Racial and Ethnic Disparities in Police-Reported Intimate Partner Violence and Risk of Hospitalization among Women

Sherry Lipsky, Raul Caetano, Peter Roy-Byrne

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Objectives: We sought to examine racial and ethnic disparities in police-reported intimate partner violence (IPV) and hospitalization rates and rate ratios among women with police-reported IPV relative to those without such reports. Methods: This retrospective cohort study linked adult male-to-female IPV police records of non-Hispanic Black, Hispanic, and non-Hispanic White women residing in a south central US city with regional hospital discharge data. Rates and incidence rate ratios (IRR) were calculated and age-adjusted where the data allowed. Results: Police-reported IPV rates were 2-3 times higher among Black and Hispanic women compared with White women. Overall, hospitalization rates were higher among Black and White victims and lower among Hispanic victims than their counterparts in the comparison group (age-adjusted IRR [aIRR], 1.23; 95% confidence interval [CI], 1.08-1.41; aIRR, 1.46; 95% CI, 1.19-1.79; and aIRR, 0.68; 95% CI, 0.54-0.86, respectively). Rate ratios were significant for victims among 1) White women for any mental disorder (aIRR, 2.02; 95% CI, 1.30-3.13) and for episodic mood/depressive disorders in particular (aIRR, 2.18; 95% CI, 1.33-3.59); 2) Black and White women for any injury-related diagnosis (aIRR, 2.46; 95% CI, 1.48-4.10 and aIRR, 3.20; 95% CI, 1.65-6.19, respectively); and 3) all women for intentional injury (IRR, 10.45; 95% CI, 3.56-30.69) and self-inflicted injury (IRR, 4.91; 95% CI, 2.12-11.37). Conclusions: Exposure to IPV as reported to police increases the rate of hospital utilization among Black and White women, but lowers the rate for Hispanic women. Screening for IPV in hospitals may identify a substantial number of IPV-exposed women. Primary and secondary prevention efforts related to IPV should be culturally informed and specific.

Original languageEnglish (US)
Pages (from-to)109-118
Number of pages10
JournalWomen's Health Issues
Volume19
Issue number2
DOIs
StatePublished - Mar 2009

Fingerprint

Police
hospitalization
Hospitalization
police
violence
confidence
Confidence Intervals
Hispanic Americans
incidence
Incidence
Wounds and Injuries
Intimate Partner Violence
Urbanization
Primary Prevention
Depressive Disorder
mental disorder
Secondary Prevention
Mood Disorders
Mental Disorders
mood

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health
  • Maternity and Midwifery
  • Health(social science)

Cite this

Racial and Ethnic Disparities in Police-Reported Intimate Partner Violence and Risk of Hospitalization among Women. / Lipsky, Sherry; Caetano, Raul; Roy-Byrne, Peter.

In: Women's Health Issues, Vol. 19, No. 2, 03.2009, p. 109-118.

Research output: Contribution to journalArticle

Lipsky, Sherry ; Caetano, Raul ; Roy-Byrne, Peter. / Racial and Ethnic Disparities in Police-Reported Intimate Partner Violence and Risk of Hospitalization among Women. In: Women's Health Issues. 2009 ; Vol. 19, No. 2. pp. 109-118.
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abstract = "Objectives: We sought to examine racial and ethnic disparities in police-reported intimate partner violence (IPV) and hospitalization rates and rate ratios among women with police-reported IPV relative to those without such reports. Methods: This retrospective cohort study linked adult male-to-female IPV police records of non-Hispanic Black, Hispanic, and non-Hispanic White women residing in a south central US city with regional hospital discharge data. Rates and incidence rate ratios (IRR) were calculated and age-adjusted where the data allowed. Results: Police-reported IPV rates were 2-3 times higher among Black and Hispanic women compared with White women. Overall, hospitalization rates were higher among Black and White victims and lower among Hispanic victims than their counterparts in the comparison group (age-adjusted IRR [aIRR], 1.23; 95{\%} confidence interval [CI], 1.08-1.41; aIRR, 1.46; 95{\%} CI, 1.19-1.79; and aIRR, 0.68; 95{\%} CI, 0.54-0.86, respectively). Rate ratios were significant for victims among 1) White women for any mental disorder (aIRR, 2.02; 95{\%} CI, 1.30-3.13) and for episodic mood/depressive disorders in particular (aIRR, 2.18; 95{\%} CI, 1.33-3.59); 2) Black and White women for any injury-related diagnosis (aIRR, 2.46; 95{\%} CI, 1.48-4.10 and aIRR, 3.20; 95{\%} CI, 1.65-6.19, respectively); and 3) all women for intentional injury (IRR, 10.45; 95{\%} CI, 3.56-30.69) and self-inflicted injury (IRR, 4.91; 95{\%} CI, 2.12-11.37). Conclusions: Exposure to IPV as reported to police increases the rate of hospital utilization among Black and White women, but lowers the rate for Hispanic women. Screening for IPV in hospitals may identify a substantial number of IPV-exposed women. Primary and secondary prevention efforts related to IPV should be culturally informed and specific.",
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