OJN  Vol.5 No.6 , June 2015
Identifying Lifetime and Occurrence of Intimate Partner Violence among Women in Sweden Seeking Emergency Care
Abstract: Background: Sweden is known for its strong views on equality between men and women. Nevertheless, if one scratches the surface, one will realize that intimate partner violence (IPV) is a problem meriting much closer attention. Emergency nurses have an important role in identifying women who have IPV experiences. Objective: To identify and investigate the occurrence of reported experienced IPV during their lifetime among women seeking emergency care. Design: An explorative and comparative design was used based on answers on the Abuse Assessment Screen questionnaire and some demographic data. The data was described and analyzed using the Statistical Package for the Social Sciences version 21. Results: Of the 300 invited women visiting an emergency department in a small town, 234 completed the questionnaire. Of these 234, 82 (35%) reported having experienced emotional; physical or sexual violence and 31 (13%) reported to being afraid of their partner. Of the women 181 had one child or more and 58 (32%) of these reported having been abused. Of all women, with four or more children, 75% (15) reported to have been abused, while only 25% (5) reported no abuse. Of the 82 women who reported having been abused 12 (15%) reported being abused in the course of the year prior to pregnancy and 9 (11%) during pregnancy, often several times. The main abuser was the woman’s husband, boyfriend, cohabitating partner, ex-partner, or someone else who was seen as a relative, e.g., a parent. Conclusion: Using the questionnaire AAS may contribute to identifying victims of intimate partner violence and increasing health care practitioners’ attentiveness concerning the type of injury, frequency of care seeking and actions that may indicate such violence lead to changes of the woman’s situation.
Cite this paper: Pratt-Eriksson, D. , Dahlborg-Lyckhage, E. , Lind, C. , Sundberg, K. and Bergbom, I. (2015) Identifying Lifetime and Occurrence of Intimate Partner Violence among Women in Sweden Seeking Emergency Care. Open Journal of Nursing, 5, 548-557. doi: 10.4236/ojn.2015.56058.

[1]   Krug, E.G., Dahlberg, L.L., Mercy, J.A., Zwi, A.B. and Lozano, R. (Eds.) (2002) World Report on Violence and Health. World Health Organization (WHO), Geneva, 3-21.

[2]   Heise, L., Ellsberg, M. and Gottemoeller, M. (1999) Ending Violence Against Women. Population Reports, Series L, No.11.

[3]   National Council of Crime Prevention (Brå) (2015) The Swedish Crime Survey 2014 (NTU). English Summary of Brå Report 2015:1, 1-14.

[4]   Alhabib, S., Nur, U. and Jones, R. (2010) Domestic Violence Against Women: Systematic Review of Prevalence Studies. Journal of Family Violence, 25, 369-382.

[5]   Boyle, A. and Todd, C. (2003) Incidence and Prevalence of Domestic Violence in a UK Emergency Department. Emergency Medicine Journal, 20, 438-442

[6]   Bergman, B. and Brismar, B. (1991) A 5-Year Follow-Up Study of 117 Battered Women. American Journal of Public Health, 81, 1486-1489.

[7]   U.S. Preventive Services Task Force (2013) Screening for Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults: U.S. Preventive Services Task Force Recommendation Statement.

[8]   Carretta, C.M. (2008) Domestic Violence: A Worldwide Exploration. Journal of Psychosocial Nursing and Mental Health Services, 46, 26-35.

[9]   Malecha, A. (2003) Screening for and Treating Intimate Partner Violence in the Workplace. AAOHN Journal, 51, 310-316.

[10]   Örmon, K., Torstensson-Levander, M., Sunnqvist, C. and Bathsevani, C. (2014) Vulnerable and without Protection: Lifetime Experiences of Abuse and Its Influence on Mental Ill Health: An Interview Study among Swedish Women within General Psychiatric Care. Open Journal of Nursing, 4, 34-41.

[11]   Saltzman, L.E., Fanslow, J.L., McMahon, P.M. and Shelley, G.A. (2002) Intimate Partner Violence Surveillance: Uniform Definitions and Recommended Data Elements (Version 1.0). Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Atlanta.

[12]   Wathen, N. and MacMillan, H. (2012) Partner Violence Screening and Women’s Quality of Life. Letters. Journal of American Medical Association, 308, 2334-2336.

[13]   Soeken, K.L., McFarlane, J., Parker, B. and Lominack, M.C. (1998) The Abuse Assessment Screen: A Clinical Instrument to Measure Frequency, Severity, and Perpetrator of Abuse against Women. In: Campbell, J.C., Ed., Empowering Survivors of Abuse: Health Care, Battered Women, and Their Children, SAGE Publications, Inc., Thousand Oaks, 195-203.

[14]   Stenson, K., Heimer., G., Lund, C., Nordström, M.L., Sarinnen, H. and Wenker, A. (2003) Lifetime Prevalence of Sexual Abuse in a Swedish Pregnant Population. Acta Obstetricia et Gynecologica Scandinavica, 82, 529-536.

[15]   Lawoko, S., Sanz, S., Helström, L. and Castren, M. (2011) Screening for Intimate Partner Violence against Women in Healthcare Sweden: Prevalence and Determinants. ISRN Nursing, 2011, 1-7.

[16]   Bagcioglu, E., Vural, M., Karababa, I.F., Aksin, M. and Selek, S. (2014) Decrease in Domestic Violence during Pregnancy: A Study from Turkey. Journal of Interpersonal Violence, 29, 203-216.

[17]   Laisser, R.M., Nyström, L., Lindmark, G., Lugina, H.M.I. and Emmelin, M. (2011) Screening of Women for Intimate Partner Violence: A Pilot Study Intervention at an Outpatient Department in Tanzania. Global Health Action, 4, 7288.

[18]   Campbell, J. (2002) Health Consequences of Intimate Partner Violence. The Lancet, 359, 1331-1336.

[19]   Campbell, J. and Lewandowski, L. (1997) Mental and Physical Health Effects of Intimate Partner Violence on Women and Children. Psychiatric Clinics of North America, 20, 353-374.

[20]   Lukasse, M., Vangen, S., Øian, P., Kumle, M., Ryding, E.L. and Schei, B. (2010) Childhood Abuse and Fear of Childbirth—A Population-Based Study. Birth, 37, 267-274.

[21]   Mezey, G.C. and Bewley, S. (1997) Domestic Violence and Pregnancy. British Medical Journal, 314, 1295.

[22]   Jaquier, V., Hellmuth, J.C. and Sullivan, T.P. (2013) Posttraumatic Stress and Depression Symptoms as Correlates of Deliberate Self-Harm among Community Women Experiencing Intimate Partner Violence. Psychiatry Research, 206, 37-42.

[23]   Van Dulmen, M.H.M., Klipfe, K.M., Mata, A.D., Schinka, K.C., Claxton, S.E., Swahn, M.H. and Bossarte, R.M. (2012) Cross-Lagged Effects between Intimate Partner Violence Victimization and Suicidality from Adolescence into Adulthood. Journal of Adolescent Health, 51, 510-516.

[24]   Pratt-Eriksson, D., Bergbom, I. and Dahlborg-Lyckhage, E. (2014) Don’t Ask Don’t Tell: Battered Women Living in Sweden Encounter with Healthcare Personnel and Their Experience of the Care Given. International Journal of Qualitative Studies on Health and Well-Being, 9, 1-7.

[25]   Mittal, M., Senn, T.E. and Carey, M.P. (2012) Intimate Partner Violence and Condom Use among Women: Does the Information-Motivation-Behavioral Skills Model Explain Sexual Risk Behavior? AIDS and Behavior, 16, 1011-1019.

[26]   Stockman, J.K., Lucea, M.B. and Campbell, J.C. (2013) Forced Sexual Initiation, Sexual Intimate Partner Violence and HIV Risk in Women: A Global Review of the Literature. AIDS and Behavior, 17, 832-847.

[27]   Kelly, L. and Lowett, J. (2009) Different Systems, Similar Outcomes? Tracking Attrition in Reported Rape Cases in Eleven Countries. Child and Woman Abuse Studies Unit.

[28]   Stöcki, H., Hertlein, L., Friese, K. and Stöcki, D. (2010) Partner, Workplace, and Stranger Abuse during Pregnancy in Germany. International Journal of Gynecology & Obstretics, 111, 136-139.

[29]   Sundborg, E.M., Saleh-Stattin, N., Wändell, P. and Törnkvist, L. (2012) Nurses’ Preparedness to Care for Women Exposed to Intimate Partner Violence: A Quantitative Study in Primary Health Care. BMC Nursing, 11, 1.

[30]   McDonald, P.W. and Dickerson, S. (2013) Engendering Independence While Living with Purpose: Women’s Lives after Leaving Abusive Intimate Partners. Journal of Nursing Scholarship, 45, 388-396.

[31]   McFarlane, J., Parker, B. and Cross, B. (2001) Abuse during Pregnancy: A Protocol for Prevention and Intervention. 2nd Edition, March of Dimes, White Plains.