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Purpose
Content Domain - Lifetime and current indicators of physical and sexual abuse from parents, other family, and strangers. Admitted abuse against others. Operational Data Items - ID Letters/ID Numbers, Site, Sub-Provider, Date, Staff Code, Gender, abuse coded in last 30 days, prior to last 30 days, never, refused, don't know: Forced to have sex with family member, Physically hurt by family member, Forced to have sex with partner when respondent did not want to, Forced to have sex with stranger, Sex partner threatened to physically hurt respondent, Sex partner physically hurt respondent, Sex partner hurt respondent in some other way, Used drugs with sex partner for fear of being hurt; additional items to be developed. Citation - Huba, G. J., Melchior, L. A., Staff of The Measurement Group, and Staff of the Washington University HRSA SPNS Cooperative Agreement Project (1996). Module 32: Abuse History Form. Available: www.TheMeasurementGroup.com. Culver City, California: The Measurement Group. Usage - Permission is granted for non-commercial use so long as form is not altered, the copyright is not removed, and a proper citation is made to the instrument. Non-commercial use is use by a not-for-profit organization in which the instrument is not sold. If you have questions about appropriate and proper uses, contact The Measurement Group.
Findings from Evaluating HIV/AIDS Programs Reliability and Validity Studies
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