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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
 
3344.0: Monday, December 12, 2005 - Board 5

Abstract #104880

Do Rural Victims of Domestic Violence Have Greater Barriers to Care than Suburban and Urban Victims of Domestic Violence

Nannette F. Van Dyke, PhD, PCNP and Gale A. Spencer, RN, PhD. Decker School of Nursing, Binghamton University, PO Box 6000, 4400 Vestal Parkway East, Binghamton, NY 13902, 304-782-3374, nvandyke@binghamton.edu

Domestic violence has been identified as a pervasive public health issue. In addition to the physical injuries sustained by women during abusive episodes, the physical and psychological effects of the abuse are related to a number of long term adverse health problems. Battered women seek help daily for trauma, medical and psychological problems in primary care settings. Despite this, only a small proportion of abused women are identified by health care professionals. Often health care providers' treat the victim's injuries or illnesses without addressing or responding to the underlying violence that causes or contributes to them. The purpose of this presentation is to identify the similarities and differences that rural, suburban and urban women face when seeking help from primary health care providers. Using a secondary data base generated by the Commonwealth Fund, answers to the following questions will be discussed: 1) Are there differences in reporting domestic violence status among women in rural, urban, and suburban areas? 2) Do women in rural areas wait longer periods of time to seek medical care for domestic violence injuries as compared to women in urban or suburban areas? 3) Are there differences in domestic violence screening behaviors among rural, suburban and urban Health Care Providers? 4) Is there an association between the women's perception of the Health Care Providers attitude concerning domestic violence and the Health Care Provider's screening behaviors for domestic violence?

Learning Objectives: Learning Objectives