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Identifying intimate partner violence: comparing the Chinese abuse assessment screen with the Chinese revised conflict tactics scales

  1. A Tiwari1,*,
  2. DYT Fong1,
  3. KL Chan2,
  4. WC Leung3,
  5. B Parker4,
  6. PC Ho5

Article first published online: 6 JUL 2007

DOI: 10.1111/j.1471-0528.2007.01441.x

Issue

BJOG: An International Journal of Obstetrics & Gynaecology

BJOG: An International Journal of Obstetrics & Gynaecology

Volume 114, Issue 9, pages 1065–1071, September 2007

Additional Information

How to Cite

Tiwari, A., Fong, D., Chan, K., Leung, W., Parker, B. and Ho, P. (2007), Identifying intimate partner violence: comparing the Chinese abuse assessment screen with the Chinese revised conflict tactics scales. BJOG: An International Journal of Obstetrics & Gynaecology, 114: 1065–1071. doi: 10.1111/j.1471-0528.2007.01441.x

Author Information

  1. 1

    Department of Nursing Studies, Li Ka Shing Faculty of Medicine

  2. 2

    Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong

  3. 3

    Department of Obstetrics and Gynaecology, Kwong Wah Hospital, Hong Kong

  4. 4

    School of Nursing, University of Virginia, Chavlottesville, USA

  5. 5

    Department of Obstetrics and Gynaecology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong

*Dr A Tiwari, Department of Nursing Studies, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 4/F., William MW Mong Block, 21, Sassoon Road, Pokfulam, Hong Kong. Email afytiwar@hkucc.hku.hk

Publication History

  1. Issue published online: 6 JUL 2007
  2. Article first published online: 6 JUL 2007
  3. Accepted 23 May 2007. Published OnlineEarly 6 July 2007.

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Keywords:

  • Abuse assessment screen;
  • Chinese;
  • intimate partner violence;
  • revised conflict tactics scale

Objective  To assess the measurement accuracy and the utility of the Chinese Abuse Assessment Screen (AAS).

Design  A cross-sectional study.

Setting  An antenatal clinic of a public hospital and a community centre in Hong Kong.

Sample  A total of 257 Chinese women consisting of 100 pregnant women and 157 nonpregnant women.

Method  The Chinese AAS was administered first, followed by the Chinese Revised Conflict Tactics Scales (CTS2). This was performed in the same sitting, and each participant was interviewed once either at an antenatal clinic (for the pregnant women sample) or at a community centre (for the nonpregnant women sample).

Main outcome measures  Estimates of the sensitivity, specificity, positive and negative predictive values and positive and negative likelihood ratios.

Results  Using the Chinese CTS2 as the standard, the specificity estimates of the Chinese AAS for emotional, physical and sexual abuse were ≥89%, while the sensitivity estimates varied from 36.3 to 65.8%. The sensitivity improved in the screening for more severe cases (66.7%). The positive predictive values were ≥80%, and the negative predictive values varied from 66 to 93%. Factors such as the age difference between the couple and the woman’s need for financial assistance were found to be associated with intimate partner violence (IPV).

Conclusion  The Chinese AAS has demonstrated satisfactory measurement accuracy and utility for identifying IPV when the Chinese CTS2 was used as the standard.

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