Diane K. Bohn has been active in the battered women's arena for 9 years as nurse counselor in a hospital-based family violence program, battered women's shelter advocate, author, researcher, and educator of health professionals, and as a CNM in clinical practice, currently with Twin Cities OB-GYN in Shoreview, Minnesota. Her work is focused on the health effects of abuse and battering during pregnancy and the role of the health care professional. She currently holds office as President of the Nursing Network on Violence Against Women, International, and as Chair of the ACNM Domestic Violence Ad Hoc Committee and is Advisory Committee Member/Consultant for the ACNM Special Projects Section Domestic Violence Project.
SEQUELAE OF ABUSE: Health Effects of Childhood Sexual Abuse, Domestic Battering, and Rape
Article first published online: 6 JAN 2011
1996 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 41, Issue 6, pages 442–456, November-December 1996
How to Cite
Bohn, D. K. and Holz, K. A. (1996), SEQUELAE OF ABUSE: Health Effects of Childhood Sexual Abuse, Domestic Battering, and Rape. Journal of Nurse-Midwifery, 41: 442–456. doi: 10.1016/S0091-2182(96)80012-7
- Issue published online: 6 JAN 2011
- Article first published online: 6 JAN 2011
Violence against women is endemic in the United States. One third to one half of all women will experience one or more types of abuse in their lifetime, most often at the hands of a family member or an intimate or formerly intimate partner. One in 12 women is battered during pregnancy. Abuse survivors are disproportionately frequent users of health care services because of acute and chronic physical, somatic, emotional, and behavioral sequelae of abuse. Health care practitioners are often the first contact abuse survivors have with a potentially helping professional. It is, therefore, essential that health care providers learn to identify and to intervene appropriately with survivors of abuse. This article reviews and compares the health effects of three of the most common types of violence against women: childhood sexual abuse, domestic battering, and rape. Sequelae are divided into six categories: physical/medical, somatic, emotional/psychological, social/interpersonal, behavioral/sexual, and pregnancy-related effects. The health effects discussed in this article include research findings, as well as effects noted in clinical practice. Recommendations are made for routine screening of all women for past and current abuse, as well as for intervention strategies.