Abuse Disclosure in Privately and Medicaid‐Funded Pregnant Women
- 10 September 2006
- journal article
- research article
- Published by Wiley in Journal of Midwifery & Women's Health
- Vol. 51 (5), 361-369
- https://doi.org/10.1016/j.jmwh.2006.02.012
Abstract
Disclosure of abuse by pregnant women can vary depending on whether the woman is assessed directly by a trained interviewer versus written questionnaires, and if she is asked repeatedly during the course of pregnancy. One thousand pregnant women were enrolled in a randomized clinical trial designed to assess the effects of a nursing case management intervention on the mental and physical well-being of pregnant women experiencing or at risk for abuse. Thirteen percent of the total study participants reported current abuse and/or abuse within the past year, with only 2% of those reporting that the abuse occurred during pregnancy. The incidence of reported abuse was much higher among Medicaid-funded women (28.9%) than privately insured women (8.7%). Regardless of source of payment, women reporting abuse were significantly younger, less educated, nonwhite with lower income, and had significantly higher stress and lower self-esteem than women not reporting abuse. A high incidence of women reporting intimate partner violence described being choked on the Danger Assessment Screen (34%). We strongly urge that choking be added to routine screening questions used during pregnancy and that the Danger Assessment tool is used for further evaluation of women who screen positive. In addition, we believe another barrier to reporting abuse was fear of being reported to child protective services, contributing to the overall low rate of abuse disclosure.Keywords
This publication has 32 references indexed in Scilit:
- ACOG Committee Opinion No. 333: The Apgar ScoreObstetrics & Gynecology, 2006
- Abused Pregnant Women’s Interactions With Health Care Providers During the Childbearing YearJournal of Obstetric, Gynecologic & Neonatal Nursing, 2005
- Predicting the Psychosocial Effects of Interpersonal Partner Violence (IPV)Journal of Interpersonal Violence, 2003
- Promise and Perils of Surveillance in Addressing Violence Against WomenViolence Against Women, 2000
- Testing an intervention to prevent further abuse to pregnant womenResearch in Nursing & Health, 1999
- Effects of abuse on maternal complications and birth weight in adult and adolescent women*1Obstetrics & Gynecology, 1998
- Breaking the silence. Battered women's perspectives on medical careArchives of Family Medicine, 1996
- Pregnancy outcomes and health care use: Effects of abuseAmerican Journal of Obstetrics and Gynecology, 1996
- Validity and reliability testing of the prenatal psychosocial profileResearch in Nursing & Health, 1994
- Assessing for Abuse: Self‐Report Versus Nurse InterviewPublic Health Nursing, 1991