{"id":10870,"date":"2021-03-09T16:35:43","date_gmt":"2021-03-09T16:35:43","guid":{"rendered":"https:\/\/thesocietypages.org\/discoveries\/?p=10870"},"modified":"2021-03-16T19:15:32","modified_gmt":"2021-03-16T19:15:32","slug":"avoiding-the-doctor-targets-of-violence-and-health-care","status":"publish","type":"post","link":"https:\/\/thesocietypages.org\/discoveries\/2021\/03\/09\/avoiding-the-doctor-targets-of-violence-and-health-care\/","title":{"rendered":"Avoiding the Doctor: Targets of Violence and Health Care"},"content":{"rendered":"<div class='citation'>\n    <span class='authors'>Keith L. Hullenaar and Michelle Frisco, <\/span><span class='link'><a href=\"https:\/\/doi.org\/10.1177\/0022146520961481\">&ldquo;Understanding the Barriers of Violence Victims\u2019 Health Care Use,&rdquo; <em>Journal of Health and Social Behavior<\/em>,<\/a><\/span><span class='year'> 2020<\/span><\/div>\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/thesocietypages.org\/discoveries\/files\/2021\/03\/Healthcare-seeking.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"400\" src=\"https:\/\/thesocietypages.org\/discoveries\/files\/2021\/03\/Healthcare-seeking-600x400.jpg\" alt=\"\" class=\"wp-image-10873\" srcset=\"https:\/\/thesocietypages.org\/discoveries\/files\/2021\/03\/Healthcare-seeking-600x400.jpg 600w, https:\/\/thesocietypages.org\/discoveries\/files\/2021\/03\/Healthcare-seeking-300x200.jpg 300w, https:\/\/thesocietypages.org\/discoveries\/files\/2021\/03\/Healthcare-seeking-768x512.jpg 768w, https:\/\/thesocietypages.org\/discoveries\/files\/2021\/03\/Healthcare-seeking.jpg 1024w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/a><figcaption><em>Image: The emergency and admitting entrance of a hospital, a tall tan building rising in the background.<\/em> <em>I<\/em>m<em>age courtesy of <a href=\"https:\/\/www.flickr.com\/photos\/34399273@N00\">Chealion<\/a>, <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/2.0\/?ref=ccsearch&amp;atype=rich\">CC BY-NC 2.0.<\/a><\/em><\/figcaption><\/figure>\n\n\n\n<p>Over 3 million Americans were targets, or victims, of violence in 2018. Yet, <a href=\"https:\/\/www.bjs.gov\/content\/pub\/pdf\/ndv0312.pdf\">only half of the targets of nonlethal violence<\/a> seek formal medical care. Why do some targets of violence avoid medical care? <a href=\"https:\/\/sites.psu.edu\/keithhullenaar\/\">Keith L. Hullenaar<\/a> and <a href=\"https:\/\/sociology.la.psu.edu\/people\/mlf112\">Michelle Frisco<\/a> studied how adults make healthcare decisions after suffering injuries in violent incidents.&nbsp;<\/p>\n\n\n\n<p>Using the <a href=\"https:\/\/www.bjs.gov\/index.cfm?ty=dcdetail&amp;iid=245\">National Crime Victimization Survey <\/a>from the past 20 years, the researchers identify three \u201csituational factors\u201d that influence a person\u2019s decision to receive medical care. They find a victim is less likely to seek medical care if they have previously experienced violence, know the person who injured them, or if the incident was sexually violent.&nbsp; In these instances, the target of violence may feel safer avoiding medical care altogether. Unfortunately this holds true even after controlling for race, gender, income, and healthcare coverage, when the individual has serious injuries.<\/p>\n\n\n\n<p><div class=\"pull-this-show\" id=\"pull-this-show-10870-ex1\" style=\"display:none;\"><\/div>The decision to seek medical care is not neutral or obvious in the face of injury but contextualized within relationships, risks, and consequences. While social connections are necessary for wellbeing, negative or abusive relationships can actively harm health. As this research demonstrates, \u201csocial relationships <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3150158\/\">can have a dark side<\/a> for health and health care use.\u201d By understanding the social factors that can limit access to care, healthcare professionals can mitigate these risks and create better care conditions for targets of violence.<span class=\"pull-this-mark\" id=\"pull-this-mark-10870-ex1\" style=\"display:none;\">The decision to seek medical care is not neutral or obvious in the face of injury but contextualized within relationships, risks, and consequences.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Keith L. Hullenaar and Michelle Frisco, &ldquo;Understanding the Barriers of Violence Victims\u2019 Health Care Use,&rdquo; Journal of Health and Social Behavior, 2020 Over 3 million Americans were targets, or victims, of violence in 2018. Yet, only half of the targets of nonlethal violence seek formal medical care. Why do some targets of violence avoid medical [&hellip;]<\/p>\n","protected":false},"author":2106,"featured_media":10873,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[124,55,33,13],"tags":[134838,134839,988,134844,134846,4632,134845,134843,104030],"class_list":["post-10870","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-crime","category-gender","category-health","category-inequality","tag-barriers-to-health-care","tag-crime-victimization","tag-health-care","tag-health-care-seeking","tag-personal-relationships","tag-sexual-violence","tag-targets-of-violence","tag-the-dark-side-of-social","tag-violent-crime"],"jetpack_featured_media_url":"https:\/\/thesocietypages.org\/discoveries\/files\/2021\/03\/Healthcare-seeking.jpg","_links":{"self":[{"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/posts\/10870","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/users\/2106"}],"replies":[{"embeddable":true,"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/comments?post=10870"}],"version-history":[{"count":10,"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/posts\/10870\/revisions"}],"predecessor-version":[{"id":10881,"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/posts\/10870\/revisions\/10881"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/media\/10873"}],"wp:attachment":[{"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/media?parent=10870"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/categories?post=10870"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/tags?post=10870"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}