Intimate Partner Violence and Controlling Behaviors Experienced by Emergency Department Patients: Differences by Sexual Orientation and Gender Identification

Details

• Alternative Title:
  J Interpers Violence
• Personal Author:
  Harland, Karisa K. ; Peek-Asa, Corinne ; Saftlas, Audrey F.
• Description:
  Purpose
  
  The objective of this study was to estimate the prevalence of intimate partner violence (IPV) in an emergency department (ED) by sexual orientation and gender identification.
  
  Methods
  
  We conducted a cross-sectional survey of adult patients (n=1,136) presenting to a Level I Trauma Center ED from November 2015-November 2016. Multivariable logistic regression analysis was used to estimate the adjusted odds (aOR) of reporting any IPV or IPV subtypes (physical or sexual IPV or battering) by sexual orientation and gender identification, controlling for confounders.
  
  Results
  
  Overall, 11.6% (132/1136) of those surveyed were IPV positive. The prevalence of IPV was significantly higher in LGBTQ patients than in heterosexuals (18.3% vs 10.8%, p=0.0151); prevalence was highest among bisexuals (21.6%) and gay men (18.5%). IPV prevalence did not differ significantly in females versus males (13.5% vs 9.2%, p=0.0872). After controlling for age, the odds of reporting any IPV was highest among females (aOR=1.67 [1.10–2.53]); no significant differences were found by sexual orientation. Gay patients (aOR=5.50 [1.60–18.94]) and females (aOR=2.70 [1.46–9.99]) had significantly higher odds of reporting physical or sexual IPV than heterosexuals and males, respectively.
  
  Conclusions
  
  The study is among the first to report IPV prevalence by sexual orientation in an ED patient population. The reported IPV was higher among LGBTQ patients than heterosexual patients although this relationship diminished when controlling for covariates. These data begin to define the scope of IPV among LGBTQ ED patients and may be used to inform brief interventions to reduce the IPV-related morbidity experienced by ED patients.
  
  
• Subjects:
  Adult Bisexuality Cross-Sectional Studies Emergency Service, Hospital Female Gender Identity Humans Intimate Partner Violence Male Prevalence Sexual Partners

  More +
• Source:
  J Interpers Violence. 36(11-12):NP6125-NP6143
• Pubmed ID:
  30465625
• Pubmed Central ID:
  PMC7034778
• Document Type:
  Journal Article
• Funding:
  R49 CE002108/CE/NCIPC CDC HHSUnited States/ ; R49CE002108/ACL/ACL HHSUnited States/ ; U54 TR001356/TR/NCATS NIH HHSUnited States/
• Volume:
  36
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:a189295a2d7d040ba7c99e4631d20f1ccfbd00ee400e542ba8f3f64566124a27
• Download URL:
  https://stacks.cdc.gov/view/cdc/85264/cdc_85264_DS1.pdf
• File Type:
  [PDF - 213.89 KB ]