“But Did You Die?”: Intimate Partner Violence as a Social Determinant of Health

Many Black women experience worsening abuse; however, there is a significant number of women experiencing non-physical forms of abuse, what I term hidden abuse. In one in five domestic violence cases, the fatal or life-threatening event was the first episode of physical violence the woman experienced from their partner, suggesting that some Black women die before they receive help. Violence against Black women requires a systems approach that redresses resource inequities. I attempt to expand upon fundamental cause theory, a systems theory used by social science researchers, to show that intimate partner violence is a social determinant of health. I apply this theory to an autoethnographic case study of hidden abuse. Implications for social work research, practice, and policy include developing, advocating for, and evaluating programs and policies that increase financial instability, affordable housing, and access to community networks and social support for victims of violence.