Prevalence of abuse and intimate partner violence surgical evaluation (PRAISE) in orthopaedic fracture clinics: A multinational prevalence study

Brad A. Petrisor, Brian Drew, Krishan Rajaratnam, Dale Williams, Ivan Wong, Desmond Kwok, Matt Denkers, Alicia Cameron, Sarah Resendes, Ivanna Ramnath, Teresa Chien, Ngan K. Pham, Victoria Avram, Olufemi R. Ayeni, Justin De Beer, Mitchell Winemaker, Rick Ogilvie, Devin Peterson, Rukia Swaleh, Emil H. SchemitschJeremy Hall, Michael McKee, James Waddell, Timothy Daniels, Daniel Whelan, Earl Bogoch, Aaron Nauth, Milena Vicente, Jennifer Hidy, David Puskas, Tina LeFrancois, Chad Coles, Mark Glazebrook, Ross Leighton, David Johnston, Gwen Dobbin, Kelly Trask, Shelley MacDonald, Jocelyn Stairs, Paul Duffy, Richard Buckley, Robert Korley, Shannon Puloski, Kimberly Carcary, Jeanine McColl, Danica Brister, H. Michael Lemke, Dory Boyer, Robert McCormack, Bertrand Perey, Farhad Moola, Trevor Stone, Darius Viskontas, Kelly Apostle, Mauri Zomar, Amber Oatt, Karyn Moon, Gregory J. Della Rocca, Brett D. Crist, David A. Volgas, Linda K. Anderson, Jacqueline L. Beshears, Jessica L. Evans, Rudolf W. Poolman, Vanessa A. Scholtes, Kim Opdam, Esri De Waal, Robert Haverlag, J. Carel Goslings, M. S.H. Beerekamp, Ole Brink, Parag Sancheti, Steve Rocha, Mangesh Shende, Sheila Sprague

Research output: Contribution to journalArticlepeer-review

83 Citations (Scopus)

Abstract

Background: Intimate partner violence (IPV) is the leading cause of non-fatal injury to women worldwide. Musculoskeletal injuries, which are often seen by orthopaedic surgeons, are the second most common manifestation of IPV. We aimed to establish the 12-month and lifetime prevalence of IPV in women presenting to orthopaedic fracture clinics. Methods: The PRAISE team of 80 investigators did a cross-sectional study of a consecutive sample of 2945 female participants at 12 orthopaedic fracture clinics in Canada, the USA, the Netherlands, Denmark, and India. Participants who met the eligibility criteria anonymously answered direct questions about physical, emotional, and sexual IPV, and completed two previously developed questionnaires (Women Abuse Screening Tool [WAST] and Partner Violence Screen [PVS]). We did a multivariable logistic regression analysis to investigate the risk factors associated with IPV. Findings: The overall response rate was 85% (2344 of 2759 patients provided informed consent). One in six women (455/2839, 16.0%, 95% CI 14.7-17.4%) disclosed a history of IPV within the past year, and one in three (882/2550, 34.6%, 32.8-36.5%) had experienced IPV in their lifetime. 49 women (1.7%, 1.3-2.2%) attended their clinic visit as a direct consequence of IPV, only seven of whom (14%) had ever been asked about IPV in a health-care setting. Women in short-term relationships (OR 0.584, 99% CI 0.396-0.860, p=0.0001) were at increased risk of IPV and physical abuse in the past 12 months in this study. Compared with women in Canada and the USA, those in the Netherlands and Denmark were at reduced risk of any abuse in the past 12 months, physical abuse in lifetime, and any abuse in lifetime (OR 0.595, 99% CI 0.427-0.830, p<0.0001; 0.630, 0.445-0.890, p=0.001; and 0.464, 0.352-0.612, p<0.0001, respectively). Interpretation: PRAISE is the largest prevalence study done so far in orthopaedics. Orthopaedic surgeons should be confi dent in the assumption that one in six women have a history of physical abuse, and that one in 50 injured women will present to the clinic as a direct result of IPV. Our fi ndings warrant serious consideration for fracture clinics to improve identifi cation of, respond to, and provide referral services for, victims of IPV. Funding: Orthopaedic Trauma Association, Canadian Orthopaedic Foundation, and the McMaster University Surgical Associates. MB is partly funded by a Canada Research Chair.

Original languageEnglish
Pages (from-to)866-876
Number of pages11
JournalThe Lancet
Volume382
Issue number9895
DOIs
Publication statusPublished - 2013
Externally publishedYes

Bibliographical note

Funding Information:
Research grants were received from McMaster University Surgical Associates, Orthopaedic Trauma Association, and Canadian Orthopaedic Foundation. MB was also partly funded by a Canada Research Chair in Musculoskeletal Trauma (McMaster University, Hamilton, ON, Canada), which is unrelated to the present study.

ASJC Scopus Subject Areas

  • General Medicine

Fingerprint

Dive into the research topics of 'Prevalence of abuse and intimate partner violence surgical evaluation (PRAISE) in orthopaedic fracture clinics: A multinational prevalence study'. Together they form a unique fingerprint.

Cite this