Intimate partner violence victims' acceptance and refusal of on-site counseling in emergency departments : Predictors of help-seeking behavior explored through a 5-year medical chart review

Research output: Journal Publications and Reviews (RGC: 21, 22, 62)21_Publication in refereed journalpeer-review

8 Scopus Citations
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Author(s)

  • Janet Yuen-Ha Wong
  • Ruby Tsz-Fung Lo
  • Pik-Ying Chan
  • John Kit-Shing Wong
  • Chu-Leung Lau
  • Chak-Wah Kam

Detail(s)

Original languageEnglish
Pages (from-to)86-92
Journal / PublicationPreventive Medicine
Volume108
Online published24 Dec 2017
Publication statusPublished - Mar 2018
Externally publishedYes

Abstract

Healthcare services constitute the first formal support that many intimate partner violence (IPV) victims receive and a link to formal welfare and psychological support. The help-seeking behavior for psychosocial support, e.g., Accident and Emergency Departments (AED) onsite counseling, is key to developing effective support for IPV victims. This study aimed to strengthen the health-welfare support link to aid IPV prevention in AEDs by investigating the acceptance and refusal of on-site counseling by IPV victims. A retrospective cohort study retrieved and reviewed all records of IPV victims presenting at the AEDs of two Hong Kong hospitals between 2010 and 2014. A total of 157 male and 823 female IPV victims were identified, 295 of whom refused on-site counseling. Bivariate and multivariate analyses were performed to examine the association between help-seeking and demographic and violent injury-related factors. The odds of help-seeking via on-site counseling were significantly lower for victims with mental illness (aOR = 0.49; 95% CI = 0.27, 0.88). After controlling for all demographic characteristics, mental illness, and drug abuse information, sex remained an independent predictor of help-seeking (aOR = 2.62; 95% CI = 1.45, 4.74); victims who had experienced > 2 abuse incidents were more likely to seek help than those who had experienced ≤ 2 abuse incidents (aOR = 1.90; 95% CI = 1.11, 3.26). The factors associated with help-seeking from on-site services by IPV victims reflect the need for multidisciplinary collaborative work aimed at IPV prevention. Healthcare professionals require training on how to promote help-seeking behavior targeted specifically for male and female IPV victims according to their needs and preferences.

Research Area(s)

  • Emergency department, Help-seeking behavior, Intimate partner violence, Medical chart review, On-site counseling

Citation Format(s)

Intimate partner violence victims' acceptance and refusal of on-site counseling in emergency departments : Predictors of help-seeking behavior explored through a 5-year medical chart review. / Choi, Anna Wai-Man; Wong, Janet Yuen-Ha; Lo, Ruby Tsz-Fung; Chan, Pik-Ying; Wong, John Kit-Shing; Lau, Chu-Leung; Kam, Chak-Wah.

In: Preventive Medicine, Vol. 108, 03.2018, p. 86-92.

Research output: Journal Publications and Reviews (RGC: 21, 22, 62)21_Publication in refereed journalpeer-review