Health care providers' missed opportunities for preventing femicide.
Health care providers' missed opportunities for preventing femicide.
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卫生保健提供者错失了预防杀害女性的机会。
DOI：
10.1006/pmed.2001.0902
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
Xu,X
中科院分区：
文献类型：
--
作者：
Sharps,PW;Koziol-McLain,J;Campbell,J;McFarlane,J;Sachs,C;Xu,X
亲密伴侣杀害妇女（杀害妇女）是针对妇女的最严重的暴力形式。对一项大型多地点研究进行分析的目的是描述妇女被其亲密伴侣谋杀前一年的保健使用情况，以便确定采取干预措施防止杀害妇女的机会。方法从警方或法医记录中抽取杀害妇女案件样本。参与者（n = 311）是来自美国11个城市的亲密伴侣杀害女性受害者的代理举报人（大多数是女性家庭成员）。在有组织的电话访谈中获得了关于以前的家庭虐待以及受害者和施暴者使用保健和其他帮助机构的情况。结果大多数受害者曾被其伴侣虐待（66%），并曾因伤害或身心健康问题到医疗机构就诊（41%）。在恋爱期间怀孕的女性中，23%的人在怀孕期间遭到伴侣的殴打。在身体健康状况一般或较差的犯罪者中，53%与医生接触，15%的心理健康状况一般或较差的犯罪者因其心理健康问题而看过医生。在有物质问题的犯罪者中，5.4%的人接受过酒精治疗，5.7%的人接受过药物治疗。结论受害者和施暴者与帮助机构的频繁接触为卫生保健提供者预防杀害妇女提供了机会。
BackgroundHomicide of women (femicide) by intimate partners is the most serious form of violence against women. The purpose of this analysis of a larger multisite study was to describe health care use in the year prior to murder of women by their intimate partner in order to identify opportunities for intervention to prevent femicide.MethodsA sample of femicide cases was identified from police or medical examiner records. Participants (n = 311) were proxy informants (most often female family members) of victims of intimate partner femicide from 11 U.S. cities. Information about prior domestic abuse and use of health care and other helping agencies for victims and perpetrators was obtained during structured telephone interviews.ResultsMost victims had been abused by their partners (66%) and had used health care agencies for either injury or physical or mental health problems (41%). Among women who had been pregnant during the relationship, 23% were beaten by partners during pregnancy. Among perpetrators with fair or poor physical health, 53% had contact with physicians and 15% with fair or poor mental health had seen a doctor about their mental health problem. Among perpetrators with substance problems, 5.4% had used alcohol treatment programs and 5.7% had used drug treatment programs.ConclusionsFrequent contacts with helping agencies by victims and perpetrators represent opportunities for the prevention of femicide by health care providers.
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