Long-term public healthcare burden associated with intimate partner violence among Canadian women: A cohort study

IF 3.6 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Health Policy Pub Date : 2025-02-21 DOI:10.1016/j.healthpol.2025.105282

Gabriel John Dusing , Beverley M. Essue , Patricia O'Campo , Nicholas Metheny

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Abstract

Intimate partner violence (IPV) is a major global health issue, yet few studies explore its long-term public healthcare burden in countries with universal healthcare systems. This study analyzes this burden among Canadian women using data from the Neighborhood Effects on Health and Wellbeing survey and Ontario Health Insurance Plan (OHIP) records from 2009 to 2020. We employed inverse probability weighting with regression adjustment to estimate differences in cumulative costs and OHIP billings between those reporting exposure to IPV during the survey and those who did not. Our sample included 1,094 women, with 38.12 % reporting IPV exposure via the Hurt, Insult, Threaten, Scream scale. Findings show a significant public healthcare burden due to IPV: women reporting IPV in 2009 had an average of 17 % higher healthcare costs and 41 additional OHIP billings (0.1732;95 % CI: 0.0578–0.2886; 41.23;95 % CI: 12.63–69.82). Policies prioritizing primary prevention and integration of trauma-informed care among healthcare providers are vital to alleviate the long-term burden on public health systems.

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加拿大妇女中与亲密伴侣暴力相关的长期公共医疗负担：一项队列研究

亲密伴侣暴力（IPV）是一个重大的全球卫生问题，但很少有研究探讨其在具有全民医疗保健系统的国家的长期公共卫生负担。本研究利用2009年至2020年社区对健康和福祉的影响调查和安大略省健康保险计划（OHIP）记录的数据，分析了加拿大妇女的这一负担。我们采用逆概率加权和回归调整来估计在调查期间报告暴露于IPV和未报告暴露于IPV的人之间累积成本和OHIP账单的差异。我们的样本包括1094名女性，其中38.12%的人通过伤害、侮辱、威胁、尖叫量表报告了IPV暴露。调查结果显示，IPV造成了严重的公共医疗负担：2009年报告IPV的妇女的医疗费用平均高出17%，OHIP账单增加了41笔(0.1732；95%置信区间：0.0578-0.2886；41.23; 95% ci: 12.63-69.82)。优先考虑初级预防和医疗保健提供者之间创伤知情护理的整合政策对于减轻公共卫生系统的长期负担至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Policy 医学-卫生保健

CiteScore

6.40

自引率

6.10%

发文量

157

审稿时长

3-8 weeks

期刊介绍： Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.