Clinical Features of Heterosexual Intimate Partner Violence Victims With Escalating Injury Severity

Anna Wai-Man CHOI, Barbara Chuen-Yee LO, Janet Yuen-Ha WONG, Ruby Tsz-Fung LO, Phyllis Cheuk-Wing CHAU, John Kit-Shing WONG, Chu-Leung LAU, Chak-Wah KAM

Research output: Journal PublicationsJournal Article (refereed)

Abstract

Intimate partner violence (IPV) is largely recognized to have a cyclical pattern and violence escalation in terms of frequency and intensity over time. However, there is a lack of systematic investigation of the profiles of victims and quantification of the patterns of injury of the victims associated with the first time versus repeated violence episodes. This study aimed to fill this knowledge gap by medical chart review of 878 victims in a 5-year period from 2010 to 2014 in Accident and Emergency Department (AED) of two public general hospitals in Hong Kong. The differences in injury patterns between the first IPV episode (FE) and recurrent IPV episodes (REs) experienced by male and female victims in heterosexual relationship were evaluated. The results indicated the violence escalation occurred in recurrent IPV in both genders. In female victims, there was significant increase in the number of injury locations (mean [M] = 2.0 vs. 2.2, p < .05), number of causes of injury (M = 1.7 vs. 2.2, p < .001) and police escort (15.2% vs. 22.1%, p < .05) in RE compared to FE. In male victims, however, only the increase in the number of causes of injury was significant (M = 1.6 vs. 2.1, p < .05) in RE compared to FE. In summary, our results highlight the escalation in the severity of harm of IPV victims in heterosexual relationship, and the gender differences in severity aggression and injury and help-seeking behavior change in recurrent IPV. Preventive measures are indicated to intervene the IPV occurrence and recurrence with rising morbidity and a potential of mortality.
Original languageEnglish
Article number886260519850539
JournalJournal of Interpersonal Violence
DOIs
Publication statusE-pub ahead of print - 29 May 2019

Fingerprint

Heterosexuality
Wounds and Injuries
Violence
Public Hospitals
Police
Hong Kong
Intimate Partner Violence
Aggression
General Hospitals
Hospital Emergency Service
Morbidity
Recurrence
Mortality

Keywords

  • abused women
  • escalation of violence
  • injury
  • intimate partner violence
  • male victims
  • spouse abuse

Cite this

CHOI, Anna Wai-Man ; LO, Barbara Chuen-Yee ; WONG, Janet Yuen-Ha ; LO, Ruby Tsz-Fung ; CHAU, Phyllis Cheuk-Wing ; WONG, John Kit-Shing ; LAU, Chu-Leung ; KAM, Chak-Wah. / Clinical Features of Heterosexual Intimate Partner Violence Victims With Escalating Injury Severity. In: Journal of Interpersonal Violence. 2019.
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title = "Clinical Features of Heterosexual Intimate Partner Violence Victims With Escalating Injury Severity",
abstract = "Intimate partner violence (IPV) is largely recognized to have a cyclical pattern and violence escalation in terms of frequency and intensity over time. However, there is a lack of systematic investigation of the profiles of victims and quantification of the patterns of injury of the victims associated with the first time versus repeated violence episodes. This study aimed to fill this knowledge gap by medical chart review of 878 victims in a 5-year period from 2010 to 2014 in Accident and Emergency Department (AED) of two public general hospitals in Hong Kong. The differences in injury patterns between the first IPV episode (FE) and recurrent IPV episodes (REs) experienced by male and female victims in heterosexual relationship were evaluated. The results indicated the violence escalation occurred in recurrent IPV in both genders. In female victims, there was significant increase in the number of injury locations (mean [M] = 2.0 vs. 2.2, p < .05), number of causes of injury (M = 1.7 vs. 2.2, p < .001) and police escort (15.2{\%} vs. 22.1{\%}, p < .05) in RE compared to FE. In male victims, however, only the increase in the number of causes of injury was significant (M = 1.6 vs. 2.1, p < .05) in RE compared to FE. In summary, our results highlight the escalation in the severity of harm of IPV victims in heterosexual relationship, and the gender differences in severity aggression and injury and help-seeking behavior change in recurrent IPV. Preventive measures are indicated to intervene the IPV occurrence and recurrence with rising morbidity and a potential of mortality.",
keywords = "abused women, escalation of violence, injury, intimate partner violence, male victims, spouse abuse",
author = "CHOI, {Anna Wai-Man} and LO, {Barbara Chuen-Yee} and WONG, {Janet Yuen-Ha} and LO, {Ruby Tsz-Fung} and CHAU, {Phyllis Cheuk-Wing} and WONG, {John Kit-Shing} and Chu-Leung LAU and Chak-Wah KAM",
year = "2019",
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language = "English",
journal = "Journal of Interpersonal Violence",
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Clinical Features of Heterosexual Intimate Partner Violence Victims With Escalating Injury Severity. / CHOI, Anna Wai-Man; LO, Barbara Chuen-Yee; WONG, Janet Yuen-Ha; LO, Ruby Tsz-Fung; CHAU, Phyllis Cheuk-Wing; WONG, John Kit-Shing; LAU, Chu-Leung; KAM, Chak-Wah.

In: Journal of Interpersonal Violence, 29.05.2019.

Research output: Journal PublicationsJournal Article (refereed)

TY - JOUR

T1 - Clinical Features of Heterosexual Intimate Partner Violence Victims With Escalating Injury Severity

AU - CHOI, Anna Wai-Man

AU - LO, Barbara Chuen-Yee

AU - WONG, Janet Yuen-Ha

AU - LO, Ruby Tsz-Fung

AU - CHAU, Phyllis Cheuk-Wing

AU - WONG, John Kit-Shing

AU - LAU, Chu-Leung

AU - KAM, Chak-Wah

PY - 2019/5/29

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N2 - Intimate partner violence (IPV) is largely recognized to have a cyclical pattern and violence escalation in terms of frequency and intensity over time. However, there is a lack of systematic investigation of the profiles of victims and quantification of the patterns of injury of the victims associated with the first time versus repeated violence episodes. This study aimed to fill this knowledge gap by medical chart review of 878 victims in a 5-year period from 2010 to 2014 in Accident and Emergency Department (AED) of two public general hospitals in Hong Kong. The differences in injury patterns between the first IPV episode (FE) and recurrent IPV episodes (REs) experienced by male and female victims in heterosexual relationship were evaluated. The results indicated the violence escalation occurred in recurrent IPV in both genders. In female victims, there was significant increase in the number of injury locations (mean [M] = 2.0 vs. 2.2, p < .05), number of causes of injury (M = 1.7 vs. 2.2, p < .001) and police escort (15.2% vs. 22.1%, p < .05) in RE compared to FE. In male victims, however, only the increase in the number of causes of injury was significant (M = 1.6 vs. 2.1, p < .05) in RE compared to FE. In summary, our results highlight the escalation in the severity of harm of IPV victims in heterosexual relationship, and the gender differences in severity aggression and injury and help-seeking behavior change in recurrent IPV. Preventive measures are indicated to intervene the IPV occurrence and recurrence with rising morbidity and a potential of mortality.

AB - Intimate partner violence (IPV) is largely recognized to have a cyclical pattern and violence escalation in terms of frequency and intensity over time. However, there is a lack of systematic investigation of the profiles of victims and quantification of the patterns of injury of the victims associated with the first time versus repeated violence episodes. This study aimed to fill this knowledge gap by medical chart review of 878 victims in a 5-year period from 2010 to 2014 in Accident and Emergency Department (AED) of two public general hospitals in Hong Kong. The differences in injury patterns between the first IPV episode (FE) and recurrent IPV episodes (REs) experienced by male and female victims in heterosexual relationship were evaluated. The results indicated the violence escalation occurred in recurrent IPV in both genders. In female victims, there was significant increase in the number of injury locations (mean [M] = 2.0 vs. 2.2, p < .05), number of causes of injury (M = 1.7 vs. 2.2, p < .001) and police escort (15.2% vs. 22.1%, p < .05) in RE compared to FE. In male victims, however, only the increase in the number of causes of injury was significant (M = 1.6 vs. 2.1, p < .05) in RE compared to FE. In summary, our results highlight the escalation in the severity of harm of IPV victims in heterosexual relationship, and the gender differences in severity aggression and injury and help-seeking behavior change in recurrent IPV. Preventive measures are indicated to intervene the IPV occurrence and recurrence with rising morbidity and a potential of mortality.

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