Start Submission Become a Reviewer

Reading: Comparison of Modes of Administration of Screens to Identify a History of Childhood Physical...

Download

A- A+
dyslexia friendly

Original Research

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

Authors:

Angela Diaz ,

Department of Pediatrics and Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY
About Angela
MD, PhD
X close

Ken Peake,

Icahn School of Medicine at Mount Sinai, New York, NY
About Ken
DSW
X close

Anne Nucci-Sack,

Icahn School of Medicine at Mount Sinai, New York, NY
About Anne
MD
X close

Viswanathan Shankar

Albert Einstein College of Medicine, Bronx, NY
About Viswanathan
DrPH
X close

Abstract

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.

How to Cite: Diaz, A. et al. , (2017). Comparison of Modes of Administration of Screens to Identify a History of Childhood Physical Abuse in an Adolescent and Young Adult Population . Annals of Global Health . 83 ( 5-6 ) , pp . 726–734 . DOI: http://doi.org/10.1016/j.aogh.2017.10.023
1
Views
Published on 20 Nov 2017.
Peer Reviewed

Downloads

  • PDF (EN)

    comments powered by Disqus