Abstract

p r The evidence that intimate partner violence (IPV) affects physical heath on many different dimensions continues to mount. The study y Bhargava et al. in this issue of the American Journal of PreventiveMedicine, which offers a predictivemodel to help identify IPV in healthcare settings, clearly adds to this body of work. They found that almost half (28 of 58) of the diagnoses and telephone complaints that they examined were significantly more common in women with a history of recent IPV than in their matched controls. This creates a challenge in developing a predictive model for the purpose of selectively inquiring about IPV in a healthcare setting. A decision needs to bemade about the relative importance of false positives and false negatives. If we agree that identifying IPV in healthcare settings is important, such a model should be particularly concerned with reducing false negatives even if this substantially reduces the specificity of the model.

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