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Intimate Partner Violence and Controlling Behaviors Experienced by Emergency Department Patients: Differences by Sexual Orientation and Gender Identification
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June 2021
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Source: J Interpers Violence. 36(11-12):NP6125-NP6143
[PDF-213.89 KB]
Details:
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Alternative Title:J Interpers Violence
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Personal Author:
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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.
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Pubmed ID:30465625
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Pubmed Central ID:PMC7034778
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Funding:
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Volume:36
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