Paper
Thursday, July 12, 2007
This presentation is part of : Women's Healthcare Models
Does socio-economic status effect the presentation and treatment of physical and mental health needs of women who are victims of intimate partner violence
Gale A. Spencer1, Sharon A. Bryant1, and Nannette McDonald2. (1) Decker School of Nursing, Binghamton University, Binghamton, NY, USA, (2) School of Nursing, West Virginia University, Morgantown, WV, USA
Learning Objective #1: identify the differences in the prevalence rates for intimate partner violence by socio-economic status.
Learning Objective #2: describe the differences in physical and mental health needs of victims of intimate partner violence by socio-economic status.

The purpose of the presentation is to describe the effect of socio-economic status on the presentation of the physical and mental health needs of victims of  intimate partner violence. A secondary data base "The Commonwealth Fund 1998 Survey of Women's Health" was used for data analysis.  The population (n = 2,850) came from 49 states in the USA.

The generalized findings of this data base included the following. Higher use of preventive services was associated with both higher incomes and educational levels. Uninsured women remained at greatest risk for not receiving preventive care. Few physicians were found to discuss violence and abuse; those who did, most often discussed violence with lower income and less educated women. Nearly one-third of the women reported a prior history of intimate partner violence. One in five women disclosed that they had been raped or assaulted. One in six women was found to be a victim of child abuse, and women with this history were at higher risk of experiencing domestic violence later in life. Fifty percent of women with a history of any type of violence or abuse reported higher levels of depressive symptoms compared to those without a history. Abused women also were found to have more physical health problems, and engaged in unhealthy behaviors to cope with violence.

This presentation will include a discussion of the women’s: exposure to violence, marital status, level of education, depression scores, use of alcohol and/or cigarettes, health status, health care utilization, disclosure of abuse to their health care provider and health care providers response, access to health care, and insurance status.  All of these variables will be explored by the women’s socio-economic status.