TY - JOUR
T1 - United States ED Visits by Adult Women for Nonfatal Intimate Partner Strangulation, 2006 to 2014
T2 - Prevalence and Associated Characteristics
AU - Patch, Michelle
AU - Farag, Youssef M.K.
AU - Anderson, Jocelyn C.
AU - Perrin, Nancy
AU - Kelen, Gabor
AU - Campbell, Jacquelyn C
N1 - Funding Information:
We thank Joseph Canner, MHS, Johns Hopkins Surgery Center for Outcomes Research, Johns Hopkins School of Medicine, Baltimore, MD, for generously assisting with Nationwide Emergency Data Sample data access and preparation, and Eili Klein, PhD, MA, Assistant Professor, Department of Emergency Medicine, Johns Hopkins School of Medicine, for supplemental coding advisement. The authors gratefully acknowledge all the funding sources.
Publisher Copyright:
© 2021 Emergency Nurses Association
PY - 2021/5
Y1 - 2021/5
N2 - Introduction: Nonfatal intimate partner strangulation poses significant acute and long-term morbidity risks and also heightens women's risk for future femicide. The lifetime prevalence of nonfatal intimate partner strangulation has been estimated to be approximately 10%, or 11 million women, in the general United States population. Given the potential for significant health risks and serious consequences of strangulation, this study adds to the limited literature by estimating prevalence and describing the associated characteristics of strangulation-related visits among United States ED visits by adult women after intimate partner violence. Methods: Prevalence estimation as well as simple and multivariable logistic regression analyses were completed using data from the Nationwide Emergency Department Sample spanning the years 2006 to 2014. Results: The prevalence of strangulation codes was estimated at 1.2% of all intimate partner violence visits. Adjusting for visits, hospital characteristics, and visit year, higher odds of strangulation were noted in younger women, metropolitan hospitals, level I/II trauma centers, and non-Northeast regions. Increases in strangulation events among intimate partner violence–related visits in recent years were also observed. Discussion: A relatively low prevalence may reflect an underestimate of true nonfatal intimate partner strangulation visits owing to coding or a very low rate of ED visits for this issue. Higher odds of strangulation among intimate partner violence visits by women in more recent years may be due to increased recognition and documentation by frontline clinicians and coding teams. Continued research is needed to further inform clinical, postcare, and social policy efforts.
AB - Introduction: Nonfatal intimate partner strangulation poses significant acute and long-term morbidity risks and also heightens women's risk for future femicide. The lifetime prevalence of nonfatal intimate partner strangulation has been estimated to be approximately 10%, or 11 million women, in the general United States population. Given the potential for significant health risks and serious consequences of strangulation, this study adds to the limited literature by estimating prevalence and describing the associated characteristics of strangulation-related visits among United States ED visits by adult women after intimate partner violence. Methods: Prevalence estimation as well as simple and multivariable logistic regression analyses were completed using data from the Nationwide Emergency Department Sample spanning the years 2006 to 2014. Results: The prevalence of strangulation codes was estimated at 1.2% of all intimate partner violence visits. Adjusting for visits, hospital characteristics, and visit year, higher odds of strangulation were noted in younger women, metropolitan hospitals, level I/II trauma centers, and non-Northeast regions. Increases in strangulation events among intimate partner violence–related visits in recent years were also observed. Discussion: A relatively low prevalence may reflect an underestimate of true nonfatal intimate partner strangulation visits owing to coding or a very low rate of ED visits for this issue. Higher odds of strangulation among intimate partner violence visits by women in more recent years may be due to increased recognition and documentation by frontline clinicians and coding teams. Continued research is needed to further inform clinical, postcare, and social policy efforts.
KW - Intimate partner
KW - Prevalence
KW - Strangulation
KW - Violence
KW - Women's health
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U2 - 10.1016/j.jen.2021.01.008
DO - 10.1016/j.jen.2021.01.008
M3 - Article
C2 - 33744016
AN - SCOPUS:85102771398
SN - 0099-1767
VL - 47
SP - 437
EP - 448
JO - Journal of Emergency Nursing
JF - Journal of Emergency Nursing
IS - 3
ER -