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Related Experiment Videos

Physician-identified barriers to intimate partner violence screening.

Kim D Jaffee1, John W Epling, William Grant

  • 1School of Social Work, College of Human Services and Health Professions, Syracuse University, Syracuse, NY 13244, USA. kdjaffee@syr.edu

Journal of Women'S Health (2002)
|October 20, 2005
PubMed
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Healthcare providers face barriers to screening for intimate partner violence (IPV). Addressing these barriers through tailored training and improved practice systems is crucial for routine IPV detection and patient safety.

Area of Science:

  • Medical Education
  • Public Health
  • Sociomedical Sciences

Background:

  • Intimate partner violence (IPV) is a significant public health issue, causing millions of injuries and thousands of deaths annually.
  • Despite high prevalence among women in healthcare settings, IPV screening rates by providers remain low.
  • Understanding physician-perceived barriers is essential for developing effective IPV screening protocols.

Purpose of the Study:

  • To examine perceived barriers to intimate partner violence (IPV) screening among obstetricians/gynecologists, family physicians, and internists.
  • To identify physician characteristics associated with these barriers.
  • To inform the development of targeted IPV training and practice system improvements.

Main Methods:

  • A cross-sectional survey was administered to 143 physicians (obstetricians/gynecologists, family physicians, internists) in upstate New York.

Related Experiment Videos

  • Factor analysis identified two primary domains of IPV screening barriers.
  • Multivariate analysis examined associations between barrier domains and physician characteristics.

    • Main Results:

    • Male physicians reported greater perceived barriers to IPV screening.
    • Obstetricians/gynecologists and physicians with 5-10 years of practice experienced fewer general knowledge barriers.
    • Physicians in private practice settings reported more practice policy barriers, while obstetricians/gynecologists reported fewer.

    Conclusions:

    • Findings indicate a need for ongoing physician training in IPV recognition throughout their careers.
    • Tailored training addressing specific barriers for different specialties and practice types is recommended.
    • Enhanced practice systems are necessary to facilitate routine IPV screening by healthcare providers.