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Physician Knowledge and Management of Children Exposed to Domestic Violence in Ohio: A Comparison of Pediatricians and Family Physicians

Olmsted Medical Center, Rochester, MN

Robert Siegel, MD

Cincinnati Children’s Hospital and Medical Center, University of Cincinnati, Cincinnati, Ohio

Lei Chen

Division of Environmental Health, University of Cincinnati, Cincinnati, Ohio

Linda Levin, PhD

Division of Biostatitistics, University of Cincinnati, Cincinnati, Ohio

Stephanie Pabst, MEd

Department of Family Medicine, University of Cincinnati, Cincinnati, Ohio

Frank Putnam, MD

Cincinnati Children’s Hospital and Medical Center, Department of Psychiatry, University of Cincinnati, Mayerson Center for Safe and Healthy Children, Cincinnati, Ohio

Active members of the Ohio chapters of American Academy of Family Physicians (FP=1,498) and American Academy of Pediatrics (Ped=1,725) were surveyed about their knowledge and management regarding children exposed to domestic violence (DV). Characteristics of respondents were analyzed by use of Chi-square analysis. Logistic regression was performed to identify predictors of DV knowledge and management. The response rate was 33.3%. Family physicians were more likely to know their local DV agency and recognize the adult symptoms of DV, such as unexplained injury. Pediatricians were more likely to report the child who saw a fight between parents to child protective services. Continuing work to increase physicians’ comfort and ability to assess for DV and manage exposed children is needed.

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