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Intimate partner violence-related hospitalizations in Appalachia and the non-Appalachian United States

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dc.contributor.author Davidov, Danielle
dc.contributor.author Davis, Stephen
dc.contributor.author Zhu, Motao
dc.contributor.author Afifi, Tracie
dc.contributor.author Kimber, Melissa
dc.contributor.author Goldstein, Abby
dc.contributor.author Pitre, Nicole
dc.contributor.author Gurka, Kellie
dc.contributor.author Stocks, Carol
dc.date.accessioned 2017-11-30T12:27:08Z
dc.date.available 2017-11-30T12:27:08Z
dc.date.issued 2017
dc.identifier.citation Davidov, Danielle M.; Davis, Stephen M.; Zhu, Motao; Afifi, Tracie O.; Kimber, Melissa; Goldstein, Abby L.; Pitre, Nicole; Gurka, Kellie K.; Stocks, Carol. (2017). Intimate partner violence-related hospitalizations in Appalachia and the non-Appalachian United States. PLoS ONE, 12(9). en_US
dc.identifier.uri https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5590902/pdf/pone.0184222.pdf
dc.identifier.uri http://hdl.handle.net/20.500.11990/414
dc.description.abstract The highly rural region of Appalachia faces considerable socioeconomic disadvantage and health disparities that are recognized risk factors for intimate partner violence (IPV). The objective of this study was to estimate the rate of IPV-related hospitalizations in Appalachia and the non-Appalachian United States for 2007–2011 and compare hospitalizations in each region by clinical and sociodemographic factors. Data on IPV-related hospitalizations were extracted from the State Inpatient Databases, which are part of the Healthcare Cost and Utilization Project. Hospitalization day, year, in-hospital mortality, length of stay, average and total hospital charges, sex, age, payer, urban-rural location, income, diagnoses and procedures were compared between Appalachian and non-Appalachian counties. Poisson regression models were constructed to test differences in the rate of IPV-related hospitalizations between both regions. From 2007–2011, there were 7,385 hospitalizations related to IPV, with one-third (2,645) occurring in Appalachia. After adjusting for age and rurality, Appalachian counties had a 22% higher hospitalization rate than non-Appalachian counties (ARR = 1.22, 95% CI: 1.14–1.31). Appalachian residents may be at increased risk for IPV and associated conditions. Exploring disparities in healthcare utilization and costs associated with IPV in Appalachia is critical for the development of programs to effectively target the needs of this population. (Author Abstract) en_US
dc.language.iso en en_US
dc.subject Spouse Abuse en_US
dc.subject Demographics en_US
dc.subject Risk Factors en_US
dc.subject Domestic Violence en_US
dc.subject Research en_US
dc.subject Injury
dc.subject Medical Consequences
dc.title Intimate partner violence-related hospitalizations in Appalachia and the non-Appalachian United States en_US
dc.type Article en_US


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