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Presence of children in the home and intimate partner violence among women seeking elective pregnancy termination
Journal article   Open access   Peer reviewed

Presence of children in the home and intimate partner violence among women seeking elective pregnancy termination

Corinne Peek-Asa, Audrey F Saftlas, Anne B Wallis, Karisa Harland and Penny Dickey
PloS one, Vol.12(10), pp.e0186389-e0186389
10/01/2017
DOI: 10.1371/journal.pone.0186389
PMCID: PMC5638511
PMID: 29023582
url
https://doi.org/10.1371/journal.pone.0186389View
Published (Version of record) Open Access

Abstract

Introduction Growing evidence identifies adverse health effects for children who witness intimate partner violence at home. Research has also identified that women seeking elective pregnancy termination are at high risk for partner violence. However, little is known about the risk for violence exposure among the children of women seeking elective pregnancy termination. Methods We conducted a cross-sectional study of 957 women seeking elective pregnancy termination at a large family planning clinic. All subjects completed a 10-minute, anonymous questionnaire administered by computer in a private room. Our main outcome was 12-month prevalence of physical and/or sexual violence by a current or former partner using the Abuse Assessment Screen instrument. The presence of children under the age of 18 living with the respondent was the main exposure variable. Results Women with children in the home had more than twice the odds of reporting physical and/or sexual IPV in the past year than women with no children, controlling for age (AOR: 2.23; 95% CI: 1.41–3.85). The increased odds of IPV among women with children as compared to women with no children was present across nearly all sociodemographic and lifestyle characteristics, and significantly higher for the youngest women (18–20 years). The highest odds for abuse occurred among women with children living at home, in a current relationship but not living with their current partner, and abused by a former partner (AOR = 10.9; 95% CI: 3.07–38.4). Conclusion Nearly one of every 14 children identified in this study lived in a home with IPV. These findings support the development of IPV interventions that are family-centered, as well as the integration of trauma-informed care into healthcare settings. Healthcare visits for contraception and pregnancy termination may be ideal opportunities for implementation of screening and family violence interventions.
Social Sciences Medicine and Health Sciences Engineering and Technology People and Places Biology and Life Sciences Research and Analysis Methods

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