Friday, July 23, 2004
This presentation is part of : Women and Violence
Disclosure of Intimate Partner Violence in a Diverse Population
Lois A. Magnussen, EdD, APRN, School of Nursing and Dental Hygiene, University of Hawaii at Manoa, Honolulu, HI, USA, Jan Shoultz, DrPH, APRN, University of Hawaii at Manoa School of Nursing and Dental Hygiene, University of Hawaii at Manoa, Honolulu, HI, USA, and Mary Oneha, PhD, APRN, Waianae Coast Comprehensive Health Center, Waianae Coast Comprehensive Health Center, Waianae, HI, USA.
Learning Objective #1: Analyze the link between disclosure of intimate partner violence and the need for appropriate provision of services
Learning Objective #2: Describe the necessary components for a successful participatory action research project

Objectives: The purpose of this study was to determine how frequently Intimate Partner Violence (IPV) was disclosed to health care providers in four primary care settings in Hawaii. Design: The study used a retrospective survey design with a community based participatory research approach. Population, Sample, Setting Years: The population studied was women between the ages of 19-64 who used the health centers during 1998-2002. Concept or Variables Studied Together: The Cultural Assessment Framework (CAF) developed by Huff and Kline (1999) guided this study. The five major categories of the CAF are as follows: 1) cultural or ethnic group-specific demographic characteristics; 2) cultural or ethnic group-specific epidemiological and environmental influences; 3) general and specific cultural or ethnic group characteristics; 4) general and specific health care beliefs and practices; and 5) health care organization and service delivery variables. Methodology: A retrospective review of records of was conducted by agency personnel. The data collection tool was developed with input from all four centers to meet the needs of the health care center while collecting data for the study. Descriptive statistics were used. Findings: The majority of clients at the community health centers were Asian/Pacific Islanders. Documentation of IPV was found in approximately 9% of the 337 records reviewed. The ethnic breakdown of the total sample in the study varied from ethnic distribution of those who reported violence. Conclusions: The documentation of IPV fell within the range that has been described in the national literature. The study underscores the need for agencies to collect relevant data in order to help improve services for their clients. Implications: The findings from the record review will provide trending or prevalence data that will be used as a basis for developing culturally appropriate interventions for use in multicultural populations in Hawaii.

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Sigma Theta Tau International
July 22-24, 2004