In research and clinical practice, the failure to detect and/or elicit
information about domestic abuse is exacerbated by social, economic,
and cultural factors. Because domestic violence cannot be separated fr
om the cultural and social context in which it occurs, such factors mu
st be integrated into research studies and the development of interven
tions. The National Institutes of Health's expanded guidelines on the
inclusion in its clinical trials of women from all ethnic and racial b
ackgrounds, along with an increased recognition of the importance of s
ocioeconomic and psychosocial factors in health and disease, has stren
gthened efforts to improve prove understanding of domestic violence in
diverse communities. The involvement of researchers from minority com
munities is crucial to the success of such efforts. Study of the relat
ionships among race, ethnicity, culture, and domestic violence must be
fully incorporated into medical school curricula to sensitize student
s and enable them to develop the skills needed to detect more effectiv
ely deal with, and ultimately prevent, family and intimate violence.