Intimate partner violence during the perinatal period by disability status: Findings from a United States population-based analysis.
Jeanne L Alhusen, Genevieve Lyons, Kathryn Laughon and 1 others
PMID 35773949WHAT IT FOUND
Intimate partner violence before pregnancy was reported by 9.5% of respondents with disability and 2.4% without; during pregnancy by 5.8% and 1.7%.
Authors recommend perinatal screening and disability-specific questions.
Key findings
01Before pregnancy, IPV was reported by 9.5% of respondents with disability and 2.4% of respondents without disability.
02During pregnancy, IPV was reported by 5.8% of respondents with disability and 1.7% of respondents without disability.
03After adjusting for age, educational attainment, race, household income and relationship status, respondents with disability had an adjusted odds ratio of 2.6 for IPV before pregnancy and 2.5 for IPV during pregnancy.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The IPV measure was retrospective self-report and asked only about being hit, slapped, choked or physically hurt by a husband or partner, so it may miss psychological and sexual violence. The measure did not capture disability-specific abuse such as restraint, withholding equipment, medications, transportation or help with daily needs, which the authors say may mean the differences are underestimated. Perpetrators were limited to husband or partner, but women with disabilities may also experience violence from caregivers, health care professionals, transport drivers, friends or family members. Disability was measured by self-report difficulty questions, with a lot of difficulty or cannot do coded as disability, so the type and severity of disability may be incomplete. Only 24 states asked the disability questions, some batches were excluded, and complete case analysis removed missing responses, including 406 missing IPV before pregnancy and 458 missing IPV during pregnancy. Results are from US respondents with recent live births and may not generalise to other countries or to people without recent live births.
The easy way to misread this
Do not read the higher prevalence as proof that disability causes IPV or that screening improves safety. The study is a self-report survey, and its question may miss psychological, sexual and disability-specific violence.