Violencia de género en mujeres con consumo de sustancias ingresadas en el hospital generalcribado y prevalencia

  1. Clara Caldentey 1
  2. Judit Tirado Muñoz 2
  3. Tessie Ferrer 3
  4. Francina Fonseca Casals 2
  5. Paola Rossi 2
  6. Juan Ignacio Mestre-Pintó 2
  7. Marta Torrens Melich 2
  1. 1 Universitat Pompeu Fabra
    info

    Universitat Pompeu Fabra

    Barcelona, España

    ROR https://ror.org/04n0g0b29

  2. 2 IMIM
  3. 3 Hospital Universitario San Cecilio
    info

    Hospital Universitario San Cecilio

    Granada, España

Aldizkaria:
Adicciones: Revista de socidrogalcohol

ISSN: 0214-4840

Argitalpen urtea: 2017

Alea: 29

Zenbakia: 3

Orrialdeak: 172-179

Mota: Artikulua

DOI: 10.20882/ADICCIONES.868 DIALNET GOOGLE SCHOLAR lock_openSarbide irekia editor

Beste argitalpen batzuk: Adicciones: Revista de socidrogalcohol

Laburpena

Intimate partner violence (IPV) is a public health problem worldwide. Several factors have been found to be associated with an increased prevalence of IPV, such as substance use. A cross-sectional study was conducted with the aim of determining the prevalence of IPV among women entering Hospital del Mar (Barcelona) for any medical/ surgical reason, and who had a diagnosis of substance use disorder. Secondly, it was intended to psychometrically validate the Spanish version of the Hurt, Insulted, Threatened with Harm, Screamed (HITS) questionnaire. All patients were assessed by two IPV questionnaires, the Composite Abuse Scale (CAS) and HITS. Out of 52 patients interviewed, 46 answered both questionnaires. According to the CAS questionnaire, 23 patients (50%) experienced IPV at some point in their lives and 11 (23.9%) in the last year. Cannabis consumption was also associated with an increased severity of IPV (95% CI 3.5-28.9, p = .013).According to the HITS questionnaire, there was a prevalence of 39.1% (18 patients) in the last 12 months. HITS had a specificity of 100% and a sensitivity of 78% relative to the CAS questionnaire. A cut-off score x∈ [6.7], derived through ROC analysis, correctly discriminated 91% of the victims and 100% of the non-victims. The results obtained showed that the prevalence of IPV was very high among women who suffered from more than one substance use disorder. Therefore, it is highly recommended to systematically screen for IPV victimization by putting the HITS questionnaire into practice.

Finantzaketari buruzko informazioa

This study was partially funded by project number RD12/0028/009 of the Fondo de Investigaciones Sanitarias, Instituto Carlos III-FEDER and the AGAUR (2014 SGR790). All authors contributed equally to the study. All authors reviewed the manuscript critically and participated in the interpretation of data. We would like to express our gratitude to all participants for their cooperation.

Erreferentzia bibliografikoak

  • Campbell, J. C. (2002). Health consequences of intimate partner violence. Lancet, 359, 1331-1336. doi:10.1016/ S0140-6736(02)08336-8
  • Capaldi, D. M., Knoble, N. B., Shortt, J. W. y Kim, H. K. (2012). A Systematic Review of Risk Factors for Intimate Partner Violence. Partner Abuse, 3, 231-280. doi:10.1891/1946-6560.3.2.231
  • Chen, P. H., Rovi, S., Vega, M., Jacobs, A. y Johnson, M. S. (2005). Screening for domestic violence in a predominantly Hispanic clinical setting. Family Practice, 22, 617623. doi:10.1093/fampra/cmi075
  • Cohen, L. R., Field, C., Campbell, A. N. y Hien, D. A. (2013). Intimate partner violence outcomes in women with PTSD and substance use: A secondary analysis of NIDA Clinical Trials Network «Women and Trauma» Multi-site study. Addictive Behaviors, 38, 2325-2332. doi:10.1016/j.addbeh.2013.03.006
  • Desmarais, S. L., Reeves, K. A, Nicholls, T. L., Telford, R. P. y Fiebert, M. S. (2012). Prevalence of Physical Violence in Intimate Relationships: Part 1. Rates of Male and Female Victimization. Partner Abuse, 3, 140-169.
  • Devries, K. M., Mak, J. Y., García-Moreno, C., Petzold, M., Child, J. C., Falder, G., … Watts, C. H. (2013). Global health. The global prevalence of intimate partner violence against women. Science, 340, 1527–1528. doi:10.1126/ science.1240937
  • Devries, K. M., Child, J. C., Bacchus, L. J., Mak, J., Falder, G., Graham, K., … Heise, L. (2014). Intimate partner violence victimization and alcohol consumption in women: a systematic review and meta-analysis. Addiction (Abingdon, England), 109, 379-391. doi:10.1111/add.12393
  • El-Bassel, N., Gilbert, L., Wu, E., Go, H. y Hill, J. (2005). Relationship between drug abuse and intimate partner violence: a longitudinal study among women receiving methadone. American Journal of Public Health, 95, 465470. doi:10.2105/AJPH.2003.023200
  • El-Bassel, N., Gilbert, L., Witte, S., Wu, E. y Chang, M. (2011). Intimate partner violence and HIV among drug-involved women: Contexts linking these two epidemics—challenges and implications for prevention and treatment. Substance Use & Misuse, 46, 295–306. doi:10.3 109/10826084.2011.523296.
  • Feingold, A., Washburn, I. J., Tiberio, S. S. y Capaldi, D. M. (2015). Changes in the Association of Heavy Drinking and Drug Use with Intimate Partner Violence in Early Adulthood. Journal of Family Violence, 30, 27–34. doi:10.1007/s10896-014-9658-6
  • Gilbert, L., El-Bassel, N., Rajah, V., Foleno, A., Fontdevila, J., Frye, V. y Richman, B. L. (2000). The converging epidemics of mood-altering-drug use, HIV, HCV, and partner violence: a conundrum for methadone maintenance treatment. Mount Sinai Journal of Medicine, 67, 452-464.
  • Gilchrist, G., Blázquez, A. y Torrens, M. (2012). Exploring the relationship between intimate partner violence, childhood abuse and psychiatric disorders among female drug users in Barcelona. Advances in Dual Diagnosis, 5, 46-58. doi:10.1108/17570971211241895
  • Hegarty, K., Sheehan, M. y Schonfeld, C. (1999). A multidimensional definition of partner abuse: development and preliminary validation of the Composite Abuse Scale. Journal of Family Violence, 14, 399-414.
  • Hussain, N., Sprague, S., Madden, K., Hussain, F. N., Pindiprolu, B. y Bhandari, M. (2015). A comparison of the types of screening tool administration methods used for the detection of intimate partner violence: a systematic review and meta-analysis. Trauma, Violence & Abuse, 16, 60-69. doi:10.1177/1524838013515759
  • Kraanen, F. L., Vedel, E., Scholing, A. y Emmelkamp, P. M. G. (2014). Prediction of intimate partner violence by type of substance use disorder. Journal of Substance Abuse Treatment, 46, 532-539. doi:10.1016/j.jsat.2013.10.010
  • Langhinrichsen-Rohling, J., McCullars, A. y Misra, T. (2012). Motivations for Men and Women’s Intimate Partner Violence Perpetration: A Comprehensive Review. Partner Abuse, 3, 1-33. doi:10.1891/1946-6560.3.4.e10
  • Leadley, K., Clark, C. y Caetano R. (2010). Couples’ drinking patterns,intimate partner violence, and alcohol-related partnership problems. Journal Substance Abuse, 11, 253–263.
  • Ministerio de Sanidad y Políticas Sociales. (2015). Macroencuesta Violencia contra la Mujer 2015. Recuperado de: http://www.msssi.gob.es/gabinetePrensa/notaPrensa/pdf/30.03300315160154508.pdf
  • Reingle, J. M., Jennings, W. G., Connell, N. M., Businelle, M. S. y Chartier, K. (2014). On the pervasiveness of event-specific alcohol use, general substance use, and mental health problems as risk factors for intimate partner violence. Journal of Interpersonal Violence, 29, 29512970. doi:10.1177/0886260514527172
  • Sherin, K. M., Sinacore, J. M., Li, X. Q., Zitter, R. E. y Shakil, A. (1998). HITS: a short domestic violence screening tool for use in a family practice setting. Family Medicine, 30, 508-512.
  • Smith, P.H., Homish, G.G., Leonard, K.E. y Cornelius, J.R. (2012). Intimate partner violence and specific substance use disorders: findings from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychology of Addictive Behaviors, 26, 236-245. doi:10.1037/a0024855.
  • Stöckl, H., Devries, K., Rotstein, A., Abrahams, N., Campbell, J., Watts, C. y Moreno, C. G. (2013). The global prevalence of intimate partner homicide: a systematic review. Lancet, 382, 859-865. doi:10.1016/ S0140-6736(13)61030-2
  • Tirado-Muñoz, J., Gilchrist, G., Lligoña, E., Gilbert, L. y Torrens, M. (2015). A group intervention to reduce intimate partner violence among female drug users. Results from a randomized controlled pilot trial in a community substance-abuse center. Adicciones, 27, 168-178.
  • Wagner, K. D., Hudson, S. M., Latka, M. H., Strathdee, S. A., Thiede, H., MacKesy-Amiti, M. E. y Garfein, R. S. (2009). The effect of intimate partner violence on receptive syringe sharing among young female injection drug users: An analysis of mediation effects. AIDS and Behavior, 13, 217-224. doi:10.1007/s10461-007-9309-5
  • Weaver, T. L., Gilbert, L., El-Bassel, N., Resnick, H. S. y Noursi, S. (2015). Identifying and intervening with substance-using women exposed to intimate partner violence: phenomenology, comorbidities, and integrated approaches within primary care and other agency settings. Journal of Women’s Health (Larchmt), 24, 51-56. doi:10.1089/jwh.2014.4866
  • World Health Organization. (2013). Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines. Recuperado de: http://apps.who.int/iris/bitstre am/10665/85240/1/9789241548595_eng.pdf?ua=1