Journal of Family Violence

, Volume 22, Issue 5, pp 259–265

Racial Differences in Battered Women’s Experiences and Preferences for Treatment from Physicians

  • L. Kevin Hamberger
  • Bruce Ambuel
  • Clare E. Guse
Original Article


The present study evaluated racial differences in battered women’s experiences and preferences for treatment from physicians when seeking help for abuse-related issues. Prior research revealed unexpected findings that African American women rated certain physician behaviors related to victim blaming and expression of sympathy for the male partner less negatively than White women. The present study found that when potential confounders, such as source of care, education level, and income were controlled, racial differences in approval ratings of physician behaviors almost disappeared. Only one physician behavior—blaming the patient for the abuse—differentiated the two groups. However, despite racial differences, both groups rated the behavior negatively. Other findings were that, overall, African American women are more likely than White women to seek abuse-related health care from emergency and urgent care settings and have fewer preferences for the race of their physician provider. Both White and African American women preferred to see a female physician. Implications of these findings for future research are discussed.


Racial differences Physician interventions Domestic violence Healthcare 


  1. Bent-Goodley, T. B. (2004). Perceptions of domestic violence: A dialogue with African American women. Health & Social Work, 29, 307–316.Google Scholar
  2. Bergman, B., & Brismar, B. (1991). A 5-year follow-up study of 117 battered women. American Journal of Public Health, 81, 1486–1488.PubMedCrossRefGoogle Scholar
  3. Coker, A. L., Smith, P. H., Bethea, L., King, M. R., & McKeown, R. E. (2000). Physical health consequences of physical and psychological intimate partner violence. Archives of Family Medicine, 9, 451–457.PubMedCrossRefGoogle Scholar
  4. Cornelius, L. (1997). The degree of usual provider continuity for African and Latino Americans. Journal of Health Care for the Poor and Underserved, 8, 170–185.PubMedGoogle Scholar
  5. CYTEL Software Corporation. (2001). StatXact 5. Cambridge, MA.Google Scholar
  6. Fitchenbaum, R., & Gyimah-Brempong, K. (1997). The effects of race on the use of physicians’ services. International Journal of Health Services, 27, 139–156.Google Scholar
  7. Gleason, W. J. (1993). Mental disorders in battered women: An empirical study. Violence and Victims, 8, 53–68.PubMedGoogle Scholar
  8. Grumbach, K., Vranizan, K., & Bindman, A. B. (1997). Physician supply and access to care in urban communities. Health Affairs, 16, 71–86.CrossRefGoogle Scholar
  9. Hamberger, L. K., Ambuel, B., Marbella, A., & Donze, J. (1998). Physician interaction with battered women. The women’s perspective. Archives of Family Medicine, 7, 575–582.PubMedCrossRefGoogle Scholar
  10. Hamberger, L. K., & Phelan, M. B. (2004). Domestic violence screening and intervention in medical and mental healthcare settings. New York: Springer.Google Scholar
  11. Hayden, S. R., Barton, E. D., & Hayden, M. (1997). Domestic violence in the emergency department: How do women prefer to disclose and discuss the issues? The Journal of Emergency Medicine, 15, 447–451.PubMedCrossRefGoogle Scholar
  12. Komaromy, M., Grumbach, K., Drake, M., Vranizan, K., Lurie, N., Keane, D., et al. (1996). The role f Black and Hispanic physicians in providing health care for underserved populations. New England Journal of Medicine, 334, 1305–1310.PubMedCrossRefGoogle Scholar
  13. Kyriacou, D. N., Anglin, D., Taliaferro, E., Stone, S., Tubb, T., Linden, J. A., et al. (1999). Risk factors for injury to women from domestic violence. The New England Journal of Medicine, 341, 1892–1898.PubMedCrossRefGoogle Scholar
  14. Larkin, G. L., Hyman, K. B., Mathias, S. R., D’Amico, F., & MacLeod, B. A. (1999). Universal screening for intimate partner violence in the emergency department: Importance of patient and provider factors. Annals of Emergency Medicine, 33, 669–675.PubMedCrossRefGoogle Scholar
  15. McNutt, L., van Ryn, M., Clark, C., & Frasier, I. (2000). Partner violence and medical encounters. African-American women’s perspectives. American Journal of Preventive Medicine, 19, 264–269.PubMedCrossRefGoogle Scholar
  16. Minsky, D., Hamberger, L. K., Pape, D., & Wolff, M. (2005). We’ve had the training, now what? Qualitative analysis of barriers to identification and referral of victims in a healthcare setting. Journal of Interpersonal Violence, 20, 1288–1309.CrossRefGoogle Scholar
  17. Rhee, S., Lyons, T. F., & Payne, B. C. (1979). Patient race and physician performances: Quality of medical care, hospital admissions and hospital stays. Medical Care, 17, 737–746.PubMedCrossRefGoogle Scholar
  18. Rodriguez, M. A., Quiroga, S. S., & Bauer, H. M. (1996). Breaking the silence. Battered women’s perspectives on medical care. Archives of Family Medicine, 5, 153–158.PubMedCrossRefGoogle Scholar
  19. Sleath, B., Rubin, R. H., & Arrey-Wastavino, A. (2000). Physician expression of empathy and positiveness to Hispanic and non-Hispanic White patients during medical encounters. Family Medicine, 32, 91–96.PubMedGoogle Scholar
  20. StataCorp. (2003). Stata statistical software: Release 8.0. College Station, TX: Stata Corporation.Google Scholar
  21. Straus, M. A. (1979). Measuring intrafamily conflict and violence: The Conflict Tactics (CT) scales. Journal of Marriage and the Family, 4, 75–88.CrossRefGoogle Scholar
  22. Straus, M. A. (1990). The conflict tactics scale and its critics: An evaluation and new data on validity and reliability. In M. A. Straus, & R. J. Gelles (Eds.), Physical violence in American families: Risk factors and adaptations to violence in 8,145 families (pp. 31–54). New Brunswick, NJ: Transaction.Google Scholar
  23. Waalen, J., Goodwin, M. M., Spitz, A. M., Petersen, R., & Saltzman, L. E. (2000). Screening for intimate partner violence by health care providers. Barriers and interventions. American Journal of Preventive Medicine, 19, 230–237.PubMedCrossRefGoogle Scholar
  24. Wagner, P. J., & Mongan, P. F. (1998). Validating the concept of abuse: Women’s perceptions of defining behaviors and the effects of emotional abuse on health indicators. Archives of Family Medicine, 7, 25–29.PubMedCrossRefGoogle Scholar
  25. Wisner, C. L., Gilmer, T. P., Saltzman, L. E., & Zink, T. M. (1999). Intimate partner violence against women. Do victims cost health plans more? The Journal of Family Practice, 48, 439–443.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • L. Kevin Hamberger
    • 1
    • 2
  • Bruce Ambuel
    • 1
  • Clare E. Guse
    • 1
  1. 1.Department of Family and Community MedicineMedical College of WisconsinMilwaukeeUSA
  2. 2.Racine Family Practice CenterRacineUSA

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