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The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
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Health Conditions and Service Use Among Intimate Partner Violence Shelter Residents.

Leila Wood1, Julia Cusano2, Rachel J Voth Schrag3

  • 1The University of Texas Health Science Center at Houston, Violence and Injury Prevention Research Center, USA.

Journal of Interpersonal Violence
|May 28, 2026
PubMed
Summary
This summary is machine-generated.

Intimate partner violence (IPV) survivors in shelters face significant health issues like PTSD and depression. While health services are used, advocacy is most helpful, yet gaps remain in holistic care.

Keywords:
PTSDhealth effectsintimate partner violence/abuse

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Area of Science:

  • Public Health
  • Health Services Research
  • Sociology

Background:

  • Intimate partner violence (IPV) survivors experience significant physical, social, and mental health challenges.
  • Health impacts of IPV are exacerbated by economic and housing instability.
  • Emergency shelters prioritize safety but offer limited insight into health service experiences.

Purpose of the Study:

  • To assess the health service experiences and perceived helpfulness among IPV survivors in emergency shelters.
  • To identify the prevalence of health conditions and food insecurity in this population.
  • To examine factors associated with health service utilization and helpfulness.

Main Methods:

  • Surveyed 214 IPV shelter residents in a Southern state.
  • Collected data on socioecological factors, economic status, and health conditions (PTSD, depression, somatic symptoms, food insecurity).
  • Assessed use and perceived helpfulness of seven IPV shelter health services using bivariate and regression analysis.

Main Results:

  • Over 63% met criteria for probable PTSD, 43.9% for probable depression, and 40.2% for severe somatic symptoms; 59% reported very low food security.
  • Food insecurity and PTSD were linked to prior economic, sexual, and physical IPV.
  • Advocacy services were perceived as most helpful, but participants with poor health or depression found services less helpful.

Conclusions:

  • IPV survivors in shelters exhibit high rates of mental health issues and food insecurity, often linked to prior abuse.
  • While IPV shelter health services are utilized and generally perceived as helpful, gaps exist in addressing survivors' holistic health needs.
  • There is a continued need for comprehensive health services tailored to IPV survivors in emergency shelter settings.