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Screening for Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults: U.S. Preventive Services Task Force Recommendation Statement

Intimate partner violence and abuse of elderly and vulnerable adults is common in the United States but often remains undetected. Nearly 31% of women and 26% of men report experiencing some form of IPV in their lifetime. Approximately 25% of women and 14% of men have experienced the most severe types of IPV in their lifetime (1-3). These estimates likely underrepresent actual rates because of underreporting. In addition to the immediate effects of IPV, such as injury and death (4, 5), there are other health consequences, many with long-term effects, including sexually transmitted diseases (6), pelvic inflammatory disease (7), and unintended pregnancy (8). Rates of chronic pain, neurological disorders, gastrointestinal disorders, migraine headaches, and other disabilities (9-11) are also increased. Intimate partner violence is also associated with preterm birth, low birth weight, and decreased gestational age (12-14). Individuals experiencing IPV often develop chronic mental health conditions, such as depression, posttraumatic stress disorder, anxiety disorders, substance abuse, and suicidal behavior (15-19). For adolescent and young adults, the effects of physical and sexual assault are associated with poor self-esteem, alcohol and drug abuse, eating disorders, obesity, risky sexual behaviors, teen pregnancy, depression, anxiety, suicidality, and other conditions

Posted in: Guidelines Plus on 02/01/2013 | Link to this post on IFP |
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