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- W1968344863 abstract "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.Retrospective study using patient interviews.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.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).Self-report of abuse (sexual, physical, and emotional) was related to symptom history, current health status, medical services utilization, and coping styles.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.The experience of abuse remains similar across black, white, rural, and urban women; however, coping mechanisms appear to be influenced by group membership." @default.
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- W1968344863 date "1995-11-01" @default.
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- W1968344863 title "Experience of abuse in primary care patients. Racial and rural differences" @default.
- W1968344863 doi "https://doi.org/10.1001/archfami.4.11.956" @default.
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