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Assessing for abuse: self-report versus nurse interview.

J McFarlane¹, K Christoffel, L Bateman

¹College of Nursing, Texas Woman's University, Houston 77030.

Public Health Nursing (Boston, Mass.)

|December 1, 1991

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Routine domestic abuse screening is vital. Self-reporting physical abuse prevalence was 7.3%, while nurse interviews revealed a 29.3% prevalence in women visiting clinics.

Area of Science:

Public Health
Women's Health
Domestic Violence Research

Background:

An estimated 1.8 million women experience physical abuse annually from their husbands.
Routine assessment is crucial for preventing abuse and ensuring women's physical safety.
Healthcare settings can play a role in identifying and addressing domestic violence.

Purpose of the Study:

To assess the prevalence of physical abuse among women attending clinic visits.
To compare the effectiveness of self-reported abuse assessment versus nurse interview assessment.

Main Methods:

Four self-reported abuse assessment questions were added to intake forms for 477 women.
The same four questions were administered via nurse interview for 300 women.
Both groups comprised women attending initial or annual visits at a Planned Parenthood clinic.

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Main Results:

Self-reported abuse prevalence was 7.3% after one month of data collection.
Nurse interview assessment revealed a significantly higher reported prevalence of abuse at 29.3%.
Discrepancies highlight potential underreporting with self-assessment methods.

Conclusions:

Nurse-led interviews appear more effective in identifying physical abuse compared to self-report.
Routine screening in healthcare settings is essential for uncovering domestic violence.
Further research is needed to optimize abuse assessment tools for clinical practice.