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December 2018

Addressing Intimate Partner Violence and Abuse of Older or Vulnerable Adults in the Health Care Setting—Beyond Screening

Author Affiliations
  • 1Division of Adolescent and Young Adult Medicine, UPMC Children’s Hospital of Pittsburgh, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
  • 2University Center for Social & Urban Research, University of Pittsburgh, Pittsburgh, Pennsylvania
  • 3Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
  • 4Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania
JAMA Intern Med. 2018;178(12):1583-1585. doi:10.1001/jamainternmed.2018.6523

Intimate partner violence (IPV) (defined as physical and sexual violence, emotional abuse, and stalking) and abuse of older or vulnerable adults are common in the United States and globally. Recent estimates of prevalence in the United States from the National Intimate Partner and Sexual Violence Survey, a nationally representative random-digit-dial telephone survey, indicate that 1 in 4 women and 1 in 10 men have experienced contact sexual violence, physical violence, and/or stalking by an intimate partner resulting in consequences such as injury, need for medical care, or posttraumatic stress symptoms.1 The prevalence of elder abuse varies depending on the population and ascertainment methods, but 1 national survey reports a 10% past year prevalence for abuse or neglect.2

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