The impact of intimate partner violence on forgone healthcare: a population-based, multicentre European study. Costa, D., Hatzidimitriadou, E., Ioannidi-Kapolo, E., Lindert, J., Soares, J., Sundin, Ö., Toth, O., & Barros, H. European journal of public health, 29(2):359–364, April, 2019.
The impact of intimate partner violence on forgone healthcare: a population-based, multicentre European study [link]Paper  doi  abstract   bibtex   
BACKGROUND: To examine the relationship between forgone healthcare and involvement in intimate partner violence (IPV) as victims, perpetrators or both. METHODS: This cross-sectional multicentre study assessed community non-institutionalized residents (n = 3496, aged 18-64) randomly selected from six European cities: Athens, Budapest, London, Östersund, Porto, Stuttgart. A common questionnaire was used, including self-reports of IPV and forgone healthcare ('Have you been in need of a certain care service in the past year, but did not seek any help?'). Odds ratios (ORs), 95% confidence intervals (CIs) were computed fitting logistic regression models adjusted for city, chronic disease, self-assessed health status and financial strain. RESULTS: Participants experiencing past year IPV (vs. no violence) reported more often to forgone healthcare (n = 3279, 18.6% vs. 15.3%, P = 0.016). IPV experienced as both a victim and perpetrator was associated with forgone healthcare (adjusted OR, 95%CI: 1.32, 1.02-1.70). CONCLUSION: IPV was associated with forgone healthcare, particularly for those experiencing violence as both victims and perpetrators. Results suggest that preventing IPV among adults may improve timely healthcare uptake.
@article{costa_impact_2019,
	title = {The impact of intimate partner violence on forgone healthcare: a population-based, multicentre {European} study},
	volume = {29},
	issn = {1464-360X},
	url = {https://www.ncbi.nlm.nih.gov/pubmed/30169658},
	doi = {10.1093/eurpub/cky167},
	abstract = {BACKGROUND: To examine the relationship between forgone healthcare and involvement in intimate partner violence (IPV) as victims, perpetrators or both. METHODS: This cross-sectional multicentre study assessed community non-institutionalized residents (n = 3496, aged 18-64) randomly selected from six European cities: Athens, Budapest, London, Östersund, Porto, Stuttgart. A common questionnaire was used, including self-reports of IPV and forgone healthcare ('Have you been in need of a certain care service in the past year, but did not seek any help?'). Odds ratios (ORs), 95\% confidence intervals (CIs) were computed fitting logistic regression models adjusted for city, chronic disease, self-assessed health status and financial strain. RESULTS: Participants experiencing past year IPV (vs. no violence) reported more often to forgone healthcare (n = 3279, 18.6\% vs. 15.3\%, P = 0.016). IPV experienced as both a victim and perpetrator was associated with forgone healthcare (adjusted OR, 95\%CI: 1.32, 1.02-1.70). CONCLUSION: IPV was associated with forgone healthcare, particularly for those experiencing violence as both victims and perpetrators. Results suggest that preventing IPV among adults may improve timely healthcare uptake.},
	language = {eng},
	number = {2},
	journal = {European journal of public health},
	author = {Costa, Diogo and Hatzidimitriadou, Eleni and Ioannidi-Kapolo, Elli and Lindert, Jutta and Soares, Joaquim and Sundin, Örjan and Toth, Olga and Barros, Henrique},
	month = apr,
	year = {2019},
	keywords = {Adolescent, Adult, Cross-Sectional Studies, Europe, Female, Health Status, Humans, Intimate Partner Violence/*statistics \& numerical data, Male, Middle Aged, Patient Acceptance of Health Care/*statistics \& numerical data, Socioeconomic Factors, Spouse Abuse/statistics \& numerical data, Young Adult},
	pages = {359--364},
}

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