Implementation of an Intimate Partner Violence Screening Assessment and Referral System in an Academic Women's Imaging Department
Implementation of an Intimate Partner Violence Screening Assessment and Referral System in an Academic Women's Imaging Department
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DOI：
10.1016/j.jacr.2018.12.026
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发表时间：
2019-04-01
影响因子：
4.5
通讯作者：
Lehman, Constance D.
中科院分区：
文献类型：
--
作者：
Narayan, Anand K.;Lopez, Diego B.;Lehman, Constance D.
五分之一的美国妇女报告说，她们一生中曾遭受过亲密伴侣暴力（IPV）。每年有数百万女性接受乳房X光检查，乳房成像中心可能是识别有IPV风险的女性并将她们转介到适当支持服务的理想场所。我们的目的是评估实施一种新的IPV筛查和转诊系统的妇女提出的mammography.Methods：一个问题被添加到摄入问卷（“你觉得安全在你的家？“）适用于2016年至2017年在我们医院门诊乳腺成像站点进行筛查或诊断性乳腺X光检查的成年女性。计算了接受筛查或诊断性乳房X光检查的妇女中感到不安全的比例。进行双变量logistic回归分析，比较基线特征的妇女谁说，他们觉得不安全在家里与妇女谁没有说，他们觉得不安全在home.Results：在所有，99,029检查进行（68,158独特的患者）。在这些患者中，71人表示他们在家中感到不安全（68，158人中的71人，0.1%）。首次接受乳房X光检查的女性更有可能报告在家感到不安全（比值比3.03，95%置信区间1.31-7.06，P = 0.01）。年龄（P = .148），种族（P = .271），孕妇（P = .676），产次（P = .752），初潮年龄（P =.775），乳腺癌史（P =.726.Conclusions：我们的研究结果表明，在放射科IPV的筛查和转诊系统的可行性。
Purpose: One in five US women report that they have been victims of intimate partner violence (IPV) during their lifetime. With millions of women presenting for mammography every year, breast imaging centers may represent ideal venues to identify women at risk for IPV and refer them to appropriate support services. Our purpose was to evaluate implementation of a novel IPV screening and referral system for women presenting for mammography.Methods: A question was added to intake questionnaire ("Do you feel safe in your home?") for adult women presenting for screening or diagnostic mammography from 2016 to 2017 at our hospital outpatient breast imaging sites. The proportion of women presenting for screening or diagnostic mammogram who felt unsafe was calculated. Bivariate logistic regression analyses were performed to compare baseline characteristics of women who stated that they felt unsafe at home versus women who did not state that they felt unsafe at home.Results: In all, 99,029 examinations were performed (68,158 unique patients). Of these patients, 71 stated that they felt unsafe at home (71 of 68,158, 0.1%). Women presenting for their first mammogram were more likely to report feeling unsafe at home (odds ratio 3.03, 95% confidence interval 1.31-7.06, P = .01). No differences were found in age (P = .148), ethnicity (P = .271), gravida (P = .676), parity (P = .752), age at menarche (P = .775), and history of breast cancer (P = .726).Conclusions: Our results demonstrate the feasibility of a screening and referral system for IPV in radiology departments.