@article{ref1,
title="Experience of abuse in primary care patients. Racial and rural differences",
journal="Archives of family medicine",
year="1995",
author="Wagner, P. J. and Mongan, P. and Hamrick, D. and Hendrick, L. K.",
volume="4",
number="11",
pages="956-962",
abstract="OBJECTIVE: To examine the experience of abuse in rural, urban, black, and white women on the following dimensions: prevalence, symptom experience, health status, medical services utilization, and coping mechanisms. DESIGN: Retrospective study using patient interviews. SETTING: Half the subjects were recruited from a large medical university family medicine center and half from a rural family medicine center, both in the Southeast. PATIENTS: Four hundred seven women were interviewed. Groups were distributed as follows: urban white, 24.9% (n = 99); urban black, 25.6% (n = 102); rural white, 11.1% (n = 44); and rural black, 38.4% (n = 153). MAIN OUTCOME MEASURES: Self-report of abuse (sexual, physical, and emotional) was related to symptom history, current health status, medical services utilization, and coping styles. RESULTS: Sixty-six percent of the total sample reported some kind of abuse. Black, rural women reported the least (52.3%). Presence of greater numbers of symptoms, greater medical services utilization, and lower health status were found in the abused population. Abused women used all types of coping mechanisms to a greater extent than non-abused women. Black women were more likely to use confrontation (F = 8.82 [P = .003]), problem solving (F = 8.24 [P = .004]), and reappraisal (F = 4.13 [P = .04]) than white women. Rural women were more likely to use psychological distancing (F = 5.25 [P = .02]) and escape (F = 5.67 [P = .02]) than urban women, although abused women in general use those coping methods more than nonabused women. CONCLUSIONS: The experience of abuse remains similar across black, white, rural, and urban women; however, coping mechanisms appear to be influenced by group membership.<p /> <p>Language: en</p>",
language="en",
issn="1063-3987",
doi="",
url="http://dx.doi.org/"
}