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Prevalence and patterns of intimate partner violence among adolescent mothers during the postpartum period

Harrykissoon, S.D.; Rickert, V.I.; Wiemann, C.M.

Archives of Pediatrics and Adolescent Medicine 156(4): 325-330

2002

ISSN/ISBN: 1072-4710
PMID: 11929364
DOI: 10.1001/archpedi.156.4.325
Document Number: 241069
Objective: To examine prevalence, frequency, severity, and patterns of intimate partner violence (IPV) during the first 24 months' post partum within a multi-ethnic cohort of adolescents. Design: A prospective study of adolescent girls followed up for 24 months into the postpartum period. Follow-up surveys were completed at 3, 6, 12, 18, and 24 months' post partum. Overall, 74% completed at least 4 of the 5 follow-up surveys. Setting: Postpartum unit at a university teaching hospital in Galveston, Tex. Participants: A total of 570 adolescents (18 years or younger; 219 Mexican Americans, 182 African Americans, and 169 European Americans) completed face-to-face interviews within 48 hours of delivery and returned at least 4 of 5 follow-up surveys. Main Outcome Measures: Prevalence of IPV and frequent and severe IPV. Results: Prevalence of IPV was highest at 3 months' post partum (21%) and lowest at 24 months (13%). The percentage of assaulted mothers who experienced severe IPV increased from 40% to 62% across this period. Seventy-five percent of mothers reporting IPV during pregnancy also reported IPV within 24 months following delivery. Of importance, 78% who experienced IPV during the first 3 postpartum months had not reported IPV before delivery. Ethnic differences in IPV were observed at 3, 6, and 18 months' post partum. Conclusions: Adolescents are at high risk for experiencing IPV during the postpartum period. Frequent screening for IPV by health care practitioners is critical to maximize detection.

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