NJ PRAMS and Intimate Partner Violence (IPV)

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NJ PRAMS and Intimate Partner Violence (IPV)

• Lisa A. Asare, MPH, Charles E. Denk, PhD, Lakota
  K. Kruse, MD, MPH
• MCH Epidemiology, Family Health Services,
• NJ Department of Health and Senior Services
• 2005 MCH EPI Conference

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Overview

• NJ PRAMS Brief Development Model and Intimate
  Partner Violence (IPV)
• IPV in New Jersey
• Data to action
• Opportunities
• Challenges

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Public Health Importance

• IPV during pregnancy can lead to adverse outcomes
  such as
• serious physical injury to fetus or mother
• premature delivery
• miscarriage
• death of the mother

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Methods

• PRAMS 2002-2003 dataset
• 3104 women interviewed with response rate of
  71.5
• NJ PRAMS asks if a woman reports being pushed,
  hit, slapped, kicked, choked or physically hurt
  by a husband/partner during pregnancy

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NJ PRAMS Model and IPV

• Data brief targeting service providers and policy
  makers
• Partnership with external experts and
  stakeholders
• Division on Women, Department of Community
  Affairs
• University of Medicine and Dentistry of New
  Jersey (UMDNJ) University Ob-Gyn Associates
• Development of agenda for action

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Results

• 2.9 of women reported being victims of IPV
  during pregnancy
• 45 of IPV victims were poor and unmarried, while
  19 were neither
• Identification of risk factors and potential
  triggers

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Adjusted ODDS Ratios for IPV Incidence by
selected characteristics
AOR 95 CI
White NH 1.00 1.00
Black NH 1.69 0.75 3.77
Hispanic 4.46 2.21 8.99
Asian 0.57 0.13 2.55
TANF 2.68 1.57 4.67
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Adjusted ODDS Ratios for IPV Incidence by
selected characteristics
AOR 95 CI
Unmarried 1.84 0.95 3.57
Partner did not want pregnancy 2.70 1.50 4.87
Frequent arguments with partner 12.61 6.06 26.20
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Talk with prenatal care provider (PNC) about
abuse
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Moving from Data to Action

• Universal screening
• AOG recommends that screening should occur
• At routine annual examinations
• At preconceptual visits
• Once per trimester for pregnant patients
• At post partum examinations

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Policy implications

• IPV interventions need to be efficient and
  tailored to providers competencies
• Develop mechanisms to link provider community to
  existing resources

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Overcoming Challenges

• De-stigmatizing IPV through brief development
• Standardized measurement with use of PRAMS tool
• Maximizing limited resources
• Special populations and resource needs
• Multi-disciplinary team approach

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NJ PRAMS

• http//nj.gov/health/fhs/pramsindex.shtml
• Data Briefs, methods, links
• Contact NJ PRAMS
• Lisa A. Asare, NJ PRAMS Coordinator
• [phone]
• Lisa.Asare_at_doh.state.nj.us