Women Veterans and Intimate Partner Violence: Current State of Knowledge and Future Directions
Women Veterans and Intimate Partner Violence: Current State of Knowledge and Future Directions
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DOI：
10.1089/jwh.2013.4513
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发表时间：
2014-04-01
影响因子：
3.5
通讯作者：
Latta, Rachel E.
中科院分区：
文献类型：
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作者：
Gerber, Megan R.;Iverson, Katherine M.;Latta, Rachel E.
亲密伴侣暴力（IPV）是所有人的一个严重的公共卫生问题;然而，经历过IPV的妇女更有可能遭受伤害并报告不良健康后果。越来越多的研究表明，IPV的经验在女性退伍军人（WV）中很常见，特别是那些获得退伍军人健康管理局（VA）服务的人。随着越来越多的女性在军队服役并随后成为退伍军人，临床医生和关心WV的倡导者了解IPV对这一人群的影响至关重要。西弗吉尼亚州有独特的风险因素经历IPV，包括高利率的军事前创伤，以及军事性创伤和创伤后应激障碍（PTSD）。IPV、创伤性脑损伤（TBI）和无家可归的相关性在这一群体中很常见。虽然对WV健康和IPV的研究是新兴的，有证据表明，IPV的结果在多种健康后遗症和增加医疗利用率。在这种情况下，我们接下来讨论VA的临床和政策的影响。一些有针对性的干预和治疗可用于经历IPV的WV，包括循证心理健康服务。弗吉尼亚州是很好的位置，以执行筛选方案西弗吉尼亚州，以促进转介所需的服务和治疗提供内外的设施。随着西弗吉尼亚州人口的扩大，未来的研究将需要确定最佳做法;存在许多调查途径。最后，西弗吉尼亚州是强大的和有弹性的;至关重要的是，那些与他们一起工作的人认识到IPV的证据，并参考所需的服务和循证治疗，以实现基于力量的恢复。
Intimate partner violence (IPV) is a serious public health concern for all; however, women who experience IPV are more likely to sustain injury and report adverse health consequences. An expanding body of research suggests that experience of IPV is common in women veterans (WV), particularly those who access Veterans Health Administration (VA) services. With unprecedented numbers of women serving in the military and subsequently becoming veterans, it is critical that clinicians and advocates caring for WV understand the impact of IPV on this population. WV have unique risk factors for experiencing IPV, including high rates of premilitary trauma, as well as military sexual trauma and posttraumatic stress disorder (PTSD). Correlates of IPV, traumatic brain injury (TBI) and homelessness, are common among this group. Although research on WV health and IPV is emergent, evidence suggests that IPV results in multiple health sequelae and increased healthcare utilization.In this context, we next discuss clinical and policy implications for VA. A number of targeted interventions and treatments are available for WV who experience IPV, including evidence-based mental health services. VA is well situated to implement screening programs for WV to facilitate referral to needed services and treatments available both within and outside its facilities. As the population of WV expands, future research will be needed to determine best practices; many avenues of inquiry exist. Finally, WV are strong and resilient; it is crucial that those who work with them recognize evidence of IPV and refer to needed services and evidence-based treatment to enable strength-based recovery.