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Research ArticleOriginal Research

Intimate Partner Violence and Cancer Screening among Urban Minority Women

Sheetal Gandhi, Sue Rovi, Marielos Vega, Mark S. Johnson, Jeanne Ferrante and Ping-Hsin Chen
The Journal of the American Board of Family Medicine May 2010, 23 (3) 343-353; DOI: https://doi.org/10.3122/jabfm.2010.03.090124
Sheetal Gandhi
BS
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Sue Rovi
PhD
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Marielos Vega
BSN, RN
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Mark S. Johnson
MD, MPH
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Jeanne Ferrante
MD, MPH
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Ping-Hsin Chen
PhD
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  • Article
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Article Figures & Data

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    Table 1.

    Sample Characteristics by Type of Domestic Violence

    CharacteristicsTotal (%) (n = 382)Nonvictims (%) (n = 319)Victims of Emotional Abuse Only (%) (n = 37)Victims of Physical and/or Sexual Abuse (%) (n = 26)P†
    Age (years).540
        21–2932.833.035.126.9
        30–3930.230.829.823.1
        40–4922.623.013.530.8
        50–7414.413.221.619.2
    Race/ethnicity.666
        White9.410.05.47.7
        African American77.076.583.873.1
        Hispanic9.48.810.815.4
        Other4.24.70*3.8*
    Educational level completed.131
        ≤High school43.040.359.553.8
        Some college35.236.524.334.6
        College completed21.823.316.211.5
    Employment.050
        Employed73.975.773.053.8
        Unemployed26.124.327.046.2
    Insurance.010
        Commercial38.841.235.115.4
        Medicaid/Medicare54.150.662.284.6
        Other7.18.22.70
    Marital status.767
        Married35.735.235.142.3
        Unmarried64.364.864.957.7
    Smoking status.520
        Ever a smoker44.343.048.455.0
        Never a smoker55.757.051.645.0
    Drug use within the past year.172
        Yes23.622.324.338.5
        No76.477.775.761.5
    Alcohol use within the past year.578
        Yes23.324.121.615.4
        No76.775.978.484.6
    Family history of breast cancer.037
        Yes14.112.227.019.2
        No85.987.873.080.8
    Family history of cervical cancer.302
        Yes1.00.90*3.8*
        No99.099.1100.096.2
    Physician visits during the past year (n).020
        <230.332.227.011.5
        3–546.847.643.242.3
        >522.920.229.746.2
    Body mass index.332
        Underweight/normal weight17.417.123.512.5
        Overweight27.726.638.225.0
        Obese54.856.338.262.5
    Comorbidity.726
        062.663.062.257.7
        124.323.829.723.1
        ≥213.113.28.119.2
    Practice location
        Faculty practice A58.457.170.357.7.690
        Faculty practice B16.216.313.519.2
        Faculty practice C16.016.310.819.2
        Residency9.410.35.43.8
    • * n ≤ 1.

    • † Significance levels using χ2 test.

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    Table 2.

    Associations of Patient Characteristics with Being Up to Date with Cancer Screening

    CharacteristicsMammogram (n = 142)Papanicolaou Smear (n = 371)
    %P%P
    Age.156.103
        21–29N/A63.2
        30–39N/A58.4
        40–4930.252.4
        50–7440.044.0
    Race/ethnicity.998.141
        White35.744.4
        African American34.259.2
        Hispanic36.460.0
        Other33.337.5
    Educational level completed.786.371
        ≤High school31.757.9
        Some college38.059.5
        College completed34.550.0
    Employment.414.541
        Employed36.056.8
        Unemployed32.756.9
    Insurance.471.027
        Commercial40.051.4
        Medicaid/Medicare31.162.6
        Other25.040.7
    Marital status.516.023
        Married35.049.6
        Unmarried33.961.0
    Smoking status.240.505
        Ever a smoker29.661.1
        Never a smoker37.561.7
    Drug use within the past year.469.107
        Yes36.763.2
        No33.954.9
    Alcohol use within the past year.477.118
        Yes36.463.1
        No33.955.1
    Family history of breast cancer.244.130
        Yes44.464.8
        No33.155.5
    Family history of cervical cancer.655.421
        Yes0*75.0
        No34.856.7
    Physician visits during the past year (n).943.05
        <232.448.6
        3–535.658.0
        >533.365.9
    Body mass index.288.626
        Underweight/normal weight28.655.4
        Overweight25.055.1
        Obese40.060.6
    Comorbidity.107.517
        028.954.7
        148.661.5
        ≥231.058.7
    Practice location.597.043
        Faculty practice A34.155.8
        Faculty practice B26.970.5
        Faculty practice C38.941.7
        Residency50.056.1
    • * n ≤ 1.

    • View popup
    Table 3.

    Prevalence of Being Up to Date with Cancer Screening by Intimate Partner Violence Victim Status

    PrevalenceMammogram, Ages ≥40*Papanicolaou Smear, Ages 21–39†Papanicolaou Smear, Ages ≥40‡
    Prevalence (%)
        Total34.560.949.6
        Nonvictims34.558.247.7
        Emotional abuse only53.866.776.9
        Physical and/or sexual abuse15.492.336.4
    Adjusted odds ratio (CI)
        Emotional abuse only§2.74 (0.81–9.25)1.11 (0.42–2.94)3.81 (0.96–15.20)
        Physical and/or sexual abuse§0.35 (0.07–1.66)6.21 (0.76–51.01)0.61 (0.17–2.22)
        Physical and/or sexual abuse‖0.13 (0.02–0.85)5.61 (0.58–54.58)0.16 (0.03–0.99)
    • * Based on logistic regression, controlling for education.

    • † Based on logistic regression, controlling for insurance, family history of breast cancer, number of physician visits during the past year, and practice location.

    • ‡ Based on logistic regression, controlling for education.

    • § Reference group was nonvictims.

    • ‖ Reference group was emotional abuse only.

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The Journal of the American Board of Family Medicine: 23 (3)
The Journal of the American Board of Family Medicine
Vol. 23, Issue 3
May-June 2010
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Intimate Partner Violence and Cancer Screening among Urban Minority Women
Sheetal Gandhi, Sue Rovi, Marielos Vega, Mark S. Johnson, Jeanne Ferrante, Ping-Hsin Chen
The Journal of the American Board of Family Medicine May 2010, 23 (3) 343-353; DOI: 10.3122/jabfm.2010.03.090124

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Intimate Partner Violence and Cancer Screening among Urban Minority Women
Sheetal Gandhi, Sue Rovi, Marielos Vega, Mark S. Johnson, Jeanne Ferrante, Ping-Hsin Chen
The Journal of the American Board of Family Medicine May 2010, 23 (3) 343-353; DOI: 10.3122/jabfm.2010.03.090124
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