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Does Health Care Provider Screening for Domestic Violence Vary by Race and Income?

Wake Forest University

Shellie D. Ellis

Wake Forest University

Peter R. Lichstein

Wake Forest University

Denise E. Bonds

University of Virginia

Domestic violence (DV) affects approximately 25% of women in the United States with approximately 5.3 million incidents each year. DV advocates and national medical associations encourage health care providers (HCPs) to screen patients. To determine DV screening rates by race and income, patient race/ethnicity, income, and receipt of and receptiveness toward screening were measured. Patient preference for screening did not vary by race and varied little by income, but experience with screening did. Practices serving predominantly African American and lower income patients screened at higher rates. These findings seem driven by practice factors rather than differential treatment of individuals. Future research should focus on why certain types of practices screen more than others.

Key Words: African American • domestic violence • health care • screening

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