Intimate partner violence and disabilities among women attending family practice clinics
Intimate partner violence and disabilities among women attending family practice clinics
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DOI：
10.1089/jwh.2005.14.829
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发表时间：
2005-11-01
影响因子：
3.5
通讯作者：
Fadden, MK
中科院分区：
文献类型：
--
作者：
Coker, AL;Smith, PH;Fadden, MK
目的：估计的频率和类型的残疾，防止工作中遇到的亲密伴侣暴力（IPV）与那些从未经历过IPV.Methods：我们使用了一个大型的横断面调查的妇女，年龄18-65岁，参加家庭诊所从1997年到1998年。参与包括一个5-10分钟的诊所调查评估IPV的经验和更长的电话调查评估健康状况和慢性残疾，防止工作以外的家庭或households.Results：在1,152名合格的妇女接受调查，54%的经历了某种类型的IPV，24%的人目前处于暴力关系。曾经历过IPV的女性报告残疾的可能性超过两倍（调整后的比值比[aOR] = 2.2，95%置信区间[CI] 1.6，3.0）。最常报告的残疾是与心脏或循环系统疾病有关的残疾（4.9%），其次是背部问题（3.5%），慢性疼痛（3.4%），关节炎（3.0%），神经系统损伤（2.4%），哮喘或其他呼吸系统问题，包括肺气肿（1.7%），抑郁症（1.6%）或其他精神疾病（1.0%）。曾经历IPV的女性更有可能报告由于全身性慢性疼痛（aOR = 2.5，95% CI 1.5，4.3）和精神疾病（aOR = 4.5，95% CI 1.5，13.1）导致的残疾。IPV相关的伤害与剂量依赖的方式有任何残疾和残疾的慢性疼痛，哮喘和其他呼吸系统疾病，精神疾病，慢性diseases.Conclusions：初级保健为基础的努力，以屏幕IPV和有效的干预，以减少IPV对妇女的生活的影响，必须是公共卫生的优先事项，以减少短期和长期的健康影响，包括残疾。
Purpose: To estimate the frequency and type of disabilities preventing work among those experiencing intimate partner violence (IPV) compared with those never experiencing IPV.Methods: We used a large cross-sectional survey of women, ages 18-65, attending family practice clinics from 1997 through 1998. Participation included a 5-10-minute in-clinic survey assessing IPV experience and a longer telephone survey assessing health status and chronic disabilities that prevented work outside the home or housework.Results: Of 1,152 eligible women surveyed, 54% experienced some type of IPV, and 24% were currently in a violent relationship. Women who had ever experienced IPV were more than twice as likely to report a disability (adjusted odds ratio [aOR] = 2.2, 95% confidence interval [CI] 1.6, 3.0). The most commonly reported disabilities were those associated with heart or circulatory disease (4.9%), followed by back problems (3.5%), chronic pain (3.4%), arthritis (3.0%), nerve system damage (2.4%), asthma or another respiratory problem including emphysema (1.7%), and either depression (1.6%) or another mental illness (1.0%). Women ever experiencing IPV were more likely to report a disability due to generalized chronic pain (aOR = 2.5, 95% CI 1.5, 4.3) and mental illness (aOR = 4.5, 95% CI 1.5, 13.1). IPV-related injuries were associated in a dose-dependent manner with having any disability and with disability from chronic pain, asthma and other respiratory diseases, mental illness, and chronic diseases.Conclusions: Primary care-based efforts to screen for IPV and effectively intervene to reduce the impact of IPV on women's lives must be a public health priority to reduce the short-term and long-term health effects, including disabilities.