Correlates of medical and legal help seeking among women reporting intimate partner violence
Correlates of medical and legal help seeking among women reporting intimate partner violence
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DOI：
10.1089/jwh.2007.0460
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发表时间：
2008-01-01
影响因子：
3.5
通讯作者：
Rivara, Frederick P.
中科院分区：
文献类型：
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作者：
Duterte, Erin E.;Bonomi, Amy E.;Rivara, Frederick P.
目的：探讨亲密伴侣暴力(IPV)的类型、严重程度和持续时间与遭受虐待妇女的医疗和法律服务利用之间的关系。方法：从大型健康计划中随机抽取1509名妇女进行电话访谈，以评估(1)自我报告的一生接触IPV类型(身体、性和心理)、严重程度和持续时间和(2)妇女使用医疗和法律服务(民事保护令)的情况。结果：与仅经历过心理虐待的妇女相比，性虐待妇女寻求医疗保健的可能性是前者的1.3倍，接触物理IPV或性IPV的女性寻求法律服务的可能性分别是3.2倍和1.6倍。寻求医疗和法律帮助的比率随着身体虐待妇女的虐待严重程度的增加而增加，寻求法律帮助的比率随着性虐待和心理虐待妇女的虐待严重程度的增加而增加。身体和性的IPV持续时间越长，寻求法律帮助的人数也越多。结论：寻求正式帮助的受虐妇女更容易接触到身体或性IPV，严重的心理IPV，以及严重和持久的身体和性IPV。应考虑努力改善医疗保健和法律系统对IPV的反应。
Objective: To examine the relationship between intimate partner violence (IPV) type, severity, and duration and abused women's use of medical and legal services.Methods: Participants were 1509 randomly sampled women from a large health plan who were interviewed by telephone to assess (1) self-reported lifetime exposure to IPV type (physical, sexual, and psychological), severity, and duration and (2) women's use of medical and legal services (civil protection orders).Results: Compared with women who experienced psychological abuse only, sexually abused women were 1.3 times as likely to seek medical care, and women exposed to physical IPV or sexual IPV were 3.2 times and 1.6 times as likely, respectively, to seek legal services. Rates of medical and legal help seeking increased with increasing abuse severity among physically abused women, and rates of legal help seeking increased with abuse severity among sexually and psychologically abused women. Longer duration of physical and sexual IPV was also found to be associated with increased legal help seeking.Conclusions: Abused women who sought formal help were more likely to be exposed to physical or sexual IPV, severe psychological IPV, and severe and long-lasting physical and sexual IPV. Efforts should be considered to improve the healthcare and legal system's response to IPV.