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Physical and sexual abuse. A middle-class concern?

C B Smikle1, A J Satin, C L Dellinger

  • 1Department of Obstetrics and Gynecology, Wilford Hall Medical Center, Lackland Air Force Base, Texas 78236-5300, USA.

The Journal of Reproductive Medicine
|May 1, 1995
PubMed
Summary

Physical and sexual abuse affect employed women, with younger victims and those working outside the home being more vulnerable. Intimate partners are common perpetrators, leading to more frequent and severe abuse.

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Area of Science:

  • Public Health
  • Epidemiology
  • Women's Health

Background:

  • Domestic violence and sexual assault are significant public health issues.
  • Understanding the prevalence and characteristics of abuse in diverse populations is crucial for effective intervention.
  • Employed, middle-class women with healthcare access represent a specific demographic for studying abuse patterns.

Purpose of the Study:

  • To determine the prevalence of physical and/or sexual abuse among employed, middle-class women attending an ambulatory gynecology clinic.
  • To identify demographic characteristics of abuse victims and perpetrators.
  • To explore the relationship between abuse type, perpetrator, and injury severity.

Main Methods:

  • A cross-sectional study was conducted using questionnaires administered to patients at an ambulatory gynecology clinic.

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  • Data collected included history of physical and/or sexual abuse, assailant relationship, frequency of abuse, and resulting injuries.
  • Statistical analysis compared characteristics of abused versus non-abused women and different abuse subgroups.

    • Main Results:

    • Out of 531 respondents, 72 reported only physical abuse, 37 only sexual abuse, and 40 reported both.
    • Victims were typically younger (32.6 vs. 39.8 years) and more likely to work outside the home (63.1% vs. 47.9%).
    • Intimate partners were more common perpetrators of physical abuse (75%) than sexual abuse (16%), and combined physical/sexual abuse led to more frequent injuries.

    Conclusions:

    • A significant proportion of employed, middle-class women experience physical and/or sexual abuse.
    • Healthcare providers should routinely screen all women for a history of abuse.
    • Early identification and intervention are critical to prevent further episodes of abuse and mitigate harm.