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Intimate partner violence: what are physicians' perceptions?

Therese Zink1, Saundra Regan, Linda Goldenhar

  • 1Department of Family Medicine, University of Cincinnati, Cincinnati, OH, USA. tzink@olmmed.org

The Journal of the American Board of Family Practice
|September 10, 2004
PubMed
Summary
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Primary care providers vary in identifying and managing intimate partner violence (IPV) in older women. Enhanced training and community resources are crucial for supporting elder abuse victims.

Area of Science:

  • Gerontology
  • Public Health
  • Domestic Violence Research

Background:

  • Intimate partner violence (IPV) affects 11-22% of women annually, with older women often experiencing undetected abuse.
  • Primary care settings are crucial for identifying and addressing IPV, yet awareness and practices regarding older victims are often insufficient.

Purpose of the Study:

  • To examine primary care providers' awareness of intimate partner violence (IPV) in older women.
  • To assess current screening practices and management strategies for IPV among older female patients.
  • To identify barriers and facilitators to effective IPV identification and care for elderly women.

Main Methods:

  • Qualitative study involving interviews and focus groups with 44 primary care providers.
  • Thematic analysis was employed to identify recurring themes in provider experiences and perspectives on IPV in older women.

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Main Results:

  • Provider approaches to identifying and managing IPV in older women ranged from suboptimal to thorough.
  • Key barriers included limited understanding of IPV-related diagnoses in older adults, patient reluctance to disclose, and inadequate community resources.
  • Providers recommended public awareness campaigns and collaboration between aging and IPV agencies.

Conclusions:

  • Ongoing provider education on recognizing and managing IPV in older women is essential.
  • Community-level initiatives are vital for raising awareness and improving support services for older IPV survivors.