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Intimate Partner Violence Screening in the Prenatal Period: Variation by State, Insurance, and Patient Characteristics

  • Sarah Halpern-MeekinEmail author
  • Molly Costanzo
  • Deborah Ehrenthal
  • Galena Rhoades
Article

Abstract

Objective To measure the proportion of women screened for IPV during prenatal care; to assess the predictors of prenatal IPV screening. Methods We use the CDC’s 2012 Pregnancy Risk Assessment Monitoring System, representative of births in 24 states and New York City (N = 28,581). We calculated descriptive and logistic regressions, weighted to deal with state-clustered observations. Results 49.2% of women in our sample reported being screened for IPV while pregnant. There were higher screening rates among women of color, and those who had not completed high school, never been married, received WIC benefits, initiated prenatal care in the first trimester, and were publicly insured. State screening rates varied (29.9–62.9%). Among states, mandated perinatal depression screening or training was positively associated with IPV screening. 3.6% of women in our sample reported prenatal IPV but were not screened during pregnancy. Conclusions for Practice Current efforts have not led to universal screening. We need to better understand when and why providers do not screen pregnant patients for IPV.

Keywords

Intimate partner violence Prenatal care State policy Screening 

Notes

Funding

Funding was provided by Wisconsin Alumni Research Foundation with Grant No. AAB3928.

Supplementary material

10995_2018_2692_MOESM1_ESM.docx (20 kb)
Supplementary material 1 (DOCX 20 KB)

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Sarah Halpern-Meekin
    • 1
    Email author
  • Molly Costanzo
    • 2
  • Deborah Ehrenthal
    • 3
  • Galena Rhoades
    • 4
  1. 1.Human Development & Family Studies, School of Human EcologyUniversity of Wisconsin-MadisonMadisonUSA
  2. 2.School of Social WorkUniversity of Wisconsin-MadisonMadisonUSA
  3. 3.Departments of Population Health Sciences and Obstetrics and Gynecology, School of Medicine and Public HealthUniversity of Wisconsin-MadisonMadisonUSA
  4. 4.Department of PsychologyUniversity of DenverDenverUSA

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