SCREENING FOR ABUSE: BARRIERS AND OPPORTUNITIES

Domestic abuse is the leading cause of injuries and death among women of childbearing age in the United States. The broad purpose of this research is to discover how pregnant women's psychological and behavioral responses to abuse affect birth outcomes. To select a diverse sample of women, we i...

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Bibliographic Details
Published in:Health care for women international 2001-06, Vol.22 (4), p.349-362
Main Authors: D'Avolio, D, Hawkins, J W, Haggerty, L A, Kelly, U, Barrett, R, Durno Toscano, S E, Dwyer, J, Higgins, L P, Kearney, M, Pearce, C W, Aber, C S, Mahony, D, Bell, M
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Clinical Competence - standards
Female
Health Knowledge, Attitudes, Practice
Health Services Accessibility - organization & administration
Health Services Research
Humans
Inservice Training
Mass Screening - organization & administration
Needs Assessment
Nursing
Pregnancy
Pregnancy Complications - diagnosis
Pregnancy Outcome
Prenatal Care - organization & administration
Program Development
Program Evaluation
Social Support
Spouse Abuse - diagnosis
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Summary:Domestic abuse is the leading cause of injuries and death among women of childbearing age in the United States. The broad purpose of this research is to discover how pregnant women's psychological and behavioral responses to abuse affect birth outcomes. To select a diverse sample of women, we identified 8 prenatal care sites and completed the human subjects approval process with each. Rates of screening for abuse range from all but 12 women over a 2-1/2-year period at one site to no screening for abuse at another site. In this article, we will review pertinent literature and discuss the supports and barriers we observed when implementing an abuse screening program using the Abuse Assessment Screen, a well-tested and valid clinical instrument. Suggestions will be made for improving the screening rates at those sites where screening is absent or inconsistent.
ISSN:0739-9332
1096-4665
DOI:10.1080/07399330121402