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Sunday, November 4, 2007

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This presentation is part of : Research in Domestic Violence Issues
Assessment of Screening, Treatment and Outcomes for Violence Against Women in Primary Care Practices in Three Rural Illinois Counties
Karen B. Baldwin, PhD, RN, Nursing, Northern Illinois University, DeKalb, IL, USA
Learning Objective #1: identify screening patterns among primary care providers for violence and abuse against women in rural Illinois communities.
Learning Objective #2: discuss providers’ perceived barriers and benefits to screening for violence and abuse against women in rural communities.

Violence and abuse against women (VAAW) is a global health concern, affecting close to two million women and families every year in the United States alone. The actual incidence of violence and abuse against women is unknown, although it is widely accepted that under-reporting contributes to the conservative estimate of occurrence of the problem. This study was designed within a public health framework, identifying the estimated screening for VAAW in primary care settings and need for educational resources.

           

An estimated 14% and 28% of women seen in primary care clinics present with conditions directly and indirectly associated with violence or abuse. Despite recommendations for universal screening of women, only 10-20% of primary care providers provide VAAW screening. 

The purpose of this study was to examine the reported incidence of VAAW screening, treatment and outcomes of screening in primary care practices in three rural communities in Illinois, as well as to determine the providers’ perceived barriers and benefits to screening.  

A survey was sent to 167 primary care providers, including physicians, nurses, social workers, nurse midwives, public health clinics and an urgent care center. The survey asked the providers to estimate the incidence of VAAW in their practices, to describe their current screening practices, the types of abuse seen, and their methods for treatment and/or referral. The survey also asked providers to identify perceived barriers and benefits to screening. 

This study is now collecting preliminary data, with final data collection anticipated in late January. Analysis will be completed in February of 2007. This research will forward our understanding of providers’ willingness to screen for VAAW in rural communities. Assessments such as these are a step toward better understanding of what nursing can do to address VAAW in rural communities, both in the United States and in other rural areas of the world.