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Violent Childhood Experiences and the Risk of Intimate Partner Violence in Adults

Assessment in a Large Health Maintenance Organization

Private Practice in Addiction and Trauma Medicine, Atlanta, GA

Robert F. Anda

Shanta R. Dube

National Center for Chronic Disease Prevention and Health Promotion

Vincent J. Felitti

Southern California Permanente Medical Group

Information about the relationship of experiencing abuse or witnessing domestic violence in childhood to the risk of intimate partner violence (IPV) in adulthood is scant. The relationship of childhood physical or sexual abuse or growing up with a battered mother to the risk of being a victim of IPV for women or a perpetrator for men was studied among 8,629 participants in the Adverse Childhood Experiences Study conducted in a large HMO. Each of the three violent childhood experiences increased the risk of victimization or perpetration of IPV approximately two-fold. A statistically significant graded relationship was found between the number of violent experiences and the risk of IPV. Among persons who had all three forms of violent childhood experiences, the risk of victimization and perpetration was increased 3.5-fold for women and 3.8-fold for men. These data suggest that as part of risk assessment for IPV in adults, screening for a history of childhood abuse or exposure to domestic violence is needed.

Key Words: domestic violence • family violence • childhood trauma • child abuse • screen • protection

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