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African American HMO Enrollees

Their Experiences with Partner Abuse and its Effect on their Health and Use of Medical Services

Johns Hopkins University

Jacquelyn Campbell

Johns Hopkins University

Phyllis W. Sharps

Johns Hopkins University

Patricia O’Campo

Johns Hopkins University

Andrea Carlson Gielen

Johns Hopkins University

Jacqueline Dienemann

Johns Hopkins University

Joan Kub

Johns Hopkins University

Intimate partner violence has been demonstrated to be a significant public health problem among African American women. This study provided an opportunity to examine prevalence of intimate partner violence and health consequences among a group of primarily middle-class, employed African American women enrolled in a privately insured HMO (n = 109 abused and 97 never-abused women). Significantly more abused African American women were divorced or widowed and had incomes less than $50,000 a year. Abused women had more health problems (central nervous system, gynecological, STDs, gastrointestinal), more health problems per medical visits, and more emergency room visits (p < .05) compared to never-abused women. The health consequences of abuse and its association with health disparities are discussed.

Key Words: domestic violence • partner abuse • health consequences • injuries

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