Intimate partner violence among female drug users admitted to the general hospital: screening and prevalence

Authors

  • Clara Caldentey Universitat Pompeu Fabra-Universitat Autònoma de Barcelona, Barcelona, Spain
  • Judit Tirado Muñoz Addiction Research Group, IMIM-Institut Hospital del Mar d’Investigacions Mèdiques; Universitat Autònoma de Barcelona, Barcelona, Spain
  • Tessie Ferrer Complejo Hospitalario Universitario de Granada, Hospital Universitario San Cecilio, Granada, Spain
  • Francina Fonseca Casals Institute of Neuropsychiatry and Addictions, Parc de Salut Mar, Barcelona, Spain
  • Paola Rossi Institute of Neuropsychiatry and Addictions, Parc de Salut Mar, Barcelona, Spain
  • Juan Ignacio Mestre-Pintó Addiction Research Group, IMIM-Institut Hospital del Mar d’Investigacions Mèdiques; Universitat Autònoma de Barcelona, Barcelona, Spain
  • Marta Torrens Melich Institute of Neuropsychiatry and Addictions, Parc de Salut Mar, Barcelona, Spain. Addiction Research Group, IMIM-Institut Hospital del Mar d’Investigacions Mèdiques; Universitat Autònoma de Barcelona, Barcelona, Spain

DOI:

https://doi.org/10.20882/adicciones.738

Keywords:

liaison psychiatry, intimate partner violence, screening test, substance use disorder, validation.

Abstract

Intimate partner violence (IPV) is a public health problem worldwide. Several factors have been found to be associated with an increased prevalence of IPV, such as substance use. A cross-sectional study was conducted with the aim of determining the prevalence of IPV among women entering Hospital del Mar (Barcelona) for any medical/surgical reason, and who had a diagnosis of substance use disorder. Secondly, it was intended to psychometrically validate the Spanish version of the Hurt, Insulted, Threatened with Harm, Screamed (HITS) questionnaire. All patients were assessed by two IPV questionnaires, the Composite Abuse Scale (CAS) and HITS. Out of 52 patients interviewed, 46 answered both questionnaires. According to the CAS questionnaire, 23 patients (50%) experienced IPV at some point in their lives and 11 (23.9%) in the last year. Cannabis consumption was also associated with an increased severity of IPV (95% CI 3.5-28.9, p = .013).According to the HITS questionnaire, there was a prevalence of 39.1% (18 patients) in the last 12 months. HITS had a specificity of 100% and a sensitivity of 78% relative to the CAS questionnaire. A cut-off score x∈ [6.7], derived through ROC analysis, correctly discriminated 91% of the victims and 100% of the non-victims. The results obtained showed that the prevalence of IPV was very high among women who suffered from more than one substance use disorder. Therefore, it is highly recommended to systematically screen for IPV victimization by putting the HITS questionnaire into practice.

Author Biographies

Judit Tirado Muñoz, Addiction Research Group, IMIM-Institut Hospital del Mar d’Investigacions Mèdiques; Universitat Autònoma de Barcelona, Barcelona, Spain

Judit Tirado Muñoz, PhDPrograma de investigación en neurocienciasGrupo de investigacion en adicciones  

Francina Fonseca Casals, Institute of Neuropsychiatry and Addictions, Parc de Salut Mar, Barcelona, Spain

Francina Fonseca M.D., Ph.D.Consultant in PsychiatryInstitut de Neuropsiquiatria i Addiccions - INAD

Paola Rossi, Institute of Neuropsychiatry and Addictions, Parc de Salut Mar, Barcelona, Spain

Paola Rossi, MD PhD Psiquiatra adjunta Institut de Neuropsiquiatria i Addiccions

Juan Ignacio Mestre-Pintó, Addiction Research Group, IMIM-Institut Hospital del Mar d’Investigacions Mèdiques; Universitat Autònoma de Barcelona, Barcelona, Spain

Juan Ignacio Mestre-Pintó, PhDPrograma de investigación en neurocienciasGrupo de investigacion en adicciones 

Marta Torrens Melich, Institute of Neuropsychiatry and Addictions, Parc de Salut Mar, Barcelona, Spain. Addiction Research Group, IMIM-Institut Hospital del Mar d’Investigacions Mèdiques; Universitat Autònoma de Barcelona, Barcelona, Spain

Marta Torrens MD, PhD Head of Addiction ProgramInstitute of Neuropsychiatry & Addictions-Parc de Salut MarHead of Addiction Research Group 

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Published

2016-09-29

Issue

Vol. 29 No. 3 (2017)

Section

Originals