MENU
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Transcript of MENU
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Linda Chamberlain, PhD MPH
IPV and Sexually Transmitted Infections/HIV
MENU
Overview
Regional and Local Data
The Impact of IPV on Women’s Health
IPV and Behavioral Health
IPV and Perinatal Programs
IPV, Breastfeeding, and Nutritional Supplement Programs
IPV and Child and Adolescent Health
ACE Study: Leading Determinants of Health
IPV and Injury Prevention
Medical Cost Burden and Health Care Utilization for IPV
SELECT FROM THE TOPICS BELOW
IPV and Family Planning, Birth Control Sabotage Pregnancy Pressure, and Unintended Pregnancy
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MEDICAL COST BURDEN AND HEALTH CARE UTILIZATION FOR IPV
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Brown et al, 2008
The medical costs for IPV within the first 12 months after victimization:$4 to $7 Billion
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ATTRIBUTABLE COSTS ASSOCIATED WITH IPV FOR WOMEN:
Brown et al, 2008
Physica
l Injurie
s
Depression
Smoking Relat
ed Illness
Anxiety
Alcohol A
buse STIs
Drug Abuse
0%5%
10%15%20%25%30%35%40%45%50%
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Recently abused women have health care costs that are
Jones et al, 2006
those of never abused women.more than twice
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HMO COSTS HIGHER FOR IPV
• Average health care costs for women disclosing IPV were $1700 higher compared to never abused women over a 3-year period.
• Using this estimate, an insurer with 300,000 female enrollees could expect $2 million in additional claims over a 3-year period.
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Jones et al, 2006
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Total annual health care costs were:
• 42% higher for women experiencing ongoing physical abuse
• 24% higher for women who experienced physical abuse within the past 5 years
• 19% higher for women who experienced physical abuse more than 5 years ago
Jones et al, 2006
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Women who reported injuries as a consequence of their most recent IPV victimization utilized the following services due to their injuries (mean number of visits):– 2 ED visits– 3.5 physician visits– 5.2 dental visits– 19.7 physical therapy visitsArias & Corso, 2005
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MENTAL HEALTH SERVICES
• Regardless of whether the abuse was physical or non-physical, abused women have higher mental health utilization
• Mental health care utilization was higher for recent (past 5 years) and remote (more than 5 years ago) IPV9
Bonomi et al, 2009
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Bonomi et al, 2009recent=in past 5 years
Women with recent nonphysical abuse (only) had annual health care
costs that were33% higherthan non-abused women.
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MEDICAID UTILIZATION
Women experiencing more severe IPV:
• are 3 times more likely to have a total expenditure of over $5000• Have health care expenditures twice that of non-abused women
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Coker et al, 2004
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Women reporting any IPV during pregnancy were
Lipsky et al, 2004
more than TWICEas likely to experience an antenatal
(before birth) hospitalization not associated with delivery
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Children whose mothers disclosed severe IPV had
Bair-Merritt et al, 2008
of ED visits at 18 months follow-up
TWICE the
number
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Children exposed to IPV after they are born are
Rivara et al, 2007
3 TIMES more likely to use mental health services.