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Nabila El-Bassel, DSW, Louisa Gilbert, MS, Elwin Wu, PhD, Hyun Go, MA and Jennifer Hill, PhD

Nabila El-Bassel, Louisa Gilbert, Elwin Wu, Hyun Go, and Jennifer Hill are with the Social Intervention Group, Columbia University School of Social Work, New York, NY.

Correspondence: Requests for reprints should be addressed to Nabila El-Bassel, DSW, Social Intervention Group, Columbia University School of Social Work, 1255 Amsterdam Avenue, New York, NY 10025 (e-mail: ne5{at}columbia.edu).

Objectives. We examined whether frequent drug use increases the likelihood of subsequent sexual or physical intimate partner violence (IPV) and whether IPV increases the likelihood of subsequent frequent drug use.

Methods. A random sample of 416 women on methadone was assessed at baseline (wave 1) and at 6 months (wave 2), and 12 months (wave 3) following the initial assessment. Propensity score matching and multiple logistic regression were employed.

Results. Women who reported frequent crack use at wave 2 were more likely than non–drug using women to report IPV at wave 3 (odds ratio [OR]=4.4; 95% confidence interval [CI]=2.1, 9.1; P<.01), and frequent marijuana users at wave 2 were more likely than non–drug users to report IPV at wave 3 (OR=4.5; 95% CI=2.4, 8.4; P<.01). In addition, women who reported IPV at wave 2 were more likely than women who did not report IPV to indicate frequent heroin use at wave 3 (OR=2.7; 95% CI=1.1, 6.5; P=.04).

Conclusions. Our findings suggest that the relationship between frequent drug use and IPV is bidirectional and varies by type of drug.

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