TY  - JOUR
PY  - 2005//
TI  - Physician-identified barriers to intimate partner violence screening
JO  - Journal of women's health (Larchmont)
A1  - Jaffee, Kim D.
A1  - Epling, John W.
A1  - Grant, W.
A1  - Ghandour, Reem M.
A1  - Callendar, Elizabeth
SP  - 713
EP  - 720
VL  - 14
IS  - 8
N2  - Background: Intimate partner violence (IPV) causes approximately 2 million injuries and 1300 deaths each year. Despite the high frequency of IPV among women seeking healthcare, only a small proportion report being asked by healthcare professionals about abuse. This study examined perceived barriers to IPV screening among obstetricians/gynecologists, family physicians, and internists, so that protocols for IPV training can be tailored to those particular areas of difficulty. Methods: A cross-sectional survey of 143 obstetricians and gynecologists, family practice physicians, and internists in a medium-sized upstate New York city was conducted. Factor analysis was performed. Two IPV barrier domains emerged and were examined using a multivariate analysis to determine associations between the domains and physician characteristics. Results: For general knowledge, there were greater perceived barriers if the respondent was male but fewer perceived barriers if the respondent was an obstetrician/gynecologist and fewer perceived barriers if the respondent had 5-10 years in practice. For practice policy, there were greater perceived barriers if the physician was in a private practice setting and fewer perceived barriers if the physician was an obstetrician/gynecologist. Conclusions: These findings provide direction for training in IPV recognition. They support a need for continued training throughout the physician's career. More importantly, the findings support a need for better practice systems to encourage routine screening for IPV by healthcare providers.
LA  - 
SN  - 1540-9996
UR  - http://dx.doi.org/10.1089/jwh.2005.14.713
ID  - ref1
ER  -