{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T01:29:51Z","timestamp":1792114191491,"version":"4.4.0"},"reference-count":60,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,8,8]],"date-time":"2023-08-08T00:00:00Z","timestamp":1691452800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010001","name":"Federal Office of Rural Health Policy","doi-asserted-by":"publisher","award":["5U1CRH03717"],"award-info":[{"award-number":["5U1CRH03717"]}],"id":[{"id":"10.13039\/100010001","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe rates and predictors of perinatal intimate partner violence (IPV) and rates and predictors of not being screened for abuse among rural and urban IPV victims who gave birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources and Study Setting<\/jats:title><jats:p>This analysis utilized 2016\u20132020 Pregnancy Risk Assessment Monitoring System (PRAMS) data from 45 states and three jurisdictions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>This is a retrospective, cross\u2010sectional study using multistate survey data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Collection\/Extraction Methods<\/jats:title><jats:p>This analysis included 201,413 survey respondents who gave birth in 2016\u20132020 (<jats:italic>n<\/jats:italic>\u2009=\u200942,193 rural and 159,220 urban respondents). We used survey\u2010weighted multivariable logistic regression models, stratified by rural\/urban residence, to estimate adjusted predicted probabilities and 95% confidence intervals (CIs) for two outcomes: (1) self\u2010reported experiences of IPV (physical violence by a current or former intimate partner) and (2) not receiving abuse screening at health care visits before, during, or after pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Principal Findings<\/jats:title><jats:p>Rural residents had a higher prevalence of perinatal IPV (4.6%) than urban residents (3.2%). Rural respondents who were Medicaid beneficiaries, 18\u201335\u2009years old, non\u2010Hispanic white, Hispanic (English\u2010speaking), or American Indian\/Alaska Native had significantly higher predicted probabilities of experiencing perinatal IPV compared with their urban counterparts.<\/jats:p><jats:p>Among respondents who experienced perinatal IPV, predicted probabilities of not receiving abuse screening were 21.3% for rural and 16.5% for urban residents. Predicted probabilities of not being screened for abuse were elevated for rural IPV victims who were Medicaid beneficiaries, 18\u201324\u2009years old, or unmarried, compared to urban IPV victims with those same characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>IPV is more common among rural birthing people, and rural IPV victims are at higher risk of not being screened for abuse compared with their urban peers. IPV prevention and support interventions are needed in rural communities and should focus on universal abuse screening during health care visits and targeted support for those at greatest risk of perinatal IPV.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.14212","type":"journal-article","created":{"date-parts":[[2023,8,8]],"date-time":"2023-08-08T23:44:38Z","timestamp":1691538278000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Rural\/urban differences in rates and predictors of intimate partner violence and abuse screening among pregnant and postpartum United States residents"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5734-9049","authenticated-orcid":false,"given":"Katy Backes","family":"Kozhimannil","sequence":"first","affiliation":[{"name":"Division of Health Policy and Management University of Minnesota Rural Health Research Center, University of Minnesota School of Public Health  Minneapolis Minnesota USA"},{"name":"Division of Health Policy and Management University of Minnesota, University of Minnesota School of Public Health  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily C.","family":"Sheffield","sequence":"additional","affiliation":[{"name":"Division of Health Policy and Management University of Minnesota Rural Health Research Center, University of Minnesota School of Public Health  Minneapolis Minnesota USA"},{"name":"Division of Health Policy and Management University of Minnesota, University of Minnesota School of Public Health  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa H.","family":"Fritz","sequence":"additional","affiliation":[{"name":"Division of Health Policy and Management University of Minnesota Rural Health Research Center, University of Minnesota School of Public Health  Minneapolis Minnesota USA"},{"name":"Division of Health Policy and Management University of Minnesota, University of Minnesota School of Public Health  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie","family":"Henning\u2010Smith","sequence":"additional","affiliation":[{"name":"Division of Health Policy and Management University of Minnesota Rural Health Research Center, University of Minnesota School of Public Health  Minneapolis Minnesota USA"},{"name":"Division of Health Policy and Management University of Minnesota, University of Minnesota School of Public Health  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia D.","family":"Interrante","sequence":"additional","affiliation":[{"name":"Division of Health Policy and Management University of Minnesota Rural Health Research Center, University of Minnesota School of Public Health  Minneapolis Minnesota USA"},{"name":"Division of Health Policy and Management University of Minnesota, University of Minnesota School of Public Health  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0218-9532","authenticated-orcid":false,"given":"Valerie A.","family":"Lewis","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management Gillings School of Global Public Health, University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004567"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2019.8072"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2014.4862"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004361"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.12.1581"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1023\/a:1022589501039"},{"key":"e_1_2_8_8_1","unstructured":"Centers for Disease Control and Prevention (CDC).Diabetes During Pregnancy. 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