Physical and sexual abuse in women infected with the human immunodeficiency virus -: Increased illness and health care utilization
Physical and sexual abuse in women infected with the human immunodeficiency virus -: Increased illness and health care utilization
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DOI：
10.1001/archinte.160.11.1659
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发表时间：
2000-06-12
影响因子：
--
通讯作者：
Samet, J
中科院分区：
文献类型：
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作者：
Liebschutz, JM;Feinman, G;Samet, J
背景：基于自我报告的数据，身体虐待或性虐待的历史与医疗保健利用率的增加和疾病的可能增加有关。目的：探讨受害经历是否与感染人类免疫缺陷病毒（HN）的妇女中记录的医疗疾病和保健利用的增加有关。方法：我们对在2家城市医院就诊的50名HIV感染妇女的病历资料进行了访谈和回顾。有和没有身体虐待和性虐待史的妇女进行了比较。采用多元回归分析，检查了两个时期：研究开始前的整个生命和随后的2年。检查的特征包括偶发性疾病、慢性病、性传播疾病、慢性疼痛综合征、机会性感染、产科史、受伤次数、外科手术、住院、门诊就诊和急诊就诊。结果：在50名女性中，有34名（68%）发现了身体或性虐待的证据，其中16名（32%）在采访中没有透露自己受到虐待。在入组时，有受虐史的妇女患发作性疾病、慢性疼痛综合征和性传播疾病的比例更高。在两年时，受虐妇女患发作性疾病、慢性疾病、受伤、急诊科就诊和住院的可能性都更高。结论：在感染艾滋病毒的妇女中，身体虐待和性虐待很常见，并与疾病和保健利用的增加有关。
Background: A history of physical or sexual abuse is associated with increased health care utilization and possibly an increase in illness based largely on self-reported data.Objective: To examine whether victimization experience is associated with increases in documented medical disease and health care utilization among women infected with the human immunodeficiency virus (HN).Methods: We interviewed and reviewed medical record data of 50 women seeking initial primary care for HIV infection at 2 urban hospitals. Women with and without a history of physical and sexual abuse were compared. Using multiple regression analysis, 2 periods were examined: entire life before study entry and the subsequent 2 years. The characteristics examined included episodic disease, chronic disease, sexually transmitted disease, chronic pain syndrome, opportunistic infections, obstetrical history, and number of injuries, surgical procedures, hospitalizations, ambulatory care visits, and emergency department visits.Results: Evidence of physical or sexual abuse was found in 34 (68%) of the 50 women, of whom 16 (32%) did not disclose during the interview that they were abused. At entry, the rates of episodic disease, chronic pain syndrome, and sexually transmitted disease were greater among those women with histories of abuse, At 2 years, episodic disease, chronic disease, injuries, emergency department visits, and hospitalizations were all more likely in abused women.Conclusion: Physical and sexual abuse are common and associated with increased medical disease and health care utilization among HIV-infected women.