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Exploring the Impact of Race on Addressing Intimate Partner Violence in the Emergency Department
Leena Kasa1, Kristine Alexander2, Katherine Obenschain3
1From the Rowan-Virtua School of Osteopathic Medicine, Stratford, NJ.
Pediatric Emergency Care
|September 11, 2024
Summary
Racial disparities exist in offering intimate partner violence (IPV) education in pediatric emergency departments. Black patients
Area of Science:
- Public Health
- Emergency Medicine
- Sociology
Background:
- Racial disparities in intimate partner violence (IPV) experiences are documented.
- Little is known about racial disparities in addressing IPV within emergency departments (EDs).
- Understanding these disparities is crucial for equitable healthcare delivery.
Purpose of the Study:
- To examine racial variability in offering universal IPV education to adult caregivers in a pediatric ED.
- To explore healthcare provider attitudes regarding race's role in IPV education delivery.
- To identify potential biases influencing IPV support in emergency settings.
Main Methods:
- Mixed-methods study combining quantitative and qualitative data from January 2016 to December 2020.
- Quantitative analysis of rates of offering IPV universal education and documentation of non-offering by patient race.
- Semistructured interviews with ED providers (nurses, nurse practitioners, physicians) analyzed for thematic content.
Main Results:
- Caregivers of Black patients were more likely to receive IPV universal education than caregivers of White patients (31.1% vs 27.3%, P < 0.05).
- Caregivers of Black patients were more likely to have undocumented reasons for not receiving IPV education than caregivers of White patients (70.4% vs 53.9%, P < 0.05).
- Qualitative interviews revealed specific racial biases influencing these disparities among ED providers.
Conclusions:
- Racial disparities exist in both the offering and documentation of IPV universal education in a pediatric ED.
- Identifying and addressing provider biases is essential for mitigating health disparities.
- Findings inform strategies to increase provider diversity and implement bias-reduction methodologies in healthcare settings.
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