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A Statewide Survey of Domestic Violence Screening Behaviors Among Pediatricians and Family Physicians
Garry Lapidus, PA-C, MPH;
Michelle Beaulieu Cooke, MPH;
Erica Gelven, MA;
Keith Sherman, PhD;
Mary Duncan, PhD;
Leonard Banco, MD
Arch Pediatr Adolesc Med. 2002;156:332-336.
Objective To assess rates of previous domestic violence (DV) training, current
screening practices, and barriers to screening among Connecticut pediatric
primary care physicians.
Design Self-administered mail survey.
Setting State of Connecticut.
Participants Pediatricians and pediatric care–providing family practice physicians
(N = 903).
Results The response rate was 49% (n = 438). The demographic characteristics
of the response sample were as follows: 70% male, 76% older than 40 years,
84% white, 87% in private practice, and 64% in suburban practice. Only 12%
of the physicians reported routinely screening for DV at all well-child care
visits, 61% reported screening only selective patients, and 30% said they
did not screen for DV at all. Sixteen percent of the physicians reported having
an office protocol for dealing with victims of DV. Respondents practicing
in an urban setting were significantly more likely to screen routinely for
DV than those practicing in a suburban setting (odds ratio, 1.77; 95% confidence
interval, 1.12-2.79). Prior DV training was the strongest predictor of routine
screening (odds ratio, 5.17; 95% confidence interval, 3.13-8.56). In fact,
respondents with previous training made up 64% of those who routinely screened
for DV.
Conclusions Only a minority of Connecticut pediatric care physicians routinely screen
mothers for DV. Primary care physicians with education and training about
DV are screening at higher rates than physicians with no education and training.
Pediatric physicians need training, protocols, and best-practice models on
how to identify and intervene with families experiencing DV.
From the Injury Prevention Center, Connecticut Children's Medical Center
(Mr Lapidus, Mss Beaulieu Cooke and Gelven, and Drs Sherman and Banco), Hartford;
Departments of Pediatrics (Mr Lapidus and Ms Beaulieu Cooke) and Community
Medicine (Mr Lapidus and Dr Duncan), University of Connecticut School of Medicine,
Hartford.
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