[R01] Examining the impact of state laws on intimate partner violence
Ente: Eunice Kennedy Shriver National Institute of Child Health and Human Development
Scadenza: 2028-05-31
Importo max: 546.000 EUR
Paese: US
Descrizione
ABSTRACT: Intimate partner violence (IPV) is common with over 7% of U.S. women reporting physical or sexual violence, and/or stalking in the past year. Moreover, nearly 10% of pregnant women report experiencing either physical or sexual violence during their pregnancy and the prevalence increases to 20% when psychological violence is included. IPV has widespread consequences, including physical injury, increased rates of chronic conditions, poorer mental health, and death. Pregnancy and the presence of firearms are associated with an increased risk of IPV-related morbidity and death. Homicide is a leading cause of death for pregnant women in the U.S. and over half of pregnancy-associated suicides involve intimate partner conflict. Firearm ownership increases the risk of intimate partner homicide. Over half of women experiencing IPV are victimized multiple times over multiple years, therefore meeting the definition of a chronic condition. This timely proposal will examine relationships between state laws, rates of IPV, and IPV-related morbidity and mortality among reproductive age women between 2015-2026. We propose to leverage the natural experiment created through enactment of state laws. We will use data from Medicaid, the Pregnancy Risk Assessment Monitoring System (PRAMS), the National Crime Victimization Survey (NCVS), and the National Violent Death Reporting System (NVDRS), along with strong quasi experimental methods, such as comparative interrupted time series (ITS) or differences-in-differences (DD), to characterize the relationships between state law and rates of IPV (Aim 1), IPV-related physical and mental health outcomes (Aim 2), health service use (Aim 2) and IPV-related mortality (Aim 3). Our comparisons will include 1) across state comparisons by state law; and 2) within state comparisons before and after law enactment. Findings will be used to inform effective strategies to 1) identify women at increased risk IPV-related injury or mortality, and 2) develop and target clinical interventions to those at high risk.
Istituzione: UNIVERSITY OF MICHIGAN AT ANN ARBOR
PI: VANESSA K. DALTON
Progetto: 5R01HD114769-03
Settori: Eunice Kennedy Shriver National Institute of Child Health and Human Development
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