques. Major themes included mothers' comfort with the use of general IPV screening questions in front of children ages 3 to 12 years. In summary, most mothers/ survivors were comfortable with physicians using general questions to screen for IPV but preferred in-depth discussions about the abuse and resource sharing in private.
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References
1.
American Academy of Pediatrics, Committee on Child Abuse and Neglect. (1998). The role of pediatrician in recognizing and intervening on behalf of abused women. Pediatrics, 101, 1091-1092.
2.
American College of Obstetrics and Gynecology. (1999). Domestic violence (ACOG Educational Bulletin No. 257). Washington, DC: Author.
3.
American Medical Association. (1992). American Medical Association diagnostic and treatment guidelines for domestic violence. Archives of Family Medicine, 1, 39-47.
4.
Anda, R. F., Croft, J. B., Felitti, V. J., Nordenberg, D., Giles, W. H., Williamson, D. F., et al. (1999). Adverse childhood experiences and smoking during adolescence and adulthood. Journal of the American Medical Association, 282(17), 1652-1658.
5.
Anda, R. F., Felitti, V. J., Chapman, D. P., Croft, J. B., Williamson, D. F., Santelli, J., et al. (2001). Abused boys, battered mothers, and male involvement in teen pregnancy. Pediatrics, 107(2), E19.
6.
Borowsky, I. W., & Ireland, M. (1999). National survey of pediatricians' violence prevention counseling. Archives of Pediatric and Adolescent Medicine, 153(11), 1170-1176.
7.
Brown, J., Lent, B., Schmidt, G., & Sas, G. (2000). Application of the Woman Abuse Screening Tool (WAST) and WAST-Short in the family practice setting. Journal of Family Practice, 49(10), 896-903.
8.
Centers for Disease Control. (1998). Lifetime and annual incidence of intimate partner violence and resulting injuries—Georgia, 1995. Morbidity and Mortality Weekly Report, 47, 849-853.
9.
Collins, B. (1999, April). Screening for domestic violence: A written or verbal instrument. Paper presented at the Society of Teachers of Family Medicine, Seattle, WA.
10.
Council on Scientific Affairs. (1992). Violence against women: Relevance for medical practitioners. Journal of the American Medical Association, 267, 3184-3189.
11.
Davies, J., Lyon, E., & Monti-Cantania, D. (1998). Safety planning with battered women. Thousand Oaks, CA: Sage.
12.
Denzin, N. K., & Lincoln, Y. L. (1998). Collecting and interpreting qualitative materials. Thousand Oaks, CA: Sage.
13.
Dietz, P. M., Spitz, A. M., Anda, R. F., Williamson, D. F., McMahon, P. M., Santelli, J. S., et al. (1999). Unintended pregnancy among adult women exposed to abuse or household dysfunction during their childhood. Journal of the American Medical Association, 282(14), 1359-1364.
14.
Dube, S., Anda, R., Felitti, V., Chapman, D., Williamson, D., & Giles, W. (2001). Childhood abuse, household dysfunction, and the risk of suicide throughout the life span. Journal of the American Medical Association, 286(24), 3089-3096.
15.
Edleson, J. L. (1999). Children's witnessing of adult domestic violence. Journal of Interpersonal Violence, 14(8), 839-870.
16.
Eisenstat, S. A., & Bancroft, L. (1999). Domestic violence. New England Journal of Medicine, 341(12), 886-892.
17.
Elliot, B., & Johnson, M. (1995). Domestic violence in a primary care setting: Patterns and prevalence. Archives of Family Medicine, 4, 113-119.
18.
Fantuzzo, J. W., & Linndquist, C. U. (1989). The effects of observing conjugal violence on children: A review and analysis of research methodology. Journal of Family Violence, 4(1), 77-94.
19.
Feldhaus, K., Koziol-McLain, J., Amsbury, H., Norton, I., Lowenstein, S., & Abbott, J. (1997). Accuracy of 3 brief screening questions for detecting partner violence in the emergency department. Journal of the American Medical Association, 277, 1357-1361.
20.
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., et al. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245-258.
21.
Furbee, P., Sikora, R., Williams, J., & Derk, S. (1998). Comparison of domestic violence screening methods: A pilot study. Annals of Emergency Medicine, 31(4), 495-501.
22.
Garbarino, J., Klostelny, K., & Dubrow, N. (1991). What children can tell us about living in danger. American Psychology, 46, 376-383.
23.
Gerbert, B., Johnston, K., Caspers, N., Bleecker, T., Woods, A., & Rosenbaum, A. (1996). Experiences of battered women in health care settings: A qualitative study. Women & Health, 24(3), 1-17.
24.
Gin, N. E., Rucker, L., Frayne, S., Cygan, R., & Habbell, F. A. (1991). Prevalence of intimate partner violence among patients in three ambulatory care internal medicine clinics. Journal of General Internal Medicine, 6, 317-322.
25.
Hamberger, L., Ambuel, B., Marbella, A., & Donze, J. (1998). Physician interaction with battered women: The women's perspective. Archives of Family Medicine, 7, 575-582.
26.
Hamberger, L., Saunders, D., & Hovey, M. (1992). Prevalence of domestic violence in community practice and rate of physician inquiry. Archives of Family Medicine, 24, 283-287.
27.
Hillis, S. D., Anda, R. F., Felitti, V. J., Nordenberg, D., & Marchbanks, P. A. (2000). Adverse childhood experiences and sexually transmitted diseases in men and women: A retrospective study. Pediatrics, 106(1), E11.
28.
Jaffe, P. G., Hurley, D. J., & Wolfe, D. (1990). Children's observations of violence: 1. Critical issues in child development and intervention planning. Canadian Journal of Psychiatry, 35, 466-470.
29.
Jaffe, P. G., Wolfe, D. A., & Wilson, S. K. (1990). Children of battered women. Newbury Park, CA: Sage.
30.
Jouriles, E., Barling, J., & O'Leary, K. (1987). Predicting child behavior problems in maritally violent families. Journal of Abnormal Child Psychology, 15(2), 165-173.
31.
Jouriles, E., McDonald, R., Norwood, W., Ware, H., Spiller, L. C., & Swank, P. (1998). Knives, guns, and interparent violence: Relations with child behavior problems. Journal of Family Psychology, 12(2), 178-194.
32.
Kashani, J. H., & Allan, W. D. (1998). The impact of family violence on children and adolescents. Thousand Oaks, CA: Sage.
33.
Kashani, J. H., Anasseril, E. D., Dandoy, A. C., & Holcomb, W. R. (1992). Family violence: Impact on children. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 181-189.
34.
Kolbo, J. R., Blakely, E. H., & Engleman, D. (1996). Children who witness domestic violence: A review of empirical literature. Journal of Interpersonal Violence, 11(2), 281-293.
35.
Mahoney, P., Williams, L. M., & West, C. M. (2001). Violence against women by intimate relationship partners. In C. M. Renzetti, J. L. Edleson, & R. K. Bergen (Eds.), Sourcebook on violence against women (pp. 143-177). Thousand Oaks, CA: Sage.
36.
Mann, D., & Crabtree, B. (2001). The effect of families on the process of outpatient visits in family practice. Journal of Family Practice, 50(9), 888.
37.
McFarlane, J., Christoffel, K., Bateman, L., Miller, V., & Bullock, L. (1991). Assessing for abuse: Self-report versus nurse interview. Public Health Nursing, 8, 245-250.
38.
McFarlane, J., Parker, B., Soeken, K., & Bullock, L. (1992). Assessing for abuse during pregnancy. Journal of the American Medical Association, 267, 3176-3178.
39.
McNeal, C., & Amato, P. (1998). Parent's marital violence: Long-term consequences for children. Journal of Family Issues, 19(2), 123-139.
40.
Parkinson, G. W., Adams, R. C., & Emerling, F. G. (2001). Maternal domestic violence screening in an office-based pediatric practice. Pediatrics, 108(3), E43.
41.
Rodriguez, M., Quiroga, S., & Bauer, H. (1996). Breaking the silence: Battered women's perspective on medical care. Archives of Family Medicine, 5, 153-158.
42.
Rodriquez, M., Bauer, H., McLoughlin, E., & Grumbach, K. (1999). Screening and intervention for intimate partner abuse: Practice and attitudes of primary care physicians. Journal of the American Medical Association, 282(5), 468-474.
43.
Rodriquez, M. A., McLoughlin, E., Bauer, H. M., Paredes, V., & Grumbach, K. (1999). Mandatory reporting of intimate partner violence to police: Views of physicians in California. American Journal of Public Health, 89(4), 575-578.
44.
Siegel, R., Hill, T., Henderson, V., Ernst, H., & Boat, B. (1999). Screening for domestic violence in the community pediatric setting. Pediatrics, 104(4), 874-877.
45.
Spradley, J. (1979). The ethnographic interview. Orlando, FL: Holt, Rinehart & Winston.
46.
Stephens, D. L. (1999). Battered women's views of their children. Journal of Interpersonal Violence, 14(7), 731-746.
47.
Sugg, N., & Inui, T. (1992). Primary care physicians response to domestic violence. Journal of the American Medical Association, 267(23), 3157-3160.
48.
Sugg, N., Thompson, R., Thompson, D., Maiuro, R., & Rivara, F. (1999). Domestic violence and primary care. Archives of Family Medicine, 8, 301-306.
49.
Tjaden, P., & Thoennes, N. (1998). Prevalence, incidence and consequences of violence against women: Findings from the National Violence Against Women Survey (NCJ172837). Washington, DC: U.S. Department of Justice.
50.
U.S. Preventive Services Task Force. (1996). Guide to clinical preventive services (2nd ed.). Baltimore: Williams & Wilkins.
51.
Wissow, L., Wilson, M., Roter, D., Larson, S., & Berman, H. (1992). Family violence and the evaluation of behavioral concerns in a pediatric primary clinic. Medical Care, 30(5), MS150-MS165.
52.
Wolak, J., & Finkelhor, D. (1998). Children exposed to partner violence. In J. Jasinski & L. Williams (Eds.), Partner violence: A comprehensive review of 20 years of research (pp. 73-112). Thousand Oaks, CA: Sage.
53.
Wright, R. (2000). Identification of domestic violence in the community pediatric setting. Archives of Pediatric and Adolescent Medicine, 154(5), 186-192.
54.
Zink, T. (2000). Should children be in the room when mom is screened for partner violence. Journal of Family Practice, 49(2), 130-136.
55.
Zuckerman, B., Augustyn, M., Groves, B., & Parker, S. (1995). Silent victims revisited: The special case of domestic violence. Pediatrics, 96, 511-513.
