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Research ArticleOriginal Research

Intimate Partner Violence and Telemedicine Usage and Satisfaction Early in the COVID-19 Pandemic

Megha G. Fatabhoy, Guohao Zhu, Aurianna Lajaunie, Jill R. Schneiderhan and Jennifer Pierce
The Journal of the American Board of Family Medicine August 2023, jabfm.2023.230021R1; DOI: https://doi.org/10.3122/jabfm.2023.230021R1
Megha G. Fatabhoy
From the Department of Anesthesiology, University of Michigan, Ann Arbor, MI, USA (MGF, GZ, AL, JP); Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA (JRS).
PhD
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Guohao Zhu
From the Department of Anesthesiology, University of Michigan, Ann Arbor, MI, USA (MGF, GZ, AL, JP); Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA (JRS).
PhD
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Aurianna Lajaunie
From the Department of Anesthesiology, University of Michigan, Ann Arbor, MI, USA (MGF, GZ, AL, JP); Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA (JRS).
MS
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Jill R. Schneiderhan
From the Department of Anesthesiology, University of Michigan, Ann Arbor, MI, USA (MGF, GZ, AL, JP); Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA (JRS).
MD
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Jennifer Pierce
From the Department of Anesthesiology, University of Michigan, Ann Arbor, MI, USA (MGF, GZ, AL, JP); Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA (JRS).
PhD
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Article Figures & Data

Tables

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    Table 1.

    Fit Indices for Latent Class Analyses

    ModelAicBicSA-BICSmallest n
    2-class2713.022902.792678.4620
    3-class2609.142895.132557.0614
    4-class2600.682982.892531.0814
    5-class2627.683106.122540.5612
    • Abbreviations: AIC, Akaike information criterion; BIC, Bayesian information criterion; SA-BIC, sample-adjusted BIC; Smallest n, the number of participants in the smallest class.

    • Note: Boldfaced values indicate the preferred model.

    • View popup
    Table 2.

    Prevalence of Abuse Experiences Among Data-Driven Latent Class Analysis Categories of Intimate Partner Violence

    Item DescriptionClass 1: Moderate Emotional IPVClass 2: Moderate Emotional IPV with High Hostile WithdrawalClass 3: Physical and Emotional IPVClass 4: Low IPV
    (n = 42)(n = 24)(n = 14)(n = 27)
    Emotional abuse   
     Asked where they've been10 (24%)8 (33%)11 (79%)1 (3.7%)
     Secretly searched belongings9 (21%)2 (9%)10 (71%)0 (0%)
     Stopped from seeing friends and family3 (7%)1 (4%)9 (64%)2 (7%)
     Complained about time with friends6 (14%)0 (0%)9 (64%)2 (7%)
     Got angry because went somewhere6 (14%)6 (25%)9 (64%)2 (7%)
     Tried to make feel guilty9 (21%)9 (38%)12 (86%)0 (0%)
     Checked on partner with friends/family1 (2%)2 (8%)6 (43%)0 (0%)
     Said or implied partner is stupid7 (17%)8 (33%)12 (86%)1 (4%)
     Called partner worthless0 (0%)0 (0%)8 (57%)0 (0%)
     Called partner ugly0 (0%)0 (0%)1 (7%)0 (0%)
     Criticized partner's appearance5 (12%)4 (17%)8 (57%)1 (4%)
     Called partner a loser or failure0 (0%)0 (0%)9 (64%)0 (0%)
     Belittled the other person7 (17%)7 (29%)10 (71%)2 (7%)
     Said other person would be better1 (2%)2 (8%)7 (50%)0 (0%)
     Became unable or unwilling to talk20 (48%)22 (92%)12 (86%)3 (11%)
     Acted cold or distance when angry36 (86%)24 (100%)14 (100%)0 (0%)
     Refused to discuss problem11 (26%)17 (71%)12 (86%)2 (7%)
     Changed subject17 (40%)13 (54%)12 (86%)0 (0%)
     Refused to acknowledge problem13 (31%)16 (67%)14 (100%)2 (7%)
     Sulked or refused to talk8 (19%)23 (96%)11 (79%)2 (7%)
     Intentionally avoided partner during conflict17 (40%)23 (96%)11 (79%)0 (0%)
     Became angry enough to frighten partner1 (2%)9 (38%)11 (79%)0 (0%)
     Put face in other person's face0 (0%)5 (21%)10 (71%)0 (0%)
     Threaten to hit partner0 (0%)0 (0%)4 (29%)0 (0%)
     Threaten to throw something at partner0 (0%)2 (8%)9 (64%)0 (0%)
     Threw, smashed, hit, or kicked something in front of partner1 (2%)16 (67%)12 (86%)6 (22%)
     Drove recklessly to frighten partner1 (2%)2 (8%)4 (29%)0 (0%)
     Stood or hovered over partner1 (2%)3 (12%)7 (50%)0 (0%)
    Physical abuse
     Threw something at partner0 (0%)1 (4%)8 (57%)2 (7%)
     Pushed, grabbed, or shoved partner0 (0%)2 (8%)8 (62%)2 (7%)
     Slapped partner1 (2%)0 (0%)2 (15%)0 (0%)
     Kicked, bit, or hit with a fist0 (0%)0 (0%)1 (8%)0 (0%)
     Hit or tried to hit with something1 (2%)0 (0%)2 (15%)0 (0%)
     Beat up partner0 (0%)0 (0%)1 (7%)0 (0%)
     Threatened with a knife or gun––––
     Used a knife or gun––––
    Latent class probability0.4070.220.1310.243
    • Note: IPV, Intimate partner violence.

    • View popup
    Table 3.

    Differences Among Victims of Intimate Partner Violence on Demographic Covariates and Variables of Interest

        Effect Size Estimatesa
     OverallClass 1: Moderate Emotional IPV (n = 42)Class 2: Moderate Emotional IPV with High Hostile Withdrawal (n = 24)Class 3: Physical and Emotional IPV (n = 14)Class 4: Low IPV (n = 27)pClass 1 versus Class 2Class 1 versus Class 3Class 1 versus Class 4Class 2 versus Class 3Class 2 versus Class 4Class 3 versus Class 4
    Female84 (79%)32 (76%)21 (88%)10 (71%)21 (78%)0.630––––––
    Age43.80 (10.75)42.31 (10.57)44.58 (10.69)46.64 (9.65)43.96 (11.77)0.504––––––
    College educated91 (85%)40 (95%)20 (83%)11 (79%)20 (74%)0.056––––––
    White98 (92%)38 (90%)22 (92%)13 (93%)25 (93%)1.000––––––
    Telemedicine utilization48 (45%)20 (48%)14 (58%)7 (50%)7 (26%)0.114––––––
    Satisfaction with telemedicine8.54 (1.71)8.00 (2.22)8.79 (1.25)8.57 (0.98)9.57 (0.79)0.1310.440.330.940.190.751.13
    Loneliness54.25 (9.69)54.77 (9.36)55.55 (10.37)57.39 (8.36)50.65 (9.68)0.1310.080.300.430.200.490.75
    Global health0.44 (0.19)0.44 (0.19)0.43 (0.20)0.39 (0.18)0.49 (0.18)0.3730.080.300.230.220.310.55
    • Abbreviation: IPV, Intimate partner violence.

    • Note: Contingency analyses with associated χ2 tests were run for categorical variables. Fisher’s exact tests were run where expected counts were < 5. Kruskal-Wallis rank sum tests were run for continuous variables. aEffect size estimates use the absolute value of Cohen's d and are assessed only for continuous outcomes of interest. Boldfaced effect sizes indicate medium to large effect sizes using a cutoff of d > .50.

    • View popup
    Table 4.

    Post-Hoc Differences Among Victims of Intimate Partner Violence on Social Functioning, Stress, and COVID-19 Concerns

        Effect Size Estimatesa
    OverallClass 1: Moderate Emotional IPV (n = 42)Class 2: Moderate Emotional IPV with High Hostile Withdrawal (n = 24)Class 3: Physical and Emotional IPV (n = 14)Class 4: Low IPV (n = 27)pClass 1 versus Class 2Class 1 versus Class 3Class 1 versus Class 4Class 2 versus Class 3Class 2 versus Class 4Class 3 versus Class 4
    Perceived emotional support55.65 (7.56)56.73 (7.52)55.46 (7.67)50.92 (8.15)56.58 (6.61)0.0780.170.740.020.570.160.76
    Change in emotional support (T2 - T1)−1.45 (6.07)−1.14 (6.24)−2.68 (6.40)−1.03 (4.80)−1.07 (6.27)0.5450.240.020.010.290.250.01
    Perceived ostracism7.48 (3.15)7.24 (2.85)7.46 (3.28)8.93 (3.75)7.11 (3.11)0.2270.070.510.040.420.110.53
    Perceived stress15.44 (6.55)16.45 (6.35)16.00 (5.76)16.64 (6.98)12.74 (6.88)0.1040.070.030.560.100.510.56
    Change in perceived stress (T2 - T1)−0.15 (5.52)−0.71 (5.35)−0.33 (5.26)0.36 (5.87)0.63 (5.98)0.8480.070.190.240.120.170.05
    Concerns about social isolation2.86 (1.25)2.83 (1.23)2.83 (1.27)3.14 (1.23)2.78 (1.31)0.7840.000.250.040.250.040.29
    Concerns about loss of social support2.18 (1.16)2.00 (1.15)2.63 (1.31)2.57 (1.02)1.85 (0.95)0.0420.510.530.140.050.680.73
    Concerns about worsening of medical problems2.04 (1.20)1.95 (1.19)2.21 (1.14)2.50 (1.35)1.78 (1.16)0.1550.220.430.150.230.380.58
    Concerns about worsening of mental health2.52 (1.14)2.57 (1.13)2.83 (1.31)2.43 (1.09)2.22 (0.97)0.3340.210.130.330.340.530.20
    • Abbreviation: IPV, Intimate partner violence.

    • Note: Contingency analyses with associated χ2 tests were run for categorical variables. Fisher’s exact tests were run where expected counts were < 5. Kruskal-Wallis rank sum tests were run for continuous variables. aEffect size estimates use the absolute value of Cohen's d. Boldfaced effect sizes indicate medium to large effect sizes using a cutoff of d > .50. For Change in Perceived Stress, one was added to each value before calculating effect size estimates.

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The Journal of the American Board of Family     Medicine: 37 (6)
The Journal of the American Board of Family Medicine
Vol. 37, Issue 6
November-December 2024
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Intimate Partner Violence and Telemedicine Usage and Satisfaction Early in the COVID-19 Pandemic
Megha G. Fatabhoy, Guohao Zhu, Aurianna Lajaunie, Jill R. Schneiderhan, Jennifer Pierce
The Journal of the American Board of Family Medicine Aug 2023, jabfm.2023.230021R1; DOI: 10.3122/jabfm.2023.230021R1

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Intimate Partner Violence and Telemedicine Usage and Satisfaction Early in the COVID-19 Pandemic
Megha G. Fatabhoy, Guohao Zhu, Aurianna Lajaunie, Jill R. Schneiderhan, Jennifer Pierce
The Journal of the American Board of Family Medicine Aug 2023, jabfm.2023.230021R1; DOI: 10.3122/jabfm.2023.230021R1
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Keywords

  • COVID-19
  • Intimate Partner Violence
  • Loneliness
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