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Research ArticleResearch

Violence involving intimate partners

Prevalence in Canadian family practice

Farah Ahmad, Sheilah Hogg-Johnson, Donna E. Stewart and Wendy Levinson
Canadian Family Physician March 2007; 53 (3) 460-468;
Farah Ahmad
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Sheilah Hogg-Johnson
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Donna E. Stewart
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Wendy Levinson
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    Recruitment of female patients

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    Patterns of intimate partner violence: 29 “yes” responses to 1 or more items.

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    Table 1 Sociodemographic characteristics (N = 202): Mean age was 45.3 years (standard deviation [SD] 15.4).

    On a scale of 1–5,* respondents rated their ability to speak English at a mean of 4.5 (SD .87) and their perceived health status at a mean of 3.2 (SD 1.0). They estimated the number of visits they made to family physicians at a mean of 4.6 (SD 4.2), and their comfort level with the survey on another scale of 1–5† at a mean of 4.0 (SD 1.2).

    VARIABLEN%
    Marital status202
     • Married or common-law54.6
     • Separated, divorced, or widowed13.9
     • Single, in current or recent relationship20.3
     • Single, not in relationship11.4
    Had children11356.2
    Country of birth202
     • Canada63.9
     • Outside Canada36.1
    If an immigrant, years lived in Canada71
     • <1023.9
     • 10–2016.9
     • >2059.2
    If an immigrant, country of birth72
     • Europe36.1
     • East, southeast, or south Asia29.1
     • West Indies, Latin America, Caribbean20.8
     • Arabia, west Asia6.9
     • Africa5.6
    Education201
     • Less than high school3
     • High school, some or complete19.9
     • University, some or complete55.7
     • Postgraduate training, some or complete21.4
    Employment status201
     • Full-time49.8
     • Part-time14.4
     • Unemployed13.9
     • Retired or on disability21.9
    Household income ($)181
     • <20 00015.5
     • 20 000–40 00019.9
     • 40 001–60 00020.5
     • >60 00044.2
    Access to a computer at home or at work20087
    • ↵* Scale: 1—poor, 2—fair, 3—good, 4—very good, 5—excellent.

    • ↵† Scale: 1—very uncomfortable, 2—uncomfortable, 3—not sure, 4—comfortable, 5—very comfortable.

    • View popup
    Table 2 Responses to questions on intimate-partner violence in current or recent relationships (N = 144)

    Overall, 21 respondents (prevalence was 14.6%) reported being victims of violence (victims were counted once across the 3 types of violence).

    QUESTIONSN% OF RESPONDENTS SAYING “YES” (95% CI)
    Emotional violence*
     • Is your partner very jealous?117.6 (3.3–11.9)
     • Does your partner try to control your life?1510.4 (5.4 to 15.4)
     • Does your partner try to keep you away from family and friends?96.3 (2.3–10.3)
     • Does your partner insult you or put you down?1812.5 (7.1–18.0)
     • Pooled responses of those saying “yes” to 2 or more Items in the emotional Domain10.4 (5.4–15.4)
    Threats
     • Are you afraid to disagree with your partner?96.3 (2.3–10.3)
     • Do you feel physically threatened by your partner?74.9 (1.4–8.4)
     • Pooled responses of those saying “yes” to feelings of Threat8.3 (3.8–12.8)
    Physical or sexual violence
     • Has your partner ever pushed, hit, kicked, or otherwise physically hurt you?85.6 (1.8–9.4)
     • Has your partner ever forced you to have sex when you did not want to?85.6 (1.8–9.4)
     • Pooled responses of those saying “yes” to any aspect Of physical or sexual Violence7.6 (3.3–11.9)
    • CI—confidence interval.

    • ↵* 17.4% of respondents reported at least 1 experience of emotional violence (95% CI 11.2–23.6).

    • View popup
    Table 3 Patients’ attitudes toward computer-assisted screening

    Based on the Computerized Lifestyle Assessment Scale (CLAS) where 1—strongly disagree, 2—disagree, 3—not sure, 4—agree, and 5—strongly agree.

    CLAS ATTITUDE DOMAINS (CRONBACH’S α)OVERALL RATINGS N = 202 RATINGS OF THOSE WHO ANSWERED THE SECTION ON IPV N = 144
    MEAN (SD)THOSE NOT EXPERIENCING IPV MEAN (SD)THOSE EXPERIENCING IPV MEAN (SD)
    Benefits* (.85)3.6 (.68)3.6 (.67)3.9 (.64)
    Computers would help doctors with routine lifestyle questions, are a good way to ask lifestyle questions, would save doctors’ time, will help doctors make better assessments, would make patients feel comfortable answering questions, and can be trusted
    Privacy—Barriers† (.81)3.1 (.82)3.1 (.73)3.1 (.77)
    I would worry about confidentiality; I don’t want certain information about me on the computer; too many mistakes will be made on computers
    Interaction—Barriers† (.80)3.0 (.82)2.9 (.74)2.8 (.76)
    Doctors would spend less time with patients; doctors would lose the personal touch; I would find another Doctor
    Interest† (.75)4.4 (.60)4.3 (.53)4.2 (.65)
    I would answer honestly; I would want to read the patient information sheet
    • † IPV—intimate partner violence, SD—standard deviation.

    • ↵* Statistically significant difference between ratings of victims and non-victims of IPV (P < .05)

    • ↵† Adjusted reliability coefficient where each domain has 6 items.

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Canadian Family Physician: 53 (3)
Canadian Family Physician
Vol. 53, Issue 3
1 Mar 2007
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Violence involving intimate partners
Farah Ahmad, Sheilah Hogg-Johnson, Donna E. Stewart, Wendy Levinson
Canadian Family Physician Mar 2007, 53 (3) 460-468;

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Farah Ahmad, Sheilah Hogg-Johnson, Donna E. Stewart, Wendy Levinson
Canadian Family Physician Mar 2007, 53 (3) 460-468;
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