The association between intimate partner violence, alcohol and depression in family practice
Gilchrist, Gail, Hegarty, Kelsey, Chondros, Patty, Herrman, Helen and Gunn, Jane (2010) The association between intimate partner violence, alcohol and depression in family practice. BMC Family Practice, 11:72. ISSN 1471-2296 (doi:10.1186/1471-2296-11-72)
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Background: Depressive symptoms, intimate partner violence and hazardous drinking are common among patients attending general practice. Despite the high prevalence of these three problems; the relationship between them remains relatively unexplored.
Methods: This paper explores the association between depressive symptoms, ever being afraid of a partner and hazardous drinking using cross-sectional screening data from 7667 randomly selected patients from a large primary care cohort study of 30 metropolitan and rural general practices in Victoria, Australia. The screening postal survey included the Center for Epidemiological Studies Depression Scale, the Fast Alcohol Screening Test and a screening question from the Composite Abuse Scale on ever being afraid of any intimate partner.
Results: 23.9% met criteria for depressive symptoms. A higher proportion of females than males (20.8% vs. 7.6%) reported ever being afraid of a partner during their lifetime (OR 3.2, 95%CI 2.5 to 4.0) and a lower proportion of females (12%) than males (25%) were hazardous drinkers (OR 0.4; 95%CI 0.4 to 0.5); and a higher proportion of females than males (20.8% vs. 7.6%) reported ever being afraid of a partner during their lifetime (OR 3.2, 95%CI 2.5 to 4.0). Men and women who had ever been afraid of a partner or who were hazardous drinkers had on average higher depressive symptom scores than those who had never been afraid or who were not hazardous drinkers. There was a stronger association between depressive symptoms and ever been afraid of a partner compared to hazardous drinking for both males (ever afraid of partner; Diff 6.87; 95% CI 5.42, 8.33; p < 0.001 vs. hazardous drinking in last year; Diff 1.07, 95% CI 0.21, 1.94; p = 0.015) and females (ever afraid of partner; Diff 5.26; 95% CI 4.55, 5.97; p < 0.001 vs. hazardous drinking in last year; Diff 2.23, 95% CI 1.35, 3.11; p < 0.001), even after adjusting for age group, income, employment status, marital status, living alone and education level.
Conclusions: Strategies to assist primary care doctors to recognise and manage intimate partner violence and hazardous drinking in patients with depression may lead to better outcomes from management of depression in primary care.
|Additional Information:|| Gilchrist et al.: The association between intimate partner violence, alcohol and depression in family practice. BMC Family Practice 2010 11:72. The definitive version can be found at The electronic version of this article is the complete one and can be found online at: http://www.biomedcentral.com/1471-2296/11/72.  © 2010 Gilchrist et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.|
|Uncontrolled Keywords:||intimate partner violence, alcohol, depression|
|Subjects:||H Social Sciences > HN Social history and conditions. Social problems. Social reform|
H Social Sciences > HV Social pathology. Social and public welfare
|School / Department / Research Groups:||School of Health & Social Care|
|Last Modified:||29 Apr 2013 15:24|
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