Ascertainment of intimate partner violence using two abuse measurement frameworks
Ascertainment of intimate partner violence using two abuse measurement frameworks
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DOI：
10.1136/ip.2005.009563
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发表时间：
2006-04-01
影响因子：
3.7
通讯作者：
Martin, DP
中科院分区：
文献类型：
--
作者：
Bonomi, AE;Thompson, RS;Martin, DP
目的：根据两种虐待确定工具以及这些工具之间的一致性来估计亲密伴侣暴力（IPV）的患病率。方法：从健康维护组织中随机抽取 2504 名女性，通过行为风险因素监测调查（BRFSS）中关于身体虐待和性虐待的 5 个问题、由于伴侣威胁和控制行为而产生的恐惧以及女性殴打经历量表（WEB）中的 10 个问题，询问其最近亲密关系中的 IPV 暴露情况。 IPV 患病率根据 BRFSS 和 WEB 以及 WEB+/BRFSS+、WEB-/BRFSS-、WEB-/BRFSS+ 和 WEB+/BRFSS- 的女性比例进行估计。结果：在最近的关系中，BRFSS 上有 14.7% 的女性报告有任何类型的虐待，而 WEB 上这一比例为 7.0%。在 WEB 和 BRFSS 问题的直接比较中，与 10 个 WEB 问题 (42.0%) 相比，在 5 个 BRFSS 问题 (88.4%) 上报告任何 IPV 的受虐妇女比例更高。然而，BRFSS 和 WEB 都确定了一些女性受到虐待，而其他工具可能会忽略这些女性。结论：亲密伴侣暴力发生率取决于女性被问及虐待的方式。如果资源允许，应尝试不止一种虐待确定策略（例如，BRFSS 和 WEB 问题），以便广泛识别尽可能多的认为自己受到虐待的女性。
Objective: To estimate prevalence of intimate partner violence (IPV) according to two abuse ascertainment tools, and agreement between the tools.Methods: 2504 women randomly selected from a health maintenance organization were asked about IPV exposure in their most recent intimate relationship using five questions on physical and sexual abuse, and fear due to partner's threats and controlling behavior from the Behavioral Risk Factor Surveillance Survey (BRFSS) and 10 questions from the Women's Experience with Battering (WEB) scale. IPV prevalence was estimated according to the BRFSS and WEB, and the proportion of women who were WEB+/BRFSS+, WEB-/BRFSS-, WEB-/ BRFSS+, and WEB+/ BRFSS-.Results: In their most recent relationship, 14.7% of women reported abuse of any type on the BRFSS versus 7.0% on the WEB scale. In direct comparisons of the WEB and BRFSS questions, a higher percentage of abused women reported any IPV on the five BRFSS questions (88.4%) compared to the 10 WEB questions (42.0%). However, both the BRFSS and WEB identified some women as abused that would have been missed by the other instrument.Conclusions: Intimate partner violence prevalence depends on how women are asked about abuse. Resources permitting, more than one abuse ascertainment strategy ( for example, both the BRFSS and WEB questions) should be tried in order to broadly identify as many women as possible who interpret themselves as abused.