An evaluation of interventions to decrease intimate partner violence to pregnant women
An evaluation of interventions to decrease intimate partner violence to pregnant women
复制标题
DOI：
10.1046/j.1525-1446.2000.00443.x
复制
发表时间：
2000-11-01
影响因子：
2.1
通讯作者：
Wiist, W
中科院分区：
文献类型：
--
作者：
McFarlane, J;Soeken, K;Wiist, W
防止虐待妇女是国家的优先事项；然而，研究的重点是识别滥用行为，而不是评估干预措施。为了评估简要、咨询和外展三个干预水平的不同效果，在两个城市公共卫生产前诊所完成了一项纵向研究，在产后2个月、6个月、12个月和18个月进行了重复评估访谈。参与者是329名怀孕的、身体受到虐待的西班牙裔妇女。测量了身体虐待和妇女使用社区资源的情况。重复测量方差分析显示，所有干预组的虐待严重程度随时间显著降低（p < 0.001）。分娩后2个月，外展组的暴力得分明显低于单纯咨询组（p, < 0.05），但与简短干预组相比没有显著降低。在6个月、12个月和18个月的随访中，干预组之间没有统计学上的显著差异。为受虐待的孕妇提供外联服务的做法值得进一步研究。然而，虐待筛查本身可能是防止虐待孕妇最有效的干预措施。
Prevention of abuse to women is a national priority; however, research has focused on identification of abuse rather than evaluating interventions. To evaluate the differential effectiveness of three levels of intervention, Brief, Counseling, and Outreach, a longitudinal study with repeated evaluation interviews at 2-, 6-, 12-, and 18-months postdelivery was completed at two urban public health prenatal clinics. The participants were 329 pregnant, physically abused Hispanic women. Both physical abuse and women's use of community resources were measured. Repeated measures ANOVA showed that severity of abuse decreased significantly (p < 0.001) across time for all intervention groups. Violence scores at 2-months postdelivery were significantly lower for the Outreach group (p, < 0.05) compared to the Counseling only group, but not significantly lower than the Brief intervention group. At 6-, 12-, and 18-month follow-up there were no statistically significant differences among the intervention groups. The use of lay outreach for abused pregnant women merits further research. Abuse screening by itself, however, may be the most effective intervention to prevent abuse to pregnant women.