The Feto-Maternal Health Cost of Intimate Partner Violence Among Delivery-Related Discharges in the United States, 2002-2009

Mulubrhan F. Mogos, Winta N. Araya, Saba W. Masho, Jason L. Salemi, Carol Shieh, Hamisu M. Salihu

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Our purpose was to estimate the national prevalence of intimate partner violence (IPV) among delivery-related discharges and to investigate its association with adverse feto-maternal birth outcomes and delivery-related cost. A retrospective cross-sectional analysis of delivery-related hospital discharges from 2002 to 2009 was conducted using the Nationwide Inpatient Sample (NIS). We used ICD-9-CM codes to identify IPV, covariates, and outcomes. Multivariable logistic regression modeling was used to calculate adjusted odds ratios (OR) and 95% confidence intervals (CI) for the associations between IPV and each outcome. Joinpoint regression was used for trend analysis. During the study period, 3,649 delivery-related discharges were diagnosed with IPV (11.2 per 100,000; 95% CI = [10.0, 12.4]). IPV diagnosis during delivery is associated with stillbirth (AOR = 4.12, 95% CI = [2.75, 6.17]), preterm birth (AOR = 1.97, 95% CI = [1.59, 2.44]), fetal death (AOR = 3.34, 95% CI = [1.99, 5.61]), infant with poor intrauterine growth (AOR = 1.55, 95% CI = [1.01, 2.40]), and increased inpatient hospital care cost (US$5,438.2 vs. US$4,080.1) per each discharge, incurring an additional cost of US$4,955,707 during the study period. IPV occurring during pregnancy has a significant health burden to both the mother and infant. Education about IPV; screening at periodic intervals, including during obstetric visits; and ongoing clinical care could help to reduce or eliminate adverse effects of pregnancy-related IPV. Preventing the lifelong consequences associated with IPV can have a positive effect on the overall health of all women and delivery-related health care cost.

Original languageEnglish (US)
Pages (from-to)444-464
Number of pages21
JournalJournal of Interpersonal Violence
Volume31
Issue number3
DOIs
StatePublished - Feb 1 2016

Fingerprint

Health Care Costs
Confidence Intervals
Inpatients
Mothers
Maternal Health
Intimate Partner Violence
Costs and Cost Analysis
Pregnancy
Fetal Death
Stillbirth
Hospital Costs
Premature Birth
Women's Health
International Classification of Diseases
Obstetrics
Cross-Sectional Studies
Logistic Models
Odds Ratio
Parturition
Delivery of Health Care

Keywords

  • alcohol and drugs
  • alcohol and drugs
  • child abuse
  • domestic violence
  • sexual abuse
  • violence

ASJC Scopus subject areas

  • Clinical Psychology
  • Applied Psychology

Cite this

The Feto-Maternal Health Cost of Intimate Partner Violence Among Delivery-Related Discharges in the United States, 2002-2009. / Mogos, Mulubrhan F.; Araya, Winta N.; Masho, Saba W.; Salemi, Jason L.; Shieh, Carol; Salihu, Hamisu M.

In: Journal of Interpersonal Violence, Vol. 31, No. 3, 01.02.2016, p. 444-464.

Research output: Contribution to journalArticle

Mogos, Mulubrhan F. ; Araya, Winta N. ; Masho, Saba W. ; Salemi, Jason L. ; Shieh, Carol ; Salihu, Hamisu M. / The Feto-Maternal Health Cost of Intimate Partner Violence Among Delivery-Related Discharges in the United States, 2002-2009. In: Journal of Interpersonal Violence. 2016 ; Vol. 31, No. 3. pp. 444-464.
@article{99796533ed0f42aba72f3b9c58170c17,
title = "The Feto-Maternal Health Cost of Intimate Partner Violence Among Delivery-Related Discharges in the United States, 2002-2009",
abstract = "Our purpose was to estimate the national prevalence of intimate partner violence (IPV) among delivery-related discharges and to investigate its association with adverse feto-maternal birth outcomes and delivery-related cost. A retrospective cross-sectional analysis of delivery-related hospital discharges from 2002 to 2009 was conducted using the Nationwide Inpatient Sample (NIS). We used ICD-9-CM codes to identify IPV, covariates, and outcomes. Multivariable logistic regression modeling was used to calculate adjusted odds ratios (OR) and 95{\%} confidence intervals (CI) for the associations between IPV and each outcome. Joinpoint regression was used for trend analysis. During the study period, 3,649 delivery-related discharges were diagnosed with IPV (11.2 per 100,000; 95{\%} CI = [10.0, 12.4]). IPV diagnosis during delivery is associated with stillbirth (AOR = 4.12, 95{\%} CI = [2.75, 6.17]), preterm birth (AOR = 1.97, 95{\%} CI = [1.59, 2.44]), fetal death (AOR = 3.34, 95{\%} CI = [1.99, 5.61]), infant with poor intrauterine growth (AOR = 1.55, 95{\%} CI = [1.01, 2.40]), and increased inpatient hospital care cost (US$5,438.2 vs. US$4,080.1) per each discharge, incurring an additional cost of US$4,955,707 during the study period. IPV occurring during pregnancy has a significant health burden to both the mother and infant. Education about IPV; screening at periodic intervals, including during obstetric visits; and ongoing clinical care could help to reduce or eliminate adverse effects of pregnancy-related IPV. Preventing the lifelong consequences associated with IPV can have a positive effect on the overall health of all women and delivery-related health care cost.",
keywords = "alcohol and drugs, alcohol and drugs, child abuse, domestic violence, sexual abuse, violence",
author = "Mogos, {Mulubrhan F.} and Araya, {Winta N.} and Masho, {Saba W.} and Salemi, {Jason L.} and Carol Shieh and Salihu, {Hamisu M.}",
year = "2016",
month = "2",
day = "1",
doi = "10.1177/0886260514555869",
language = "English (US)",
volume = "31",
pages = "444--464",
journal = "Journal of Interpersonal Violence",
issn = "0886-2605",
publisher = "SAGE Publications Inc.",
number = "3",

}

TY - JOUR

T1 - The Feto-Maternal Health Cost of Intimate Partner Violence Among Delivery-Related Discharges in the United States, 2002-2009

AU - Mogos, Mulubrhan F.

AU - Araya, Winta N.

AU - Masho, Saba W.

AU - Salemi, Jason L.

AU - Shieh, Carol

AU - Salihu, Hamisu M.

PY - 2016/2/1

Y1 - 2016/2/1

N2 - Our purpose was to estimate the national prevalence of intimate partner violence (IPV) among delivery-related discharges and to investigate its association with adverse feto-maternal birth outcomes and delivery-related cost. A retrospective cross-sectional analysis of delivery-related hospital discharges from 2002 to 2009 was conducted using the Nationwide Inpatient Sample (NIS). We used ICD-9-CM codes to identify IPV, covariates, and outcomes. Multivariable logistic regression modeling was used to calculate adjusted odds ratios (OR) and 95% confidence intervals (CI) for the associations between IPV and each outcome. Joinpoint regression was used for trend analysis. During the study period, 3,649 delivery-related discharges were diagnosed with IPV (11.2 per 100,000; 95% CI = [10.0, 12.4]). IPV diagnosis during delivery is associated with stillbirth (AOR = 4.12, 95% CI = [2.75, 6.17]), preterm birth (AOR = 1.97, 95% CI = [1.59, 2.44]), fetal death (AOR = 3.34, 95% CI = [1.99, 5.61]), infant with poor intrauterine growth (AOR = 1.55, 95% CI = [1.01, 2.40]), and increased inpatient hospital care cost (US$5,438.2 vs. US$4,080.1) per each discharge, incurring an additional cost of US$4,955,707 during the study period. IPV occurring during pregnancy has a significant health burden to both the mother and infant. Education about IPV; screening at periodic intervals, including during obstetric visits; and ongoing clinical care could help to reduce or eliminate adverse effects of pregnancy-related IPV. Preventing the lifelong consequences associated with IPV can have a positive effect on the overall health of all women and delivery-related health care cost.

AB - Our purpose was to estimate the national prevalence of intimate partner violence (IPV) among delivery-related discharges and to investigate its association with adverse feto-maternal birth outcomes and delivery-related cost. A retrospective cross-sectional analysis of delivery-related hospital discharges from 2002 to 2009 was conducted using the Nationwide Inpatient Sample (NIS). We used ICD-9-CM codes to identify IPV, covariates, and outcomes. Multivariable logistic regression modeling was used to calculate adjusted odds ratios (OR) and 95% confidence intervals (CI) for the associations between IPV and each outcome. Joinpoint regression was used for trend analysis. During the study period, 3,649 delivery-related discharges were diagnosed with IPV (11.2 per 100,000; 95% CI = [10.0, 12.4]). IPV diagnosis during delivery is associated with stillbirth (AOR = 4.12, 95% CI = [2.75, 6.17]), preterm birth (AOR = 1.97, 95% CI = [1.59, 2.44]), fetal death (AOR = 3.34, 95% CI = [1.99, 5.61]), infant with poor intrauterine growth (AOR = 1.55, 95% CI = [1.01, 2.40]), and increased inpatient hospital care cost (US$5,438.2 vs. US$4,080.1) per each discharge, incurring an additional cost of US$4,955,707 during the study period. IPV occurring during pregnancy has a significant health burden to both the mother and infant. Education about IPV; screening at periodic intervals, including during obstetric visits; and ongoing clinical care could help to reduce or eliminate adverse effects of pregnancy-related IPV. Preventing the lifelong consequences associated with IPV can have a positive effect on the overall health of all women and delivery-related health care cost.

KW - alcohol and drugs

KW - alcohol and drugs

KW - child abuse

KW - domestic violence

KW - sexual abuse

KW - violence

UR - http://www.scopus.com/inward/record.url?scp=84951817524&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84951817524&partnerID=8YFLogxK

U2 - 10.1177/0886260514555869

DO - 10.1177/0886260514555869

M3 - Article

C2 - 25392375

AN - SCOPUS:84951817524

VL - 31

SP - 444

EP - 464

JO - Journal of Interpersonal Violence

JF - Journal of Interpersonal Violence

SN - 0886-2605

IS - 3

ER -