Intimate partner violence (IPV), defined to include sexual violence, physical violence, and stalking, occurs in approximately 36% of women and 33% of men in the United States, the Task Force members said.
The screening of women of reproductive age is a B recommendation. However, evidence remains insufficient to recommend routine screening for IPV for men, and screening for abuse in elders and vulnerable adult populations received an I statement based on insufficient evidence to assess the balance of risks and benefits, wrote, of the University of Iowa, Iowa City, and her colleagues. Vulnerable adults were defined as those who are not able to protect themselves because of age, disability, or both. The recommendations were published in JAMA.
The Task Force reviewed the available evidence and determined that screening tools can help identify intimate partner violence in women of reproductive age, and that support services can reduce the risk of physical, sexual, and psychological abuse in these women.
In the evidence review accompanying the recommendations,, of the University of North Carolina, Chapel Hill, and her colleagues analyzed data from 30 studies including 14,959 individuals.
They reviewed studies of IPV for adolescents through women in their 40s and identified several screening tools that accurately detected IPV in adult women within the past year: Humiliation, Afraid, Rape, Kick (); Hurt, Insulted, Threaten, Scream ; Extended–Hurt, Insult, Threaten, Scream ( ); artner Violence Screen ( ); and Woman Abuse Screening Tool ( ). The sensitivity of these tools ranged from 65% to 87%, and specificity ranged from 80% to 95%.
Data from three randomized, controlled trials including 3,759 women found no benefit to screening them for IPV over 3-18 months, but no randomized, controlled trials found any harms associated with screening.
In addition, the data showed no evidence that screening reduced IPV or improved quality of life over a 3-18-month period, the researchers noted.
In addition, the Task Force researchers found no reliable screening tools to identify IPV in men or to identify abuse of elders or vulnerable adults in the absence of recognized signs and symptoms of abuse.
The complete recommendations are available online in JAMA, and on the USPSTF website:.
The USPSTF is supported by the Agency for Healthcare Research and Quality. The researchers had no financial conflicts to disclose.
SOURCES: Curry SJ et al. ; Feltner C et al. .