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	Institution: STANFORD Univ Med Center  | My Account | E-mail Alerts | Access Rights | Sign In Vol. 2 No. 5, May 1993   Archives  •  Online Features Original Contributions  This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal Indicators of Woman Abuse Based on a Chart Review at a Family Practice Center Daniel G. Saunders, PhD; L. Kevin Hamberger, PhD; Margaret Hovey Arch Fam Med. 1993;2(5):537-543. Abstract Objective To identify demographic and health indicators of domestic violence. Design Anonymous questionnaire survey of patients regarding violence and a chart review regarding symptoms and diagnoses. Setting Community-based family practice residency training center in a midwestern city. Participants Women 18 years of age or older visiting the center over a 2-month period in 1990. Of 476 eligible participants, 394 (82.7%) consented to complete the survey. Measures A detailed, standardized measure of violence was used. Physical and psychological problems were given codes from the International Classification of Diseases, Ninth Revision (ICD-9). Results Younger women and those separated or divorced from their partners were more likely to have been victims. Never-married women also had substantially high rates of victimization. Depression was the strongest indicator of victimization, even when controlling for demographic factors. Back pain, ulcers, headaches, and anxiety were not strong indicators of abuse. A classification analysis showed that a combination of all variables could predict lifetime injury only about half the time and violence in the past year only about 20% of the time. Conclusions Since neither demographic nor health factors could accurately predict who had been victimized, all women need to be asked about abuse. Physicians should also keep in mind that divorced and unmarried women are often affected by abuse, either immediately or by its long-term aftereffects. Author Affiliations From the University of Michigan School of Social Work (Dr Saunders), Ann Arbor, and the Medical College of Wisconsin, Department of Family and Community Medicine (Dr Hamberger and Ms Hovey), Milwaukee. THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES Intimate Partner Violence Among Asian Immigrant Communities: Health/Mental Health Consequences, Help-Seeking Behaviors, and Service Utilization Lee and Hadeed Trauma Violence Abuse 2009;10:143-170. ABSTRACT   Screening for Intimate Partner Violence in Medical Settings Phelan Trauma Violence Abuse 2007;8:199-213. ABSTRACT   Practising sound medicine in the absence of evidence Kouyoumdjian and Cardy CMAJ 2004;170:767-767. FULL TEXT   Effects of Intimate Partner Violence Versus Poverty on Women's Health SUTHERLAND et al. Violence Against Women 2001;7:1122-1143. ABSTRACT   Domestic Violence Screening Among Medical Residents: Is the Message Getting Through? ZLOTNICK and POWRIE J Interpers Violence 2001;16:841-845. ABSTRACT   Why Battered Women Do Not Leave, Part 2: External Inhibiting Factors--Social Support and Internal Inhibiting Factors BARNETT Trauma Violence Abuse 2001;2:3-35. ABSTRACT   Logistic Regression Analysis: When the Odds Ratio Does Not Work: An Example Using Intimate Partner Violence Data McNUTT et al. J Interpers Violence 2000;15:1050-1059. ABSTRACT   Intimate Partner Violence Prevalence Estimation using Telephone Surveys: Understanding the Effect of Nonresponse Bias McNutt and Lee Am J Epidemiol 2000;152:438-441. ABSTRACT | FULL TEXT   Help Seeking for Violence: Views of Survivors Van Hook Affilia 2000;15:390-408. ABSTRACT   Forced Sex and Intimate Partner Violence: Effects on Women's Risk and Women's Health CAMPBELL and SOEKEN Violence Against Women 1999;5:1017-1035. ABSTRACT   Women battering in primary care practice Naumann et al. Fam Pract 1999;16:343-352. ABSTRACT | FULL TEXT   Domestic Violence Against Patients With Chronic Neurologic Disorders Diaz-Olavarrieta et al. Arch Neurol 1999;56:681-685. ABSTRACT | FULL TEXT   Women's Responses to Battering Over Time: An Analysis of Change CAMPBELL and SOEKEN J Interpers Violence 1999;14:21-40. ABSTRACT   Validating the Concept of Abuse: Women's Perceptions of Defining Behaviors and the Effects of Emotional Abuse on Health Indicators Wagner and Mongan Arch Fam Med 1998;7:25-29. ABSTRACT | FULL TEXT   Predictors of Depression in Battered Women CAMPBELL et al. Violence Against Women 1997;3:271-293. ABSTRACT   Experience of Abuse in Primary Care Patients: Racial and Rural Differences Wagner et al. Arch Fam Med 1995;4:956-962. ABSTRACT   Screening for Interpersonal Violence-Reply Acheson Arch Fam Med 1993;2:1022-1023. ABSTRACT   Depression or Oppression? Acheson Arch Fam Med 1993;2:475-477. ABSTRACT   HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP   © 1993 American Medical Association. All Rights Reserved.