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Men experience domestic violence, with health impact

SEATTLEDomestic violence can happen to men, not only to women, according to Group Health research in the June American Journal of Preventive Medicine. Domestic violence in men is under-studied and often hiddenmuch as it was in women 10 years ago, said study leader Robert J. Reid, MD, PhD, an associate investigator at the Group Health Center for Health Studies. We want abused men to know theyre not alone. His findings confirm some common beliefs but also debunk five myths about abuse in men:

Myth 1: Few men experience domestic violence. Many do. In-depth phone interviews with over 400 randomly sampled adult male Group Health patients surprised Dr. Reid and his colleagues: 5% had experienced domestic violence in the past year, 10% in the past five years, and 29% over their lifetimes. The researchers defined domestic violence to include nonphysical abusethreats, chronic disparaging remarks, or controlling behavioras well as physical abuse: slapping, hitting, kicking, or forced sex.

Myth 2: Abuse of men has no serious effects. The researchers found domestic violence is associated with serious, long-term effects on mens mental health. Women are more likely than men to experience more severe physical abuse, said Dr. Reid. But even nonphysical abusecan do lasting damage. Depressive symptoms were nearly three times as common in older men who had experienced abuse than in those who hadnt, with much more severe depression in the men who had been abused physically.

Myth 3: Abused men dont stay, because theyre free to leave. In fact, men may stay for years with their abusive partners. We know that many women may have trouble leaving abusive relationships, especially if theyre caring for young children and not working outside the home, said Dr. Reid. We were surprised to find that most men in abusive relationships also stay, through multiple episodes, for years.

Myth 4: Domestic violence affects only poor people. The study actually showed it to be an equal-opportunity scourge. As we found in our previous research with women experiencing domestic violence, this is a common problem affecting people in all walks of life, said Dr. Reid. Our patients at Group Health have health insurance and easy access to health care, and their employment rate and average income, education level, and age are higher than those of the rest of the U.S. population.

Myth 5: Ignoring it will make it go away. Not so. We doctors hardly ever ask our male patients about being abusedand they seldom tell us, said Dr. Reid. Many abused men feel ashamed because of societal expectations for men to be tough and in control. Younger men were twice as likely as men age 55 or older to report recent abuse. That may be because older men are even more reluctant to talk about it, he added.

This study extends Group Healths research on domestic violence, a.k.a. intimate partner violence. The teams previous publications have documented the prevalence, persistence, and health effects of domestic violence on women. In the current study, they asked men the same questions that they had asked of women. Our team is concerned about abuse of people: of women as well as men, Dr. Reid added. We do not want to downplay the seriousness of domestic violence as experienced by women.

Dr. Reid said more research is needed to determine the best ways for doctors to ask men if they have experienced domestic violenceand how best to help them into couples counseling, leaving their partners, or getting protection orders. The National Domestic Violence Hotline is toll-free 1-800-799-SAFE (7233).


Contact: Rebecca Hughes
Group Health Cooperative Center for Health Studies

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