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Maternal and Child Health Journal

, Volume 23, Issue 12, pp 1648–1657 | Cite as

Intimate Partner Violence Around the Time of Pregnancy and Utilization of WIC Services

  • Saba W. Masho
  • Sylvia S. RozarioEmail author
  • Jacquelyn L. Ferrance
Article

Abstract

Objectives

Intimate partner violence (IPV) around the time of pregnancy is a risk factor for adverse pregnancy and birth outcomes. The supplemental nutrition program for women, infants, and children (WIC), available to low income pregnant women, may provide an opportunity to identify victims of IPV and refer them to services. This cross-sectional study aims to determine whether WIC participants are more likely than non-WIC participants to have reported IPV before or during pregnancy in the United States.

Methods

The 2004–2011 National Pregnancy Risk Assessment Monitoring System (PRAMS) survey (n = 319,689) was analyzed in 2015. Self-reported WIC participation, pre-pregnancy IPV, and IPV during pregnancy were examined. The associations between IPV and WIC participation were analyzed using multiple logistic regression and adjusted odds ratios with corresponding 95% confidence intervals were calculated. Subpopulation analysis was conducted, stratified by race/ethnicity.

Results

Nearly half of the study sample received WIC (48.1%), approximately 4% of women reported physical abuse 12 months before their most recent pregnancy, and 3% reported abuse during pregnancy. After adjusting for confounders, women who reported IPV before and during pregnancy had significantly higher odds of WIC utilization compared to women who did not report IPV. However, when stratified by race, the association was only significant for non-Hispanic White women (pre-pregnancy AOR 1.47, 95% CI [1.17, 1.85]; during pregnancy AOR 1.47, 95% CI [1.14, 1.88]).

Conclusions for Practice

There is an association between IPV before and during pregnancy and utilization of WIC. Public health professionals and policy makers should be aware of this association and use this opportunity to screen and address the needs of WIC recipients.

Keywords

Violence exposure Intimate partner violence The supplemental nutrition program for women, infants and children (WIC) Domestic violence Adverse birth outcome 

Notes

Acknowledgements

The authors gratefully acknowledge the Pregnancy Risk Assessment Monitoring System (PRAMS) Working Group for the approval of data analyses. The PRAMS Working Group: Alabama—Izza Afgan, MPH; Alaska—Kathy Perham-Hester, MS, MPH; Arkansas—Mary McGehee, PhD; Colorado—Alyson Shupe, PhD; Connecticut—Jennifer Morin, MPH; Delaware—George Yocher, MS; Florida—Alisa Simon; Georgia—Qun Zheng, MS; Hawaii—Jihae Goo; Illinois—Patricia Kloppenburg, MT (ASCP), MPH; Iowa—Sarah Mauch, MPH; Louisiana—Megan O’Connor, MPH; Maine—Tom Patenaude, MPH; Maryland—vacant; Massachusetts—Emily Lu, MPH; Michigan—Peterson Haak; Minnesota—Mira Grice Sheff, PhD; Mississippi—Brenda Hughes, MPPA; Missouri—David McBride, PhD; Montana—JoAnn Dotson; Nebraska—Brenda Coufal; New Hampshire—David J. Laflamme, PhD, MPH; New Jersey—Lakota Kruse, MD; New Mexico—Oralia Flores; New York State—Anne Radigan; New York City—Candace Mulready-Ward, MPH; North Carolina—Kathleen Jones-Vessey, MS; North Dakota—Sandra Anseth; Ohio—Connie Geidenberger, PhD; Oklahoma—Alicia Lincoln, MSW, MSPH; Oregon—Claudia W. Bingham, MPH; Pennsylvania—Tony Norwood; Rhode Island—Karine Tolentino Monteiro, MPH; South Carolina—Mike Smith, MSPH; Texas—Tanya Guthrie, PhD; Tennessee—Ramona Lainhart, PhD; Utah—Nicole Stone; Vermont—Peggy Brozicevic; Virginia—Christopher Hill, MPH, CPH Washington—Linda Lohdefinck; West Virginia—Melissa Baker, MA; Wisconsin—Christopher Huard; Wyoming—Amy Spieker, MPH; CDC PRAMS Team, Applied Sciences Branch, Division of Reproductive Health

Author Contributions

SWM developed the research question and designed the study. SWM and SSR developed the statistical analysis plan and SSR analyzed the data. All authors participated in reviewing and interpreting the results and contributed substantively to the writing of the manuscript.

Funding

No financial disclosures were reported by the authors of this paper.

Compliance with Ethical Standards

Conflict of interest

None of the authors have conflicts of interest to disclose.

References

  1. Alhusen, J. L., Ray, E., Sharps, P., & Bullock, L. (2015). Intimate partner violence during pregnancy: Maternal and neonatal outcomes. Journal of Women’s Health, 24(1), 100–106.  https://doi.org/10.1089/jwh.2014.4872.CrossRefPubMedPubMedCentralGoogle Scholar
  2. Babitsch, B., Gohl, D., & Lengerke, T. (2012). Re-revisiting Andersen’s behavioral model of health services use: A systematic review of studies from 1998–2011. GMS Psycho Social-Medicine, 9, 1–15.Google Scholar
  3. Bailey, B. A. (2010). Partner violence during pregnancy: Prevalence, effects, screening, and management. International Journal of Women’s Health, 2, 183–197.CrossRefGoogle Scholar
  4. Basile, K. C., Hertz, M. F., & Back, S. E. (2007). Intimate partner violence and sexual violence victimization assessment instruments for use in healthcare settings. Version 1.0. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Retrieved from https://www.cdc.gov/violenceprevention/pdf/ipv/ipvandsvscreening.pdf.
  5. Blumenshine, P., Egerter, S., Barclay, C. J., Cubbin, C., & Braveman, P. A. (2010). Socioeconomic disparities in adverse birth outcomes: A systematic review. American Journal of Preventive Medicine, 39(3), 263–272.  https://doi.org/10.1016/j.amepre.2010.05.012.CrossRefPubMedGoogle Scholar
  6. Bombard, J. M., Dietz, P. M., Galavotti, C., England, L. J., Tong, V. T., Hayes, D. K., et al. (2012). Chronic diseases and related risk factors among low-income mothers. Maternal and Child Health Journal, 16(1), 60–71.CrossRefGoogle Scholar
  7. Breiding, M. J., Smith, S. G., Basile, K. C., Walters, M. L., Chen, J., & Merrick, M. T. (2014). Prevalence and characteristics of sexual violence, stalking and intimate partner violence victimization: National Intimate Partner and Sexual Violence Survey, United States 2011. MMWR, 63(SS08), 1–18.PubMedGoogle Scholar
  8. Campbell, J. C. (2002). Health consequences of intimate partner violence. Lancet, 359(9314), 1331–1336.CrossRefGoogle Scholar
  9. Centers for Disease Control and Prevention. (2013). Intimate partner violence. Retrieved from http://www.cdc.gov/violenceprevention/intimatepartnerviolence/.
  10. Centers for Disease Control and Prevention. (2016). Detailed PRAMS methodology. http://www.cdc.gov/prams/methodology.htm.
  11. Chamberlain, L., & Perham-Hester, K. A. (2000). Physicians’ screening practices for female partner abuse during prenatal visits. Maternal and Child Health Journal, 4(2), 141–148.CrossRefGoogle Scholar
  12. Cho, H. (2012). Racial differences in the prevalence of intimate partner violence against women and associated factors. Journal of Interpersonal Violence, 27, 344–363.  https://doi.org/10.1177/0886260511416469.CrossRefPubMedGoogle Scholar
  13. Chu, S. Y., Goodwin, M. M., & D’Angelo, D. V. (2010). Physical violence against US women around the time of pregnancy, 2004–2007. American Journal of Preventive Medicine, 38(3), 317–322.CrossRefGoogle Scholar
  14. Coker, A. L., Sanderson, M., & Dong, B. (2004). Partner violence during pregnancy and risk of adverse pregnancy outcomes. Pediatric and Perinatal Epidemiology, 18(4), 260–269.  https://doi.org/10.1111/j.1365-3016.2004.00569.x.CrossRefPubMedGoogle Scholar
  15. Crouse, G., Douglas, S., & Hauan, S. (2007). Indicators of welfare dependence: Annual Report to Congress, 2007. Retrieved from https://www.ntis.gov/Search/Home/titleDetail/?abbr=PB2009101363.
  16. Deshpande, N. A., & Lewis-O’Connor, A. (2013). Screening for intimate partner violence during pregnancy. Reviews in Obstetrics and Gynecology, 6(3–4), 141–148.  https://doi.org/10.3909/riog0226.CrossRefPubMedPubMedCentralGoogle Scholar
  17. Flicker, S. M., Cerulli, C., Zhao, X., Tang, W., Watts, A., Xia, Y., et al. (2011). Concomitant forms of abuse and help-seeking behavior among white, African American, and Latina women who experience intimate partner violence. Violence Against Women, 17(8), 1067–1085.CrossRefGoogle Scholar
  18. Ghandour, R. M., Campbell, J. C., & Lloyd, J. (2015). Screening and counseling for intimate partner violence: A vision for the future. J Womens Health, 24(1), 57–61.  https://doi.org/10.1089/jwh.2014.4885.CrossRefGoogle Scholar
  19. Hill, A., Pallitto, C., McCleary-Sills, J., & Garcia-Moreno, C. (2016). A systematic review and meta-analysis of intimate partner violence during pregnancy and selected birth outcomes. International Journal of Gynecology & Obstetrics, 133, 269–276.CrossRefGoogle Scholar
  20. Hoynes, H., Page, M., Stevens, A. (2009). Is WIC a better start? Evaluating WIC’s impact on infant health using program introduction. National Bureau of Economic Research, Working Paper 15589. Retrieved from http://www.nber.org/papers/w15589.pdf.
  21. Jasinski, J. (2004). Pregnancy and domestic violence: A review of the literature. Trauma Violence Abuse, 5(1), 47–64.CrossRefGoogle Scholar
  22. Kotelchuck, M. (1994). An evaluation of the Kessner adequacy of prenatal care index and a proposed adequacy of prenatal care utilization index. American Journal of Public Health, 84(9), 1414–1420.CrossRefGoogle Scholar
  23. Maldonado, G., & Greenland, S. (1993). Simulation study of confounder-selection strategies. American Journal of Epidemiology, 138(11), 923–936.CrossRefGoogle Scholar
  24. Montalvo-Liendo, N. (2008). Cross-cultural factors in disclosure of intimate partner violence: An integrated review. Journal of Advanced Nursing, 65(1), 20–34.  https://doi.org/10.1111/j.1365-2648.2008.04850.x.CrossRefPubMedGoogle Scholar
  25. Ricks, J. L., Cochran, S. D., Arah, O. A., Williams, J. K., & Seeman, T. E. (2016). Food insecurity and intimate partner violence against women: Results from the California Women’s Health Survey. Public Health Nutrition, 19(05), 914–923.CrossRefGoogle Scholar
  26. Romero, V. C., & Pearlman, M. (2012). Maternal mortality due to trauma. Seminars in Perinatology, 36(1), 60–67.  https://doi.org/10.1053/j.semperi.2011.09.012.CrossRefPubMedGoogle Scholar
  27. Scribano, P. V., Stevens, J., & Kaizar, E. (2012). The effects of intimate partner violence before, during, and after pregnancy in nurse visited first time mothers. Maternal and Child Health Journal, 1, 12.  https://doi.org/10.1007/s10995-012-0986-y.CrossRefGoogle Scholar
  28. Sharps, P. W., Laughon, K., & Giangrande, S. K. (2007). Intimate partner violence and the childbearing year: Maternal and infant health consequences. Trauma Violence Abuse, 8(2), 105–116.  https://doi.org/10.1177/1524838007302594.CrossRefPubMedGoogle Scholar
  29. Su, R., Zhu, W., Wei, Y., et al. (2015). Maternal and neonatal outcomes in multiple pregnancy: A multicentre study in the Beijing population. Chronic Diseases and Translational Medicine, 1(4), 197–202.  https://doi.org/10.1016/j.cdtm.2015.08.004.CrossRefPubMedPubMedCentralGoogle Scholar
  30. Sylaska, K. M., & Edwards, K. M. (2014). Disclosure of intimate partner violence to informal social support network members: A review of the literature. Trauma Violence Abuse, 15(1), 3–21.  https://doi.org/10.1177/1524838013496335.CrossRefPubMedGoogle Scholar
  31. The American College of Obstetricians and Gynecologists. (2012). Committee opinion: Intimate Partner Violence. The American Congress of Obstetricians and Gynecologists, 518. Retrieved from http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/Intimate-PartnerViolence.
  32. U.S. Department of Agriculture. (2019). Women, infants, and children (WIC). Retrieved from http://www.fns.usda.gov/wic.
  33. Weinbaum, Z., Stratton, T. L., Chavez, G., Motylewski-Link, C., Barrera, N., & Courtney, J. G. (2001). Female victims of intimate partner physical domestic violence (IPP-DV), California 1998. American Journal of Preventive Medicine, 21(4), 313–319.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Saba W. Masho
    • 1
  • Sylvia S. Rozario
    • 1
    • 2
    Email author
  • Jacquelyn L. Ferrance
    • 1
  1. 1.Department of Family Medicine and Population HealthVirginia Commonwealth UniversityRichmondUSA
  2. 2.Division of Epidemiology, Family Medicine and Population HealthOne Capitol SquareRichmondUSA

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