Category: Gay / Lesbian / Bisexual / Transgender Issues

Symposium

Disparities in Exposure to Intimate Partner Violence Among Transgender/Gender-Nonconforming Primary Care Patients

Friday, November 17
1:45 PM - 3:15 PM
Location: Sapphire Ballroom B, Level 4, Sapphire Level

Keywords: L / G / B / T | Intimate Partner Aggression
Presentation Type: Symposium

Purpose: We investigated the odds of intimate partner violence (IPV) among primary care patients across sub-groups of transgender and gender non-conforming (TGNC) patients relative to cisgender women.


Methods: Participants completed an IPV screener as part of routine primary care visits at an urban community health center (N=8,210). Electronic medical record data were pooled for all patients who received the IPV screener January 1 – December 31, 2014.


Results: Overall, 3.6% of the sample reported experiencing physical or sexual IPV in the past year. Compared to cisgender women (past-year prevalence 2.7%), all TGNC sub-groups reported elevated odds of physical or sexual IPV, including male-to-female (past-year prevalence 12.1%; adjusted odds ratio 5.0 (2.9, 8.6)), female-to-male (6.6%; 2.4 (1.2, 4.6)), genderqueer (8.2%, 3.1 (1.7, 5.4)), and TGNC not reported (9.1%; 3.7 (2.2, 6.3)). The prevalence of isolation-related IPV and controlling behaviors was also high in some TGNC groups.


Conclusion: Our findings support that IPV is prevalent across a variety of genders. Clinical guidelines for IPV screening should be expanded to include TGNC individuals and not just cisgender women. Future research could explore the complex patterns by which different genders are at increased risk for different types of IPV, and investigate the best ways to screen TGNC patients and support TGNC survivors.

Conall O’Cleirigh

Assistant Professor, Director of Behavioral Medicine
Harvard Medical School, Massachusetts General Hospital, Fenway Institute

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