Relationship of physical intimate partner violence with mental health diagnoses in the nationwide emergency department sample

Hind A. Beydoun, Megan Williams, May A. Beydoun, Shaker M Eid, Alan B. Zonderman

Research output: Contribution to journalArticle

Abstract

Objectives: We examined associations of physical intimate partner violence (PIPV) with selected mental health disorders using a nationally representative sample of emergency department (ED) discharges corresponding to men and women (18-64 years) from the 2010 Nationwide Emergency Department Sample. Methods: PIPV was determined using International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) external cause of injury code E967.3 (battering by spouse or partner). ICD-9-CM clinical classification of discharge diagnoses was used to identify mental health disorders. Multivariable logistic regression models were constructed to estimate adjusted odds ratios (ORadj) and their 95% confidence intervals (CIs). Results: PIPV prevalence was estimated at 0.36 per 1000 ED discharges. The strongest correlates of PIPV were alcohol-related (ORadj = 3.02, 95% CI: 2.62-3.50), adjustment (ORadj = 2.37, 95% CI: 1.56-3.58), intentional self-harm (ORadj = 1.41, 95% CI: 1.05-1.89), anxiety (ORadj = 1.23, 95% CI: 1.07-1.40), drug-related (ORadj = 1.22, 95% CI: 1.01-1.47), and mood (ORadj = 1.16, 95% CI: 1.04-1.31) disorders. PIPV's association with alcohol-related disorders was stronger among women (ORadj = 3.22, 95% CI: 2.79-3.72) versus men (ORadj = 1.98, 95% CI: 1.42-2.77). Similarly, drug-related disorders were stronger correlates of PIPV among women (ORadj = 1.32, 95% CI: 1.09-1.60) versus men (ORadj = 0.59, 95% CI: 0.31-1.16). Conclusions: In EDs, PIPV was linked to several mental health disorders, with women experiencing comorbid PIPV and substance use more frequently than men.

Original languageEnglish (US)
Pages (from-to)141-151
Number of pages11
JournalJournal of Women's Health
Volume26
Issue number2
DOIs
StatePublished - Feb 1 2017

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Hospital Emergency Service
Mental Health
Confidence Intervals
Mental Disorders
International Classification of Diseases
Physical Abuse
Intimate Partner Violence
Alcohol-Related Disorders
Logistic Models
Social Adjustment
Spouses
Pharmaceutical Preparations
Anxiety
Odds Ratio
Alcohols
Wounds and Injuries

Keywords

  • emergency department
  • intimate partner violence
  • mental health
  • surveillance

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Relationship of physical intimate partner violence with mental health diagnoses in the nationwide emergency department sample. / Beydoun, Hind A.; Williams, Megan; Beydoun, May A.; Eid, Shaker M; Zonderman, Alan B.

In: Journal of Women's Health, Vol. 26, No. 2, 01.02.2017, p. 141-151.

Research output: Contribution to journalArticle

Beydoun, Hind A. ; Williams, Megan ; Beydoun, May A. ; Eid, Shaker M ; Zonderman, Alan B. / Relationship of physical intimate partner violence with mental health diagnoses in the nationwide emergency department sample. In: Journal of Women's Health. 2017 ; Vol. 26, No. 2. pp. 141-151.
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abstract = "Objectives: We examined associations of physical intimate partner violence (PIPV) with selected mental health disorders using a nationally representative sample of emergency department (ED) discharges corresponding to men and women (18-64 years) from the 2010 Nationwide Emergency Department Sample. Methods: PIPV was determined using International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) external cause of injury code E967.3 (battering by spouse or partner). ICD-9-CM clinical classification of discharge diagnoses was used to identify mental health disorders. Multivariable logistic regression models were constructed to estimate adjusted odds ratios (ORadj) and their 95{\%} confidence intervals (CIs). Results: PIPV prevalence was estimated at 0.36 per 1000 ED discharges. The strongest correlates of PIPV were alcohol-related (ORadj = 3.02, 95{\%} CI: 2.62-3.50), adjustment (ORadj = 2.37, 95{\%} CI: 1.56-3.58), intentional self-harm (ORadj = 1.41, 95{\%} CI: 1.05-1.89), anxiety (ORadj = 1.23, 95{\%} CI: 1.07-1.40), drug-related (ORadj = 1.22, 95{\%} CI: 1.01-1.47), and mood (ORadj = 1.16, 95{\%} CI: 1.04-1.31) disorders. PIPV's association with alcohol-related disorders was stronger among women (ORadj = 3.22, 95{\%} CI: 2.79-3.72) versus men (ORadj = 1.98, 95{\%} CI: 1.42-2.77). Similarly, drug-related disorders were stronger correlates of PIPV among women (ORadj = 1.32, 95{\%} CI: 1.09-1.60) versus men (ORadj = 0.59, 95{\%} CI: 0.31-1.16). Conclusions: In EDs, PIPV was linked to several mental health disorders, with women experiencing comorbid PIPV and substance use more frequently than men.",
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AU - Zonderman, Alan B.

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AB - Objectives: We examined associations of physical intimate partner violence (PIPV) with selected mental health disorders using a nationally representative sample of emergency department (ED) discharges corresponding to men and women (18-64 years) from the 2010 Nationwide Emergency Department Sample. Methods: PIPV was determined using International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) external cause of injury code E967.3 (battering by spouse or partner). ICD-9-CM clinical classification of discharge diagnoses was used to identify mental health disorders. Multivariable logistic regression models were constructed to estimate adjusted odds ratios (ORadj) and their 95% confidence intervals (CIs). Results: PIPV prevalence was estimated at 0.36 per 1000 ED discharges. The strongest correlates of PIPV were alcohol-related (ORadj = 3.02, 95% CI: 2.62-3.50), adjustment (ORadj = 2.37, 95% CI: 1.56-3.58), intentional self-harm (ORadj = 1.41, 95% CI: 1.05-1.89), anxiety (ORadj = 1.23, 95% CI: 1.07-1.40), drug-related (ORadj = 1.22, 95% CI: 1.01-1.47), and mood (ORadj = 1.16, 95% CI: 1.04-1.31) disorders. PIPV's association with alcohol-related disorders was stronger among women (ORadj = 3.22, 95% CI: 2.79-3.72) versus men (ORadj = 1.98, 95% CI: 1.42-2.77). Similarly, drug-related disorders were stronger correlates of PIPV among women (ORadj = 1.32, 95% CI: 1.09-1.60) versus men (ORadj = 0.59, 95% CI: 0.31-1.16). Conclusions: In EDs, PIPV was linked to several mental health disorders, with women experiencing comorbid PIPV and substance use more frequently than men.

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