Tags

Type your tag names separated by a space and hit enter

Screening men for partner violence in a primary care setting. A new strategy for detecting domestic violence.
J Fam Pract. 1998 Jun; 46(6):493-8.JF

Abstract

BACKGROUND

Health care domestic violence initiatives have given little attention to screening men for violent behavior toward their partners. We conducted this study to assess whether men would answer questions about partner violence in a health care setting, to estimate the prevalence of violent behavior in male primary care patients, and to identify characteristics associated with violent behavior.

METHODS

We used an anonymous written survey at three family medicine clinics. The survey instrument included the Conflict Tactics Scale to measure aggressive and violent behavior. Standard questions assessed demographic variables and health behaviors.

RESULTS

Three hundred seventy-five men were seen during the study. Of these, 317 (85%) participated and 237 met inclusion criteria. Thirty-two men (13.5%, 95% confidence interval (CI), 9.1-17.9) disclosed physical violence toward their partner in the previous 12 months. Ten men (4.2%, 95% CI, 3.7-4.8) reported severe violence. Men with increased alcohol consumption, depression, or history of abuse as children were more likely to report violent behavior. Presence of all three variables resulted in a probability of violence of 41%, compared with a baseline probability of 7% if no risk factors were present.

CONCLUSIONS

Primary care physicians should consider screening male patients for aggressive behavior toward their intimate partners. Physicians should be especially cognizant of this possibility in men who are depressed, heavy alcohol users, or were childhood victims of abuse.

Authors+Show Affiliations

Department of Family Medicine, University of Wisconsin School of Medicine, Madison, USA. koriel@fammed.wisc.eduNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9638114

Citation

Oriel, K A., and M F. Fleming. "Screening Men for Partner Violence in a Primary Care Setting. a New Strategy for Detecting Domestic Violence." The Journal of Family Practice, vol. 46, no. 6, 1998, pp. 493-8.
Oriel KA, Fleming MF. Screening men for partner violence in a primary care setting. A new strategy for detecting domestic violence. J Fam Pract. 1998;46(6):493-8.
Oriel, K. A., & Fleming, M. F. (1998). Screening men for partner violence in a primary care setting. A new strategy for detecting domestic violence. The Journal of Family Practice, 46(6), 493-8.
Oriel KA, Fleming MF. Screening Men for Partner Violence in a Primary Care Setting. a New Strategy for Detecting Domestic Violence. J Fam Pract. 1998;46(6):493-8. PubMed PMID: 9638114.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Screening men for partner violence in a primary care setting. A new strategy for detecting domestic violence. AU - Oriel,K A, AU - Fleming,M F, PY - 1998/6/25/pubmed PY - 1998/6/25/medline PY - 1998/6/25/entrez SP - 493 EP - 8 JF - The Journal of family practice JO - J Fam Pract VL - 46 IS - 6 N2 - BACKGROUND: Health care domestic violence initiatives have given little attention to screening men for violent behavior toward their partners. We conducted this study to assess whether men would answer questions about partner violence in a health care setting, to estimate the prevalence of violent behavior in male primary care patients, and to identify characteristics associated with violent behavior. METHODS: We used an anonymous written survey at three family medicine clinics. The survey instrument included the Conflict Tactics Scale to measure aggressive and violent behavior. Standard questions assessed demographic variables and health behaviors. RESULTS: Three hundred seventy-five men were seen during the study. Of these, 317 (85%) participated and 237 met inclusion criteria. Thirty-two men (13.5%, 95% confidence interval (CI), 9.1-17.9) disclosed physical violence toward their partner in the previous 12 months. Ten men (4.2%, 95% CI, 3.7-4.8) reported severe violence. Men with increased alcohol consumption, depression, or history of abuse as children were more likely to report violent behavior. Presence of all three variables resulted in a probability of violence of 41%, compared with a baseline probability of 7% if no risk factors were present. CONCLUSIONS: Primary care physicians should consider screening male patients for aggressive behavior toward their intimate partners. Physicians should be especially cognizant of this possibility in men who are depressed, heavy alcohol users, or were childhood victims of abuse. SN - 0094-3509 UR - https://www.unboundmedicine.com/medline/citation/9638114/Screening_men_for_partner_violence_in_a_primary_care_setting__A_new_strategy_for_detecting_domestic_violence_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=9638114.ui DB - PRIME DP - Unbound Medicine ER -