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Dissertation/Thesis Abstract

Substance use and intimate partner violence among low income, urban women seeking care in an emergency department
by Gilbert, Louisa, Ph.D., Columbia University, 2009, 168; 3374207
Abstract (Summary)

This three-paper dissertation aims to examine the relationship between using drugs and alcohol and experiencing intimate partner violence (IPV) among low income urban women seeking emergency care. The data for the first paper is drawn from a random sample of 799 adult women recruited from an emergency department (ED) in the Bronx who participated in a screening survey for a longitudinal study. This paper found high rates of recent substance use and IPV and multiple associations between substance use and IPV. The second paper identified multi-level risk and protective factors that may be associated with drug use and IPV among 241 female ED patients who were enrolled in the longitudinal study. This second paper found that childhood sexual abuse, binge drinking, incarceration, psychological distress, partner drug use and low relationship decision-making power were significantly associated with both illicit drug use and IPV. After adjusting and matching for socio-demographics and multi-level risk and protective factors, the third paper found that self-reported use of hard drugs (i.e., crack, cocaine and heroin) at wave 1 increased the likelihood of subsequently experiencing different types of IPV and that sexual IPV increased the likelihood of subsequent use of crack or cocaine and use of hard drugs. These findings suggest multiple, bi-directional associations between substance use and IPV that vary by type of substance use and type of IPV. The discussion for each paper and the conclusion of the dissertation review study findings, identify limitations and present implications for policy, practice and research.

Indexing (document details)
School: Columbia University
School Location: United States -- New York
Source: DAI-A 70/08, Dissertation Abstracts International
Subjects: Social work, Womens studies, Public health, Public policy
Keywords: Alcohol, Drug use, Emergency department, Intimate partner violence, Low-income, Substance use, Urban women
Publication Number: 3374207
ISBN: 978-1-109-34612-1
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