Do responses to an intimate partner violence screen predict scores on a comprehensive measure of intimate partner violence in low-income black women?

Do responses to an intimate partner violence screen predict scores on a comprehensive measure of intimate partner violence in low-income black women?
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DOI:
10.1067/s0196-0644(03)00718-2
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发表时间:
2003-10-01
影响因子:
6.2
通讯作者:
Kaslow, NJ
Kaslow, NJ
中科院分区:
医学1区
文献类型:
--
作者:
Heron, SL;Thompson, MP;Kaslow, NJ

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研究目的:筛查亲密伴侣暴力已被提倡为急诊科(艾德)程序。本研究旨在确定是否可以有效地使用5项亲密伴侣暴力筛查问卷在11个艾德与低收入黑人women.Methods:数据收集了200名黑人妇女谁回答肯定的至少一个项目的亲密伴侣暴力筛查问卷,普遍的暴力预防筛查协议。这些妇女完成了一系列全面的测量,包括配偶虐待指数,这是一种常用的、在心理测量学上可靠的亲密伴侣暴力测量方法。双变量逻辑回归分析显示,与配偶虐待指数中身体-亲密伴侣暴力分界点以下的妇女相比,在配偶虐待指数上,身体-亲密伴侣暴力分界点以上的妇女更有可能对《普遍预防暴力筛查议定书》中与身体、性、情感虐待;威胁要受到身体伤害;害怕。与低于配偶虐待指数上的非身体亲密伴侣暴力分界点的妇女相比,高于配偶虐待指数上的非身体亲密伴侣暴力分界点的妇女更有可能对《普遍预防暴力筛查议定书》的每个筛查问题回答“是”。2通用暴力预防筛选协议筛选项目有关的身体虐待最好的预测2指数的配偶虐待量表。准确预测身体和非身体虐待的指数配偶虐待需要肯定的回答4个或更多的筛选问题的普遍预防暴力Screening Protocol.Conclusion:一个简短的亲密伴侣暴力筛查设备在紧急护理设置可以识别虐待,低收入,黑人妇女。这项研究受到以下事实的限制:没有进行普遍筛查,只包括承认某种形式的亲密伴侣暴力的妇女,依赖回顾性自我报告,以及调查结果对其他低收入黑人妇女群体的普遍性令人怀疑。
Study objectives: Screening for intimate partner violence has been advocated as an emergency department (ED) procedure. This study aimed to ascertain whether a 5-item intimate partner violence screening questionnaire could be used effectively in 11 the ED with low-income black women to accurately predict partner abuse status.Methods: Data were collected from 200 black women who answered in the affirmative to at least I item on the intimate partner violence screener questionnaire, the Universal Violence Prevention Screening Protocol. The women completed a comprehensive battery of measures, including the Index of Spouse Abuse, a commonly used and psychometrically sound measure of intimate partner violence.Results: Bivariate logistic regression analyses revealed that, compared with women below the physical-intimate partner violence cut point on the Index of Spouse Abuse, women above the cut point on physical-intimate partner violence on the Index of Spouse Abuse were more likely to answer yes to Universal Violence Prevention Screening Protocol screening questions related to physical, sexual, and emotional abuse; threats to be harmed physically; and being afraid. Compared with women below the nonphysical-intimate partner violence cut point on the Index of Spouse Abuse, women above the cut point on nonphysical intimate partner violence on the Index of Spouse Abuse were more likely to answer yes to each screening question on the Universal Violence Prevention Screening Protocol. The 2 Universal Violence Prevention Screening Protocol screening items related to physical abuse best predicted the 2 Index of Spouse Abuse scales. Accurate prediction of physical and nonphysical abuse on the Index of Spouse Abuse required affirmative responses to 4 or more screening questions on the Universal Violence Prevention Screening Protocol.Conclusion: A brief intimate partner violence screening device in the emergency care setting can identify abused, low-income, black women. The study is limited by the fact that universal screening was not conducted, the inclusion of only women who acknowledged some form of intimate partner violence, a reliance on retrospective self-reports, and the questionable generalizability of the findings to groups other low-income black women.