Navigation Links
Health needs higher for kids of abused moms
Date:12/14/2007

SEATTLEChildren whose mothers have a history of abuse by intimate partners have higher health care needs than children whose mothers have no history of abuse, according to a study conducted at Group Health, a Seattle-based health plan.

These needsexpressed in terms of the cost of providing care and use of health serviceswere higher even if the abuse occurred before the children were born, the research team found. Scientists from Group Health Center for Health Studies, Harborview Injury Prevention and Research Center (HIPRC), and Seattle Childrens Hospital Research Institute conducted the study, which appeared in the December 2007 issue of the journal Pediatrics.

Children are the other victims when intimate partner violence (IPV) occurs in the home, said lead author Frederick P. Rivara, MD, MPH. This study shows that children require more health care--especially for mental health--when their mothers are victims of such violence.

Rivara is a researcher with HIPRC and Childrens. The principal investigator for the study is Robert S. Thompson, MD, senior investigator at Group Health Center for Health Studies.

The study compared medical records and utilization data from 631 children of mothers with a history of IPV with those of 760 children whose mothers had not experienced IPV. The motherswho participated in a randomly sampled telephone survey of Group Health female members aged 18 to 64provided the information regarding their lifetime history with IPV. The study defines IPV as both physical abuse (slapping, hitting, forced sex) and nonphysical abuse (threats, and chronic disparaging remarks or controlling behavior.) The researchers looked at 11 years of data.

Among the mothers in the study, 46.6 percent reported experiencing IPV since age 18. Among the children of mothers with IPV, the violence stopped before they were born for 21.8 percent. For 23.6 percent, the violence happened during the childrens lifetime.

Previous studies have shown that children exposed to IPV in the home have increased risk for many problems, including also being abused at home; school problems; poor health; risk-taking behavior; and becoming perpetrators of violence.

In 2006, the Group Health study team published evidence that IPV resulted in significantly higher health utilization and costs for women. This current study is the largest ever to examine the link between mothers exposure to IPV and their childrens health utilization and costs. The study is also unique in that it examined a large middle-class population and one that is very representative of Seattle, said Rivara.

Intimate partner violence harms everyone in our society, and it must be viewed as not acceptable either for women or their children, he added.

The researchers found:

  • Health care utilization and health care costs were higher in most categories of care for children whose mother had a history of IPV, with significantly higher levels of mental health costs and services, primary care visits, primary care costs, and laboratory costs. Overall, the annual costs of health care were 11 percent higher than those for children of mothers without IPV.

  • Children of mothers with a history of IPV that ended before the child was born had significantly greater utilization of mental health, primary care, specialty care, and pharmacy services. Health care costs were 24 percent higher for children in this group compared to children whose mothers had experienced no IPV in their lifetime.

  • Children exposed directly to IPV after birth had greater emergency department and primary care use during the IPV and were three times as likely to use mental health services after the intimate partner violence ended. They had 16 percent higher primary care costs than did children of mothers without IPV.

The authors recommend that health care providers routinely screen women for IPV and provide appropriate referrals to community agencies and mental health care both for mothers and children affected.

They also state that interventions for women and their children are needed to minimize the effects of IPV in the family. Such interventions are unlikely to be cost effective in the short term, they write, because the victims increased health care utilization seems to be higher for years after IPV stops. Nonetheless, such services are necessary to attend appropriately and responsibly to the long-term consequences of violence, the authors conclude.


'/>"/>

Contact: Joan DeClaire
declaire.j@ghc.org
206-287-2653
Group Health Cooperative Center for Health Studies
Source:Eurekalert

Related medicine news :

1. Penn study finds pro-death proteins required to regulate healthy immune function
2. UCLA researchers identify markers that may predict diabetes in still-healthy people
3. Air pollution linked to cardiovascular risk indices in healthy young adults
4. More proof needed of safety and quality of electronic personal health records
5. Health care incentive model offers collaborative approach
6. Loneliness is bad for your health
7. Mailman School of Public Health study examines link between racial discrimination and substance use
8. Green Tea May Brew Up Healthier Skin
9. For Health Info, Women Often Turn to the Web
10. Record Number of Americans Lack Health Insurance
11. U.S. Research Funding Continues to Flatten as U.S. Health Costs Climb - in August 31 Science
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... PurhealthRX ... CBD Oil utilizing Purzorb™ technology. Applying the Purzorb™process to full spectrum CBD oil will ... and providing a CBD form that can be easily incorporated into liquid products, while ...
(Date:10/13/2017)... ... 2017 , ... Lori R. Somekh, founder of the Law Office of ... elder law and special needs planning attorneys. “Membership in ElderCounsel helps our office remain ... to network with elder law attorneys nationwide,” said Somekh. , ElderCounsel ...
(Date:10/13/2017)... OBISPO, Calif. (PRWEB) , ... October 13, 2017 , ... ... or dementia. However, many long-term care insurance companies have a waiver for care if ... the 90-day elimination period, when the family pays for care, is often waived, so ...
(Date:10/13/2017)... ... ... Ellevate Network, the leading network for professional women, brought together some of ... their inaugural Summit in New York City in June. The event was livestreamed with ... 3 million. To watch the Mobilize Women video, click here . , ...
(Date:10/13/2017)... ... ... Yisrayl Hawkins, Pastor and Overseer at The House of Yahweh, has released ... understood books in the Holy Scriptures, Revelation. The Book of Revelation paints a picture ... Many have tossed it off as mere rubbish, but Yisrayl Hawkins says that is ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... Labs announces the European launch of their new low volume, high ... in Cambridge, U.K on October 4th. The ... with unprecedented speed and sensitivity while using far less sample volume ... ... ...
(Date:9/28/2017)... Cohen Veterans Bioscience and Early Signal Foundation announce a ... sensors for real-time monitoring of patients with trauma-related and ... focused on disruptive health solutions for rare disorders and ... record and integrate behavioral, cognitive, physiological and contextual data. ... ...
(Date:9/25/2017)... AMSTERDAM , Sept. 25, 2017   ... Trial Master File solutions, today—from the IQPC Trial ... Amsterdam , NL)—announced that EastHORN Clinical Services ... its clinical programs and TMF management. EastHORN, a ... Montrium,s eTMF platform to increase transparency to enable ...
Breaking Medicine Technology: