Evaluation of a two-question screening tool in the detection of intimate partner violence in a primary healthcare setting in South Africa

Introduction: Intimate partner violence has been recognised globally as a human rights violation. It is universally under-diagnosed and the institution of timeous multi-faceted interventions has been noted to benefit intimate partner violence victims. Currently the concept of using a screening tool...

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Autores principales:	A. Saimen, E. Armstrong, C. Manitshana, I. Govender
Formato:	article
Lenguaje:	EN
Publicado:	AOSIS 2016
Materias:	intimate partner violence primary healthcare facility screening tool Medicine R
Acceso en línea:	https://doaj.org/article/57474628e58b40a6bf21155477721333
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spelling	oai:doaj.org-article:57474628e58b40a6bf211554777213332021-11-24T07:44:19ZEvaluation of a two-question screening tool in the detection of intimate partner violence in a primary healthcare setting in South Africa2078-61902078-620410.4102/safp.v58i5.4588https://doaj.org/article/57474628e58b40a6bf211554777213332016-11-01T00:00:00Zhttps://safpj.co.za/index.php/safpj/article/view/4588https://doaj.org/toc/2078-6190https://doaj.org/toc/2078-6204Introduction: Intimate partner violence has been recognised globally as a human rights violation. It is universally under-diagnosed and the institution of timeous multi-faceted interventions has been noted to benefit intimate partner violence victims. Currently the concept of using a screening tool to detect intimate partner violence has not been widely explored in a primary healthcare setting in South Africa, and for this reason the current study was undertaken. The objectives of this study were: (1) to determine the operating characteristics of a two-question screening tool for intimate partner violence (Women Abuse Screening Tool–short); and (2) to estimate the prevalence of intimate partner violence among women attending an outpatient department, using a validated questionnaire (Women Abuse Screening Tool). Methods: A cross-sectional study was conducted prospectively at the outpatient department of a primary care hospital, with systematic sampling of one in eight women over a period of three months. Participants were asked about their experience of intimate partner violence during the past 12 months. The Women Abuse Screening Tool–short was used to screen patients for intimate partner violence. To verify the result of the screening, women were also asked the remaining questions from the full Women Abuse Screening Tool. Results: Data were collected from 400 participants, with a response rate of 99.3%. Based on the results for the Women Abuse Screening Tool, the prevalence of intimate partner violence in the sample was 32%. The Women Abuse Screening Tool–short was shown to have a sensitivity of 45.2% and specificity of 98%. Conclusion: With its high prevalence, intimate partner violence is a health problem at this facility. The Women Abuse Screening Tool–short lacks sufficient sensitivity and therefore is not an ideal screening tool for this primary care ambulatory setting. The low sensitivity can be attributed to the participants’ understanding of the screening questions, which utilise Eurocentric definitions of intimate partner violence. Improvement in the sensitivity of the Women Abuse Screening Tool–short in this setting may be achieved by lowering the threshold for a positive result.A. SaimenE. ArmstrongC. ManitshanaI. GovenderAOSISarticleintimate partner violenceprimary healthcare facilityscreening toolMedicineRENSouth African Family Practice, Vol 58, Iss 5 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	intimate partner violence primary healthcare facility screening tool Medicine R
spellingShingle	intimate partner violence primary healthcare facility screening tool Medicine R A. Saimen E. Armstrong C. Manitshana I. Govender Evaluation of a two-question screening tool in the detection of intimate partner violence in a primary healthcare setting in South Africa
description	Introduction: Intimate partner violence has been recognised globally as a human rights violation. It is universally under-diagnosed and the institution of timeous multi-faceted interventions has been noted to benefit intimate partner violence victims. Currently the concept of using a screening tool to detect intimate partner violence has not been widely explored in a primary healthcare setting in South Africa, and for this reason the current study was undertaken. The objectives of this study were: (1) to determine the operating characteristics of a two-question screening tool for intimate partner violence (Women Abuse Screening Tool–short); and (2) to estimate the prevalence of intimate partner violence among women attending an outpatient department, using a validated questionnaire (Women Abuse Screening Tool). Methods: A cross-sectional study was conducted prospectively at the outpatient department of a primary care hospital, with systematic sampling of one in eight women over a period of three months. Participants were asked about their experience of intimate partner violence during the past 12 months. The Women Abuse Screening Tool–short was used to screen patients for intimate partner violence. To verify the result of the screening, women were also asked the remaining questions from the full Women Abuse Screening Tool. Results: Data were collected from 400 participants, with a response rate of 99.3%. Based on the results for the Women Abuse Screening Tool, the prevalence of intimate partner violence in the sample was 32%. The Women Abuse Screening Tool–short was shown to have a sensitivity of 45.2% and specificity of 98%. Conclusion: With its high prevalence, intimate partner violence is a health problem at this facility. The Women Abuse Screening Tool–short lacks sufficient sensitivity and therefore is not an ideal screening tool for this primary care ambulatory setting. The low sensitivity can be attributed to the participants’ understanding of the screening questions, which utilise Eurocentric definitions of intimate partner violence. Improvement in the sensitivity of the Women Abuse Screening Tool–short in this setting may be achieved by lowering the threshold for a positive result.
format	article
author	A. Saimen E. Armstrong C. Manitshana I. Govender
author_facet	A. Saimen E. Armstrong C. Manitshana I. Govender
author_sort	A. Saimen
title	Evaluation of a two-question screening tool in the detection of intimate partner violence in a primary healthcare setting in South Africa
title_short	Evaluation of a two-question screening tool in the detection of intimate partner violence in a primary healthcare setting in South Africa
title_full	Evaluation of a two-question screening tool in the detection of intimate partner violence in a primary healthcare setting in South Africa
title_fullStr	Evaluation of a two-question screening tool in the detection of intimate partner violence in a primary healthcare setting in South Africa
title_full_unstemmed	Evaluation of a two-question screening tool in the detection of intimate partner violence in a primary healthcare setting in South Africa
title_sort	evaluation of a two-question screening tool in the detection of intimate partner violence in a primary healthcare setting in south africa
publisher	AOSIS
publishDate	2016
url	https://doaj.org/article/57474628e58b40a6bf21155477721333
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Evaluation of a two-question screening tool in the detection of intimate partner violence in a primary healthcare setting in South Africa

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