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TDH Booklet4 - Texas Association Against Sexual Assault

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FOREWARD - Call To Action<br />

Studies show that<br />

pregnant women suffer<br />

high rates of abuse with<br />

profound consequences<br />

(including miscarriage)<br />

with homicide the leading<br />

cause of mortality for<br />

women in the pre- and<br />

post delivery time period<br />

of pregnancies.<br />

the public health approach to address violence against women,<br />

emphasizing primary prevention and the intersections of different<br />

forms of violence.<br />

Similarly, the Centers for Disease Control and Prevention<br />

(CDC), the U.S. public health entity within the Department of Health<br />

and Human Services, continues to strengthen its commitment to<br />

ending violence against women through its National Center for<br />

Injury Prevention and Control. 27 The CDC, as the lead agency<br />

responsible for implementing the violence and abuse prevention<br />

related objectives outlined in Healthy People 2010, 28 prioritizes<br />

filling the gaps that impede the public health response to preventing<br />

sexual assault, domestic violence and stalking. 29 Accordingly, they<br />

fund efforts to collect reliable data and evaluate existing and<br />

potential intervention strategies in order to better define risk and<br />

protective factors and widely disseminate information about<br />

effective prevention efforts. The CDC stresses the public health<br />

approach to ending violence, emphasizing multidisciplinary,<br />

community-driven, comprehensive prevention efforts. 30<br />

Figure 1: Health Outcomes of Violence <strong>Against</strong> Women<br />

Partner Abuse<br />

<strong>Sexual</strong> Abuse<br />

Child <strong>Sexual</strong> Abuse<br />

Fatal<br />

Outcomes<br />

Nonfatal Outcomes<br />

• Homicide<br />

• Suicide<br />

• Maternal mortality<br />

• AIDS related<br />

Physical Health<br />

• Injury<br />

• Functional impairment<br />

• Physical symtoms<br />

• Poor subjective health<br />

• Permanent disabilty<br />

• Severe obesity<br />

Negative Health<br />

Behaviors<br />

• Smoking<br />

• Alcohol and drug abuse<br />

• <strong>Sexual</strong> risk-taking<br />

• Phyisical inactivity<br />

• Overeating<br />

Source: Center for Health and Gender Equity (CHAGE) Population Report<br />

Chronic Conditions<br />

• Chronic pain syndromes<br />

• Irritable bowel<br />

syndrome<br />

• Gastrointestinal<br />

disorders<br />

• Somatic complaints<br />

• Fibromyalgia<br />

Reproductive Health<br />

• Unwanted pregnancy<br />

• STD/HIV<br />

• Gynecological disorders<br />

• Unsafe abortion<br />

• Pregnancy<br />

complications<br />

• Miscarriage/low birth<br />

weight<br />

• Pelvic inflammatory<br />

disease<br />

Mental Health<br />

• Post-traumatic stress<br />

• Depression<br />

• Anxiety<br />

• Phobias/panic disorder<br />

• Eating disorders<br />

• <strong>Sexual</strong> dysfunction<br />

• Low self-esteem<br />

• Substance abuse<br />

17 A STRATEGIC PLAN TO PREVENT VIOLENCE AGAINST WOMEN IN TEXAS

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