Introduction
This study estimated the U.S. lifetime per-victim cost and economic burden of intimate
partner violence.
Methods
Data from previous studies were combined with 2012 U.S. National Intimate Partner
and Sexual Violence Survey data in a mathematical model. Intimate partner violence
was defined as contact sexual violence, physical violence, or stalking victimization
with related impact (e.g., missed work days). Costs included attributable impaired
health, lost productivity, and criminal justice costs from the societal perspective.
Mean age at first victimization was assessed as 25 years. Future costs were discounted
by 3%. The main outcome measures were the mean per-victim (female and male) and total
population (or economic burden) lifetime cost of intimate partner violence. Secondary
outcome measures were marginal outcome probabilities among victims (e.g., anxiety
disorder) and associated costs. Analysis was conducted in 2017.
Results
The estimated intimate partner violence lifetime cost was $103,767 per female victim
and $23,414 per male victim, or a population economic burden of nearly $3.6 trillion
(2014 US$) over victims’ lifetimes, based on 43 million U.S. adults with victimization
history. This estimate included $2.1 trillion (59% of total) in medical costs, $1.3
trillion (37%) in lost productivity among victims and perpetrators, $73 billion (2%)
in criminal justice activities, and $62 billion (2%) in other costs, including victim
property loss or damage. Government sources pay an estimated $1.3 trillion (37%) of
the lifetime economic burden.
Conclusions
Preventing intimate partner violence is possible and could avoid substantial costs.
These findings can inform the potential benefit of prioritizing prevention, as well
as evaluation of implemented prevention strategies.
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Article info
Publication history
Published online: August 22, 2018
Accepted:
April 17,
2018
Received in revised form:
March 4,
2018
Received:
January 3,
2018
Identification
Copyright
Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine.
