Intimate partner violence (IPV) in male and female orthopaedic trauma patients: a multicentre, cross-sectional prevalence study

Objectives Identify the proportion of patients attending fracture clinics who had suffered intimate partner violence (IPV) within the past year. Design Powered cross-sectional study using validated participant self-reported questionnaires. Setting and participants Adult trauma patients (no gender/age exclusions) attending one of three Scottish adult fracture clinics over 16-month period (from October 2016 to January 2018). Primary outcome measure Number of participants answering ‘yes’ to the Woman Abuse Screening Tool question: ‘In your current relationship over the past twelve months, has your partner ever abused you physically/emotionally/sexually?’ Results Of 336 respondents, 46% (156/336 known) were women with 65% aged over 40 (212/328 known). The overall prevalence of IPV within the preceding 12 months was 12% 39/336) for both male and female patients. The lifetime prevalence of IPV among respondents was 20% (68/336). 38% of patients who had experienced IPV within the past 12 months had been physically abused (11/29). None of the patients were being seen for an injury caused by abuse. Two-thirds of respondents thought that staff should ask routinely about IPV (55%, 217/336), but only 5% had previously been asked about abuse (18/336). Conclusions This is the first study worldwide investigating the prevalence of IPV in fracture clinics for both male and female patients. 12-month prevalence of IPV in fracture clinic patients is significant and not affected by gender in this study. Patients appear willing to disclose abuse within this setting and are supportive of staff asking about abuse. This presents an opportunity to identify those at risk within this vulnerable population.

[1]  J. Joss,et al.  A prospective cohort study investigating the use of a surgical planning tool to improve patient fasting times in orthopaedic trauma. , 2019, The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland.

[2]  M. Bhandari,et al.  A prospective questionnaire-based study on staff awareness of intimate partner violence (IPV) in orthopaedic trauma patients. , 2019, The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland.

[3]  P. Ali,et al.  Intimate partner violence screening in emergency department: a rapid review of the literature , 2017, Journal of clinical nursing.

[4]  Susan R Rankin,et al.  The Report of the 2015 U.S. Transgender Survey , 2016 .

[5]  B. Humphreys,et al.  Integrating intimate partner violence assessment and intervention into healthcare in the United States: a systems approach. , 2015, Journal of women's health.

[6]  N. Simunovic,et al.  Prevalence of abuse and intimate partner violence surgical evaluation (PRAISE) in orthopaedic fracture clinics: a multinational prevalence study , 2013, The Lancet.

[7]  M. Bhandari,et al.  Patient opinions of screening for intimate partner violence in a fracture clinic setting: P.O.S.I.T.I.V.E.: a multicenter study. , 2013, The Journal of bone and joint surgery. American volume.

[8]  Jacquelyn C. Campbell,et al.  Transforming the healthcare response to intimate partner violence and taking best practices to scale. , 2012, Journal of women's health.

[9]  P. O’Campo,et al.  Implementing successful intimate partner violence screening programs in health care settings: evidence generated from a realist-informed systematic review. , 2011, Social science & medicine.

[10]  M. Bhandari,et al.  The prevalence of intimate partner violence across orthopaedic fracture clinics in Ontario. , 2011, The Journal of bone and joint surgery. American volume.

[11]  Academisch Proefschrift,et al.  Intimate partner violence in orthopaedic trauma patients , 2013 .

[12]  M. Bhandari,et al.  (Mis)perceptions about intimate partner violence in women presenting for orthopaedic care: a survey of Canadian orthopaedic surgeons. , 2008, The Journal of bone and joint surgery. American volume.

[13]  J. Mindell,et al.  The epidemiology of fractures in England , 2008, Journal of Epidemiology & Community Health.

[14]  M. Bhandari,et al.  Musculoskeletal manifestations of physical abuse after intimate partner violence. , 2006, The Journal of trauma.

[15]  Deborah A. Pape,et al.  We’ve Had Training, Now What? , 2005, Journal of interpersonal violence.

[16]  A. Taket,et al.  Routinely asking women about domestic violence in health settings , 2003, BMJ : British Medical Journal.

[17]  James W. Davis,et al.  Victims of domestic violence on the trauma service: unrecognized and underreported. , 2003, The Journal of trauma.

[18]  G. Lapidus,et al.  A statewide survey of domestic violence screening behaviors among pediatricians and family physicians. , 2002, Archives of pediatrics & adolescent medicine.

[19]  M. Bonner,et al.  A realistic view of domestic violence screening in an emergency department. , 2002, Accident and Emergency Nursing.

[20]  S. Derk,et al.  Comparison of domestic violence screening methods: a pilot study. , 1998, Annals of emergency medicine.

[21]  S. Lowenstein,et al.  Accuracy of 3 brief screening questions for detecting partner violence in the emergency department. , 1997, JAMA.

[22]  S. Hayden,et al.  Domestic violence in the emergency department: how do women prefer to disclose and discuss the issues? , 1997, The Journal of emergency medicine.

[23]  J. Brown,et al.  Development of the Woman Abuse Screening Tool for use in family practice. , 1996, Family medicine.

[24]  S. Lowenstein,et al.  Domestic violence against women. Incidence and prevalence in an emergency department population. , 1995, JAMA.