Associations Between Head Injury, Strangulation, Cardiometabolic Health, and Functional Disability Among Female
Michelle M Pebole1, Katherine M Iverson2, Catherine B Fortier3
1The Translational Research Center for TBI and Stress Disorders (TRACTS), Veterans Affairs Boston Healthcare System, Boston, Massachusetts.
Summary
Intimate partner violence head injuries are linked to higher blood glucose and altered cholesterol levels. These injuries, along with strangulation, predict functional disability in survivors, highlighting the need for integrated care.
Area of Science:
- Medical research
- Public health
- Trauma studies
Background:
- Intimate partner violence (IPV) frequently involves head injuries and strangulation.
- Research on the physical health and functional status implications of these specific IPV-related injuries is limited.
- Understanding these associations is crucial for improving survivor care.
Purpose of the Study:
- To explore the relationship between head injury and strangulation severity and cardiometabolic health biomarkers.
- To assess the association between these injuries and self-reported functioning in female IPV survivors.
- To identify potential targets for intervention and integrated treatment approaches.
Main Methods:
- Pilot study involving 51 female survivors of IPV with probable PTSD.
- Assessed injury types (head injury, strangulation) and severity levels.
- Measured cardiometabolic biomarkers (e.g., blood glucose, lipids, waist-to-hip ratio) and self-reported functional status.
Main Results:
- Head injury correlated with increased blood glucose and shifts toward high-risk lipid profiles and waist-to-hip ratio.
- Strangulation was associated with elevated cholesterol levels.
- Regression models indicated that head injuries and strangulation significantly predicted functional disability, including cognitive, mobility, and social participation impairments.
Conclusions:
- Head injuries and strangulation in IPV contexts have significant associations with cardiometabolic health and functional status.
- Findings underscore the importance of screening for and addressing physical health comorbidities in IPV survivors.
- Integrated treatment strategies are recommended to improve the daily function and quality of life for survivors with a history of head injury.


