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{
    "pk": 16189,
    "title": "Intimate Partner Violence, Sexual Assault, and Child Abuse Resource Utilization During COVID-19",
    "subtitle": null,
    "abstract": "Introduction: Key measures in preventing spread of the virus that causes coronavirus disease 2019 (COVID-19) are social distancing and stay-at-home mandates. These measures along with other stressors have the potential to increase incidences of intimate partner violence (IPV), sexual assault, and child maltreatment.\nMethods: We performed a retrospective review of county police dispatches, emergency department (ED) visits, Sexual Assault Nurse Examiner (SANE) consults, Domestic Violence Healthcare Project (DVHP) team consults, and Child Protection Team consults at a large, tertiary, Level I trauma center. We queried International Classification of Diseases Revision 10 codes most specific to IPV, sexual assault, and child maltreatment  from March–October 2020 compared to 2019. Similarly, the number of consults performed by SANE, DVHP, and our Child Protection Team were collected. We compared all ED visits and consultations to total ED visits for the reviewed time period. Finally, the total number of calls and referrals to a child advocacy center and resource call line for victims were recorded during this timeframe.\nResults: Police dispatches for IPV-related assaults increased by 266 reports from 2019 to 2020 (P = 0.015). Emergency department visits related to IPV increased from 0.11% of visits in 2019 to 0.15% in 2020 (P = 0.032), and DVHP consults increased from 0.31% in 2019 to 0.48% in 2020 of ED visits in the first three months (P < 0.001). Child maltreatment visits increased from 0.47% of visits in 2019 to 0.81% of visits in 2020 (P = 0.028), and a higher percentage of patients required Child Protection team consults from 1% in 2019 to 1.6% in 2020 (P = 0.004). Sexual assault-related visits and SANE consults both showed a small increase that was not statistically significant. Fewer calls and referrals were made to our child advocacy center and resource call line, decreasing by 99 referrals and 252 calls, respectively.\nConclusion: Despite decreased ED volumes throughout the pandemic, we observed an increase in police dispatches, ED visits, and utilization of hospital consult services related to IPV and child maltreatment following the initiation of stay-at-home orders. However, use of community resources, such as the local child advocacy center, declined.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Intimate partner violence, social distancing, child maltreatment, sexual assault, COVID-19 pandemic"
        }
    ],
    "section": "Injury Prevention and Population Health",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/3vr5n9hw",
    "frozenauthors": [
        {
            "first_name": "Jennifer",
            "middle_name": "",
            "last_name": "Pallansch",
            "name_suffix": "",
            "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana",
            "department": "None"
        },
        {
            "first_name": "Claire",
            "middle_name": "",
            "last_name": "Milam",
            "name_suffix": "",
            "institution": "Medical University of South Carolina, Department of Emergency Medicine, Charleston, South Carolina",
            "department": "None"
        },
        {
            "first_name": "Kendra",
            "middle_name": "",
            "last_name": "Ham",
            "name_suffix": "",
            "institution": "Levine Children’s Hospital, Atrium Health Carolinas Medical Center, Charlotte, North Carolina",
            "department": "None"
        },
        {
            "first_name": "Patricia",
            "middle_name": "",
            "last_name": "Morgan",
            "name_suffix": "",
            "institution": "Levine Children’s Hospital, Atrium Health Carolinas Medical Center, Charlotte, North Carolina",
            "department": "None"
        },
        {
            "first_name": "John",
            "middle_name": "",
            "last_name": "Manning",
            "name_suffix": "",
            "institution": "Levine Children’s Hospital, Atrium Health Carolinas Medical Center, Charlotte, North Carolina",
            "department": "None"
        },
        {
            "first_name": "Jessica",
            "middle_name": "",
            "last_name": "Salzman",
            "name_suffix": "",
            "institution": "Levine Children’s Hospital, Atrium Health Carolinas Medical Center, Charlotte, North Carolina",
            "department": "None"
        },
        {
            "first_name": "Kathryn",
            "middle_name": "",
            "last_name": "Kopec",
            "name_suffix": "",
            "institution": "Levine Children’s Hospital, Atrium Health Carolinas Medical Center, Charlotte, North Carolina",
            "department": "None"
        },
        {
            "first_name": "Margaret",
            "middle_name": "",
            "last_name": "Lewis",
            "name_suffix": "",
            "institution": "Levine Children’s Hospital, Atrium Health Carolinas Medical Center, Charlotte, North Carolina",
            "department": "None"
        }
    ],
    "date_submitted": "2021-12-16T20:12:52Z",
    "date_accepted": "2021-12-16T20:12:52Z",
    "date_published": "2022-07-11T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/16189/galley/8119/download/"
        }
    ]
}