Economic Burden of Child Exposure to Intimate Partner Violence in the United States
Because the effects of children’s exposure to intimate partner violence (IPV) carry long lasting consequences for the affected children, IPV exposure may impose a significant economic burden to localities, states, and society at large, made explicit over the victim’s lifetime and over a wide range of behaviors and outcomes, including use of social services, health and healthcare utilization, educational outcomes, workforce productivity, and criminal behavior. While much research has been conducted on the effect of IPV exposure on multiple short- and long-term outcomes, no research to date has examined the economic burden associated with IPV exposure. Using an incidence-based approach, we estimated the aggregate discounted costs associated with healthcare spending, criminal behavior, and labor market productivity accrued by a 20-year-old victim in 2016 projected to the age of 65, applying a 3% discount rate. The average lifetime costs derived from childhood IPV exposure are estimated to be over $50,000 per victim (2016 U.S. dollars) due to increased healthcare costs ($11,000), increased crime costs ($14,000), and productivity losses ($26,000). Over an annual birth cohort of young adults, these costs amount to over $55 billion nationwide. IPV exposure imposes a substantial economic burden to society at large in the form of increased healthcare costs, increased crime costs, and reduced productivity. This study offers an explicit quantification of substantial lifetime costs, which should encourage policy makers to redouble efforts to reduce the incidence of IPV and successfully ameliorate its effects on IPV-exposed children.
KeywordsIntimate partner violence exposure Domestic violence Economic burden Lifetime costs
Funded through The HealthPath Foundation of Ohio. The contents of this publication do not necessarily reflect the views or policies of the funders, nor does mention of trade names, commercial products, or organizations imply endorsement by The HealthPath Foundation of Ohio.
- Ball, B., Tharp, A. T., Noonan, R. K., Valle, L. A., Hamburger, M. E., & Rosenbluth, B. (2012). Expect respect support groups: preliminary evaluation of a dating violence prevention program for at-risk youth. Violence Against Women, 18(7), 746–762. https://doi.org/10.1177/1077801212455188.CrossRefPubMedGoogle Scholar
- 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. Morbidity and Mortality Weekly Report. Surveillance Summaries, 63(8), 1–18.Google Scholar
- Centers for Disease and Control. (2016). Intimate partner violence: Definitions. Retrieved from https://www.cdc.gov/violenceprevention/intimatepartnerviolence/definitions.html.
- Cohen, J. A., Mannarino, A. P., & Iyengar, S. (2011). Community treatment of posttraumatic stress disorder for children exposed to intimate partner violence: a randomized controlled trial. Archives of Pediatrics & Adolescent Medicine, 165(1), 16–21. https://doi.org/10.1001/archpediatrics.2010.247.CrossRefGoogle Scholar
- Department of Health and Human Services, Centers for Medicare & Medicaid Services, DHHS-CMS. (2012). Health expenditures by age and gender. Retrieved from https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/Age-and-Gender.html.
- Federal Bureau of Investigation. (2011). Crime in the United States, by volume and rate per 100,000 inhabitants, 1991–2010. Retrieved from https://ucr.fbi.gov/crime-in-the-u.s/2010/crime-in-the-u.s.-2010/tables/10tbl01.xls.
- Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V.,…Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/S0749-3797(98)00017-8.CrossRefPubMedGoogle Scholar
- Finkelhor, D., Turner, H., Shattuck, A., & Hamby, S. L. (2015). Prevalence of childhood exposure to violence, crime, and abuse: results from the national survey of children’s exposure to violence. JAMA Pediatrics, 169, 746–754. Retrieved from https://doi.org/10.1001/jamapediatrics.2015.0676.
- Foshee, V. A., Bauman, K. E., Ennett, S. T., Linder, F., Benefield, T., & Suchindran, C. (2004). Assessing the long-term effects of the safe dates program and a booster in preventing and reducing adolescent dating violence victimization and perpetration. American Journal of Public Health, 94(4), 619–624. https://doi.org/10.2105/AJPH.94.4.619.CrossRefPubMedPubMedCentralGoogle Scholar
- Graham-Bermann, S. A. (2011). Evidence-based practices for school-age children exposed to intimate partner violence and evaluation of the Kids’ Club program. In S. A. Graham-Bermann & A. A. Levendosky (Eds.), How intimate partner violence affects children: Developmental research, case studies, and evidence-based intervention (pp. 179–205). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
- Graham-Bermann, S. A., Howell, K. H., Lilly, M., & DeVoe, E. (2011). Mediators and moderators of change in adjustment following intervention for children exposed to intimate partner violence. Journal of Interpersonal Violence, 26(9), 1815–1833. https://doi.org/10.1177/0886260510372931.CrossRefPubMedGoogle Scholar
- Graham-Bermann, S. A., Lynch, S., Banyard, V., DeVoe, E. R., & Halabu, H. (2007). Community-based intervention for children exposed to intimate partner violence: an efficacy trial. Journal of Consulting and Clinical Psychology, 75(2), 199–209. https://doi.org/10.1037/0022-006X.75.2.199.CrossRefPubMedGoogle Scholar
- Graham-Bermann, S. A., Miller-Graff, L. E., Howell, K. H., & Grogan-Kaylor, A. (2015). An efficacy trial of an intervention program for children exposed to intimate partner violence. Child Psychiatry & Human Development, 46(6), 928–939. https://doi.org/10.1007/s10578-015-0532-4.CrossRefGoogle Scholar
- Kitzmann, K. M., Gaylord, N. K., Holt, A. R., & Kenny, E. D. (2003). Child witnesses to domestic violence: a meta-analytic review. Journal of Consulting and Clinical Psychology, 2, 339–352. Retrieved from https://doi.org/10.1037/0022-006X.71.2.339.
- Lieberman, A. F., Ippen, C. G., & Van Horn, P. (2006). Child-parent psychotherapy: 6-month follow-up of a randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 45(8), 913–918. Retrieved from https://doi.org/10.1097/01.chi.0000222784.03735.92.
- Martinez-Torteya, C., Bogat, G. A., Levendosky, A. A., & Von Eye, A. (2016). The influence of prenatal intimate partner violence exposure on hypothalamic-pituitary-adrenal axis reactivity and childhood internalizing and externalizing symptoms. Development and Psychopathology, 28(01), 55–72.CrossRefPubMedGoogle Scholar
- McCollister, K. E., French, M. T., & Fang, H. (2010). The cost of crime to society: New crime-specific estimates for policy and program evaluation. Drug and Alcohol Dependence, 108(1/2), 98–109. Retrieved from https://doi.org/10.1016/j.drugalcdep.2009.12.002.
- McDonald, R., Jouriles, E. N., Ramisetty-Mikler, S., Caetano, R., & Green, C. E. (2006). Estimating the number of American children living in partner-violent families. Journal of Family Psychology, 20, 137–142. Retrieved from https://doi.org/10.1037/0893-322.214.171.124.
- Narayan, A. J., Sapienza, J. K., Monn, A. R., Lingras, K. A., & Masten, A. S. (2015). Risk, vulnerability, and protective processes of parental expressed emotion for children’s peer relationships in contexts of parental violence. Journal of Clinical Child & Adolescent Psychology, 44(4), 676–688.Google Scholar
- Peterson, C., DeGue, S., Florence, C., & Lokey, C. N. (2017). Lifetime economic burden of rape among US adults. American Journal of Preventive Medicine.Google Scholar
- Snyder, H. N. (2012). Arrests in the United States, 1990–2010. U.S. Department of Justice, Office of Justice Programs Bureau of Justice Statistics, NCJ 239423.Google Scholar
- Sousa, C., Herrenkohl, T. I., Moylan, C. A., Tajima, E. A., Klika, J. B., Herrenkohl, R. C., & Russo, M. J. (2011). Longitudinal study on the effects of child abuse and children’s exposure to domestic violence, parent-child attachments, and antisocial behavior in adolescence. Journal of Interpersonal Violence, 26(1), 111–136. https://doi.org/10.1177/0886260510362883.CrossRefPubMedGoogle Scholar
- Tamborini, C. R., Kim, C., & Sakamoto, A. (2015). Education and lifetime earnings in the United States. Demography, 52(4), 1383–1407. Retrieved from https://doi.org/10.1007/s13524-015-0407-0.
- United States Environmental Protection Agency. Guidelines for Preparing Economic Analyses; EPA #240-R-10-001; National Center for Environmental Economics, Office of Policy: Washington, DC, 2010Google Scholar
- Van Horn, P., & Lieberman, A. F. (2006). Child-parent psychotherapy and the Early Trauma Treatment Network: Collaborating to treat infants, toddlers, and preschoolers. In M. M. Feerick & G. B. Silverman (Eds.), Children exposed to violence (pp. 87–105). Baltimore, MD: Paul H. Brookes.Google Scholar
- Wolfe, D. A., Wekerle, C., Scott, K., Straatman, A. L., Grasley, C., & Reitzel-Jaffe, D. (2003). Dating violence prevention with at-risk youth: a controlled outcome evaluation. Journal of Consulting and Clinical Psychology, 71(2), 279–291. https://doi.org/10.1037/0022-006X.71.2.279.CrossRefPubMedGoogle Scholar
- Zhuo, X., Zhang, P., & Hoerger, T. (2010). Lifetime cost of type 2 diabetes in the US—An incidence-based estimate. Abstract Number: 434-PP at The America Diabetes Association, 70th Scientific Session, Orlando, FL, June 25–29, 2010.Google Scholar