{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T18:14:24Z","timestamp":1759515264085},"reference-count":19,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,6,2]],"date-time":"2014-06-02T00:00:00Z","timestamp":1401667200000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Domestic violence is common in women and is associated with poorer health\u2010care outcomes. However, no causal pathway has been identified to explain this observation. We have followed a cohort of women to determine whether poorer outcomes can be explained by high rates of default and loss to follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>A prospective cohort study was performed. Institutional ethics approval was obtained. Participants were consecutive patients attending colposcopy clinics at a major metropolitan hospital in <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia. Following ascertainment of domestic violence status, appointment outcomes for colposcopy services were tracked for a 3\u2010year period. Multivariate analysis was undertaken to determine demographic factors associated with default from care and loss to follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 581 women approached, consent was obtained from 574 women (99%). Domestic violence status was obtained from 566 women, of whom 187 (33%) had a recent history of exposure. Women exposed to violence were more likely to default from colposcopy once (26.2% vs 7.4%; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001), twice (11.2% vs 3.2%, <jats:italic>P<\/jats:italic>\u2009=\u20090.0001), or thrice (10.7% vs 2.4%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001). They were more likely to be lost to follow\u2010up (8.0% vs 1.1%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001). In multivariate analysis, exposure to domestic violence remained significantly associated with default and loss to follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Domestic violence is a risk factor for default from attendance and loss to follow\u2010up at colposcopy services. This may explain the mechanism behind adverse health\u2010care outcomes seen. Screening and targeted appointment intervention programs may improve clinical compliance.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12413","type":"journal-article","created":{"date-parts":[[2014,6,3]],"date-time":"2014-06-03T03:14:07Z","timestamp":1401765247000},"page":"1785-1790","source":"Crossref","is-referenced-by-count":5,"title":["Domestic violence is a leading risk factor in default from colposcopy services"],"prefix":"10.1111","volume":"40","author":[{"given":"Rachael","family":"Collier","sequence":"first","affiliation":[{"name":"Institute for Health Research University of Notre Dame Australia  Fremantle Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie A.","family":"Quinlivan","sequence":"additional","affiliation":[{"name":"Institute for Health Research University of Notre Dame Australia  Fremantle Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,6,2]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Violence in Families: Assessing Prevention and Treatment Programs","author":"Chalk R","year":"1998"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/e514172006-001"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1083-3188(00)00078-4"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-005-0079-7"},{"key":"e_1_2_7_6_1","volume-title":"Women's Safety Survey","author":"McLennon W","year":"1996"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.5.589"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-842X.2003.tb00831.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0b013e3182480c2e"},{"key":"e_1_2_7_10_1","unstructured":"Women's Health West.Annual Report 2012\u20132013. Melbourne: Women's Health West;2013ISSN 1834\u2010710X."},{"key":"e_1_2_7_11_1","unstructured":"Australian Bureau of Statistics.Analysis of the regional distribution of relatively disadvantaged areas using 2001 SEIFA June2006(cat. no. 1351.0.55.013). 2006 [Cited 26 November 2013.] Available from URL:http:\/\/www.abs.gov.au\/ausstats\/abs@.nsf\/mf\/1351.0.55.013"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1054\/midw.2001.0279"},{"key":"e_1_2_7_13_1","volume-title":"Routine Screening for Domestic Violence in Health Services","author":"Laing L","year":"2003"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1961.01710120031004"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01594.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0034-89102008005000041"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/89.10.703"},{"key":"e_1_2_7_18_1","first-page":"223","article-title":"Is default from colposcopy a problem, and if so what can we do? 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