Characterizing the spatial mismatch between intimate partner violence related healthcare services and arrests in Miami-Dade County, Florida

Authors: Justin Stoler*, University of Miami, Jessica R Williams, University of North Carolina Chapel Hill, Nick Petersen, University of Miami
Topics: Medical and Health Geography
Keywords: violence, health disparities, geodemographics
Session Type: Paper
Day: 4/10/2018
Start / End Time: 12:40 PM / 2:20 PM
Room: Rampart, Sheraton, 5th Floor
Presentation File: No File Uploaded


One in three women worldwide has experienced some form of intimate partner violence (IPV) or non-partner sexual violence. IPV remains understudied in the US due to the fragmentation and decentralization of victim service provision, which often inhibits our understanding of true IPV prevalence at county and state levels. This study compares a density measure of IPV service comprehensiveness by health care providers with IPV arrest rates in Miami-Dade County, Florida. These census tract-level data sets are theorized to respectively serve as proxies for IPV screening practices in health care settings and IPV prevalence. We use spatial regression to first evaluate the spatial mismatch between resources and arrests, and then assess factors associated with a resource disparity score (RDS). RDS was positively associated with percent white and negatively associated with percent black, median age, ethnic heterogeneity, and economic deprivation after controlling for other covariates. These findings indicate that majority black and economically disadvantaged areas are more likely to be under-resourced, while majority white areas are over-resourced. This approach identified Miami-Dade neighborhoods with higher IPV arrest rates that are relatively under-resourced with respect to available IPV screening services. We also highlighted socio-demographic characteristics associated with high disparities between IPV arrests and resources so that IPV assistance and anti-violence programs can better target communities in need.

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