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Understanding the Barriers of Violence Victims' Health Care Use
Keith L Hullenaar1, Michelle Frisco1
1Pennsylvania State University, University Park, PA, USA.
Journal of Health and Social Behavior
|October 13, 2020
Summary
Most violence victims do not seek formal healthcare due to factors like offender relationship, victimization history, and offense type. Injury severity alone does not guarantee healthcare access for violence survivors.
Area of Science:
- Public Health
- Criminology
- Health Services Research
Background:
- Violence is a major cause of death for young U.S. adults.
- Millions of violence victims do not seek formal healthcare.
- Understanding barriers to healthcare access for victims is crucial.
Purpose of the Study:
- To develop and test a framework explaining why violence victims forgo formal healthcare.
- To identify situational factors influencing healthcare seeking behavior among victims.
Main Methods:
- Analysis of 9,912 violent victimizations from the National Crime Victimization Survey (1993-2017).
- Examination of injury severity and situational factors (relationship to offender, victimization history, offense type).
Main Results:
- Injury severity and situational factors independently and interactively predict healthcare use.
- Victimizations involving known offenders, repeat victimizations, or sexual violence are associated with lower healthcare use, even with serious injuries.
- Specific situational factors act as significant barriers to formal healthcare access.
Conclusions:
- Healthcare seeking for violence victims is complex, influenced by more than just injury severity.
- Interventions should address situational barriers to improve healthcare access for violence survivors.
- Findings have implications for victims, healthcare providers, and public health policy.
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