Comparison of Modes of Administration of Screens to Identify a History of Childhood Physical Abuse in an Adolescent and Young Adult Population

Background: Childhood physical abuse is a major public health issue with negative consequences to health and well-being manifested in childhood and adolescence, and persisting into adulthood. Yet much childhood physical abuse is not identified when it occurs and little is known about how to screen f...

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Autores principales: Angela Diaz, Ken Peake, Anne Nucci-Sack, Viswanathan Shankar
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Lenguaje:EN
Publicado: Ubiquity Press 2017
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spelling oai:doaj.org-article:bfa7753d722641ff8497aa28b10a33ff2021-12-02T02:58:26ZComparison of Modes of Administration of Screens to Identify a History of Childhood Physical Abuse in an Adolescent and Young Adult Population2214-999610.1016/j.aogh.2017.10.023https://doaj.org/article/bfa7753d722641ff8497aa28b10a33ff2017-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/141https://doaj.org/toc/2214-9996Background: Childhood physical abuse is a major public health issue with negative consequences to health and well-being manifested in childhood and adolescence, and persisting into adulthood. Yet much childhood physical abuse is not identified when it occurs and little is known about how to screen for it. Methods: To address this gap, the effectiveness of 4 modes of administration of screens to identify childhood physical abuse were compared in a sample of 506 adolescents and young adults aged 12-24 years seeking general health services at a primary care clinic. Comparisons were made between paper and pencil screen, audio computer-assisted self-interview screen, face-to-face structured screen (all 3 using the same measure), and face-to-face unstructured interview. Findings: Overall, 44.5% of the sample disclosed that they had been physically abused. Compared to paper and pencil screen, the odds of reporting physical abuse were 1.5 (95% confidence interval [CI]: 0.92, 2.58) and 4.3 (95% CI: 2.49, 7.43) higher among participants using face-to-face structured screen and face-to-face unstructured interview methods, respectively. The face-to-face unstructured interview identified significantly more reports than the paper and pencil screen. Conclusions: Although the unstructured interview was the most effective mode for screening for childhood physical abuse, additional research is needed to confirm whether this holds true in other health care settings. Further research should examine how a health provider's training, experience, and comfort level might influence the identification of physical abuse disclosure in primary care settings using face-to-face unstructured interview.Angela DiazKen PeakeAnne Nucci-SackViswanathan ShankarUbiquity Pressarticleadolescentschildhood physical abusemode of administrationscreening toolyoung adultsInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 83, Iss 5-6, Pp 726-734 (2017)
institution DOAJ
collection DOAJ
language EN
topic adolescents
childhood physical abuse
mode of administration
screening tool
young adults
Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
spellingShingle adolescents
childhood physical abuse
mode of administration
screening tool
young adults
Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
Angela Diaz
Ken Peake
Anne Nucci-Sack
Viswanathan Shankar
Comparison of Modes of Administration of Screens to Identify a History of Childhood Physical Abuse in an Adolescent and Young Adult Population
description Background: Childhood physical abuse is a major public health issue with negative consequences to health and well-being manifested in childhood and adolescence, and persisting into adulthood. Yet much childhood physical abuse is not identified when it occurs and little is known about how to screen for it. Methods: To address this gap, the effectiveness of 4 modes of administration of screens to identify childhood physical abuse were compared in a sample of 506 adolescents and young adults aged 12-24 years seeking general health services at a primary care clinic. Comparisons were made between paper and pencil screen, audio computer-assisted self-interview screen, face-to-face structured screen (all 3 using the same measure), and face-to-face unstructured interview. Findings: Overall, 44.5% of the sample disclosed that they had been physically abused. Compared to paper and pencil screen, the odds of reporting physical abuse were 1.5 (95% confidence interval [CI]: 0.92, 2.58) and 4.3 (95% CI: 2.49, 7.43) higher among participants using face-to-face structured screen and face-to-face unstructured interview methods, respectively. The face-to-face unstructured interview identified significantly more reports than the paper and pencil screen. Conclusions: Although the unstructured interview was the most effective mode for screening for childhood physical abuse, additional research is needed to confirm whether this holds true in other health care settings. Further research should examine how a health provider's training, experience, and comfort level might influence the identification of physical abuse disclosure in primary care settings using face-to-face unstructured interview.
format article
author Angela Diaz
Ken Peake
Anne Nucci-Sack
Viswanathan Shankar
author_facet Angela Diaz
Ken Peake
Anne Nucci-Sack
Viswanathan Shankar
author_sort Angela Diaz
title Comparison of Modes of Administration of Screens to Identify a History of Childhood Physical Abuse in an Adolescent and Young Adult Population
title_short Comparison of Modes of Administration of Screens to Identify a History of Childhood Physical Abuse in an Adolescent and Young Adult Population
title_full Comparison of Modes of Administration of Screens to Identify a History of Childhood Physical Abuse in an Adolescent and Young Adult Population
title_fullStr Comparison of Modes of Administration of Screens to Identify a History of Childhood Physical Abuse in an Adolescent and Young Adult Population
title_full_unstemmed Comparison of Modes of Administration of Screens to Identify a History of Childhood Physical Abuse in an Adolescent and Young Adult Population
title_sort comparison of modes of administration of screens to identify a history of childhood physical abuse in an adolescent and young adult population
publisher Ubiquity Press
publishDate 2017
url https://doaj.org/article/bfa7753d722641ff8497aa28b10a33ff
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AT annenuccisack comparisonofmodesofadministrationofscreenstoidentifyahistoryofchildhoodphysicalabuseinanadolescentandyoungadultpopulation
AT viswanathanshankar comparisonofmodesofadministrationofscreenstoidentifyahistoryofchildhoodphysicalabuseinanadolescentandyoungadultpopulation
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