Scheduled for Research Consortium Health Free Communication, Friday, March 16, 2007, 8:45 AM - 10:00 AM, Convention Center: 327


Health Care Providers and Intimate Partner Violence: Attitudes, Beliefs, and Education

Ingrid Adams and Linda Stonecipher, Western Oregon University, Monmouth, OR

 

 

Non-fatal Intimate Partner Violence (IPV) victimizations against women occur in 5 to 6 million intimate relationships yearly in the United States. Violence may be physical, sexual or psychological. The physician-patient relationship is viewed as an avenue of addressing violence against women. The purpose of this study was to investigate the relationship between health care workers' attitudes about female victims of abuse, and the providers' education pertaining to IPV. The Physician's Beliefs about Victims of Spouse Abuse Scale instrument provided by Garimella et al., 2000 served as the template for this study. Attitude questions were measured on a 5-point Likert scale. Cronbach's alpha for the attitude scale was 0.83. Three attitude sets were defined for analysis: 1) overall attitude, 2) victim blaming attitude, and 3) attitude about the role of the provider in the intimate relationships of the patient. Five education categories were defined: 1) pre-service education, 2) in-service education, 3) the providers' current practice setting, 4) continuing education, and 5) self-directed education. 166 surveys were distributed among sixteen medical clinics. Seventy-one instruments were returned (RR 42%, N=71). Demographic variables of interest were health care providers' gender (48% female), age (M age = 47.7, SD 10.24), medical specialty (49% Family Practice, 18% Ob/Gyn, 4% Pediatrics), and clinical degrees (62% Medical Doctors, 8% Physician Assistants, 20% Nurse Practitioners). Data were analyzed using the Pearson product-moment correlation coefficient for continuous data, Pearson r. Several statistically significant relationships were found. Overall attitude was associated with self-directed education (r = .54, p <.01), continuing education (r = .43, p <.01), and in-service education (r = .37, p <.01). Non-blaming attitude was linked with self-directed education (r = .33, p <.01), and continuing education (r = .26, p <.01). The attitude about the active role of the provider in the intimate relationship of abused patients was correlated with self-directed education (r = .54, p <.01), continuing education (r = .48, p <.01), and in-service education (r = .43, p <.01). These results demonstrate the need for comprehensive and continuous curricula pertaining to intimate partner violence in both medical schools and higher education institutions offering health education. Curricula may include roots and dynamics of IPV, dialog strategies, attitude formation, effects on children living with domestic violence, disease processes associated with IPV, and the role of alcohol and drug abuse in partner violence.


Keyword(s): gender issues, health promotion, violence/prevention

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