Military Family Medicine Physicians: Intimate Partner Violence Management Insights
Explore the comprehensive insights shared by military family medicine physicians on the management of intimate partner violence, including screening recommendations, current rates, military implications, study population breakdown, and survey design insights.
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MILITARY FAMILY MEDICINE PHYSICIANS MANAGEMENT OF INTIMATE PARTNER VIOLENCE Meghan Jastrzembski, DO Meghan Jastrzembski, DO Fort Benning Family Medicine Residency, PGY-2 Paige Williams, MD Paige Williams, MD Fort Benning Family Medicine Residency, PGY-3 Kristina Burgers, MD Kristina Burgers, MD Fort Benning Family Medicine Residency, Faculty
DISCLOSURE The views and statements in the presentation are solely from the investigators. They do not represent the opinions or positions of the department of defense or the United States Army. The investigators have no financial disclosures. The investigators have no financial disclosures. The views and statements in the presentation are solely from the investigators. They do not represent the opinions or positions of the department of defense or the United States Army.
BACKGROUND Intimate Partner Violence (IPV) Screening Recommendations AAFP-Grade B USPSTF-Grade B
CURRENT SCREENING RATES 1.5%-12% Civilian Sector
MILITARY IMPLICATIONS 10,000 incidents per year 30 %
MILITARY IMPLICATIONS 15 homicides
OBJECTIVE Recognize Understand Identify
DESIGN 2022 Omnibus Survey n=321 Anonymous data collection Survey Breakdown: Demographic questions 10 survey questions Likert scale Statistical tests How confident are you in addressing the impact of intimate partner violence on other health conditions? a. Not at all confident b. Slightly confident c. Confident d. Very confident How often are your patients screened for intimate partner violence prior to you seeing them? a. Never b. Sometimes c. Usually d. Always
STUDY POPULATION 61% Response Rate
STUDY POPULATION FEMALE 135 (42%) MALE 176(54.8%) GENDER TRANSGENDER, NON-BINARY, OROTHER 2 (0.006%) PREFER NOT TO RESPOND 8 (0.02%)
STUDY POPULATION WHITE 237 (73.8%) BLACKOR AFRICAN AMERICAN 14 (3.1%) NATIVE AMERICAN 4 (1.2%) ASIANOR PACIFIC ISLANDER 46 (14.3%) RACE/ETHNICITY HISPANICOR LATINX 16 (4.9%) MULTI-ETHNICOR OTHER 6 (1.8%) PREFERNOTTOANSWEROR NO RESPONSE 12 (3.7%)
RESULTS-CONFIDENCE How confident are you in addressing the impact of intimate partner violence on health? not/somewhat confident 208 (77.3%) very/extremely confident 61 (22.7%) p=0.436
RESULTS-EXPERIENCE During residency, approximately how many patients did you encounter who were experiencing intimate partner violence? None 104 (44%) One 68 (29%) Multiple 63 (27%) P=0.045
RESULTS-EDUCATION During residency, approximately how many training sessions did you receive about intimate partner violence? None 85 (36%) One 111 (46%) Multiple 43 (18%) (p=0.791)
RESULTS How aware are you about resources for intimate partner violence in your local community? 65%
DISCUSSION Limited statistical significance Respondent diversity
DISCUSSION Barriers to provider intervention Gap in patient care Recommendations vs. current practice Current training and confidence is not consistent with prevelance
NEXT STEPS Future Studies
CONCLUSION Application to military providers Call to action
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