TY - JOUR
T1 - Long-term costs of intimate partner violence in a sample of female HMO enrollees
AU - Snow Jones, Alison
AU - Dienemann, Jacqueline
AU - Schollenberger, Janet
AU - Kub, Joan
AU - O'Campo, Patricia
AU - Carlson Gielen, Andrea
AU - Campbell, Jacquelyn C.
N1 - Funding Information:
This research was supported by U.S. Army Research Materiel and Command (USAMRMC), DAMD 17-96-1-631/RCS DD-HA(OT)2068 (PI–J. Campbell) and an intramural grant from Wake Forest University Women’s Health Center of Excellence for Research, Leadership and Education.
PY - 2006/9
Y1 - 2006/9
N2 - Objectives: To compare costs associated with intimate partner violence (IPV) overall and for selected physical health problems in a nonpoor, privately insured sample. Methods: We compared 185 women aged 21-55 who were physically and/or sexually abused between 1989 and 1997 and enrolled in a multisite metropolitan health maintenance organization (HMO) to 198 never abused women enrolled in the same plan who had been matched using propensity score stratification. Costs associated with HMO visits, hospital stays, referrals, and emergency room (ER) visits, prescriptions, and radiology are based on the Medicare Resource-Based Relative Value System, expressed in 2005 dollars. Results: Average health care costs for women who reported physical, sexual, and/or emotional abuse exceeded those of never abused women by $1,700 over the 3-year study period. Women who reported abuse within 12 months of interview had higher average costs, as did women who reported physical abuse; however, sexual or emotional abuse and previous abuse also elevated costs. Costs associated with neurologic symptoms, injuries, mental health care, and unclassified symptoms account for most of these differences. Conclusions: IPV elevates health care costs, not only among women currently experiencing abuse, but also among women for whom the abuse has ceased. Efforts to control health care costs should focus on early detection and prevention of IPV.
AB - Objectives: To compare costs associated with intimate partner violence (IPV) overall and for selected physical health problems in a nonpoor, privately insured sample. Methods: We compared 185 women aged 21-55 who were physically and/or sexually abused between 1989 and 1997 and enrolled in a multisite metropolitan health maintenance organization (HMO) to 198 never abused women enrolled in the same plan who had been matched using propensity score stratification. Costs associated with HMO visits, hospital stays, referrals, and emergency room (ER) visits, prescriptions, and radiology are based on the Medicare Resource-Based Relative Value System, expressed in 2005 dollars. Results: Average health care costs for women who reported physical, sexual, and/or emotional abuse exceeded those of never abused women by $1,700 over the 3-year study period. Women who reported abuse within 12 months of interview had higher average costs, as did women who reported physical abuse; however, sexual or emotional abuse and previous abuse also elevated costs. Costs associated with neurologic symptoms, injuries, mental health care, and unclassified symptoms account for most of these differences. Conclusions: IPV elevates health care costs, not only among women currently experiencing abuse, but also among women for whom the abuse has ceased. Efforts to control health care costs should focus on early detection and prevention of IPV.
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U2 - 10.1016/j.whi.2006.06.007
DO - 10.1016/j.whi.2006.06.007
M3 - Article
C2 - 17055378
AN - SCOPUS:33749994018
SN - 1049-3867
VL - 16
SP - 252
EP - 261
JO - Women's Health Issues
JF - Women's Health Issues
IS - 5
ER -