Effect of Type and Severity of Intimate Partner Violence on Women's Health and Service Use: Findings From a Primary Care Trial of Women Afraid of Their Partners
Effect of Type and Severity of Intimate Partner Violence on Women's Health and Service Use: Findings From a Primary Care Trial of Women Afraid of Their Partners
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DOI：
10.1177/0886260512454722
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发表时间：
2013-01-01
影响因子：
2.5
通讯作者：
Gunn, Jane M.
中科院分区：
文献类型：
--
作者：
Hegarty, Kelsey L.;O'Doherty, Lorna J.;Gunn, Jane M.
亲密伴侣暴力对妇女的福祉有重大影响。关于IPV的类型和严重程度与健康结局之间的关系的研究有限。本文介绍了社会人口特征，虐待，健康，安全和使用服务的妇女参加了妇女的虐待和暴力护理（WEAVE）项目的评估经验。我们探讨了虐待类型和严重程度与妇女健康、生活质量和寻求帮助之间的关系。2008年6月至2010年5月期间，向参加澳大利亚52个全科诊所的妇女（16-50岁）邮寄了一份调查，这些妇女报告说，在过去12个月里害怕伴侣。有效率为70.5%（272/386）。在过去12个月中，三分之一（33.0%）的人经历过严重的混合虐待，26.2%的人经历过身体和情感虐待，26.6%的人经历过情感虐待和/或骚扰，2.7%的人经历过身体虐待，12.4%的人在综合虐待量表上得分为阴性。共有31.6%的参与者报告健康状况较差或一般，67.9%的参与者报告社会支持较差。在过去的一年中，三分之一的人看过心理学家（36.6%）或有5次或更多的全科医生访问（34.3%）; 14.7%的人联系了IPV服务; 24.4%的人制定了安全计划。与其他虐待群体相比，尽管使用了更多的药物，咨询和IPV服务，但患有严重联合虐待的妇女的生活质量和心理健康状况较差，并且更有可能因为情绪问题而失去工作。总之，在过去一年中害怕伴侣的妇女，心理健康和生活质量较差，经常参加保健服务，很少参加家庭暴力服务。那些经历严重的身体，情感和性虐待的妇女比经历其他虐待类型的妇女的生活质量和心理健康更差。卫生从业人员应采取的类型和虐待的严重程度为妇女的精神健康问题的历史，以协助获得适当的专家支持。
Intimate partner violence (IPV) has major affects on women's wellbeing. There has been limited investigation of the association between type and severity of IPV and health outcomes. This article describes socio-demographic characteristics, experiences of abuse, health, safety, and use of services in women enrolled in the Women's Evaluation of Abuse and Violence Care (WEAVE) project. We explored associations between type and severity of abuse and women's health, quality of life, and help seeking. Women (aged 16-50 years) attending 52 Australian general practices, reporting fear of partners in last 12 months were mailed a survey between June 2008 and May 2010. Response rate was 70.5% (272/386). In the last 12 months, one third (33.0%) experienced Severe Combined Abuse, 26.2% Physical and Emotional Abuse, 26.6% Emotional Abuse and/or Harassment only, 2.7% Physical Abuse only and 12.4% scored negative on the Composite Abuse Scale. A total of 31.6% of participants reported poor or fair health and 67.9% poor social support. In the last year, one third had seen a psychologist (36.6%) or had 5 or more general practitioner visits (34.3%); 14.7% contacted IPV services; and 24.4% had made a safety plan. Compared to other abuse groups, women with Severe Combined Abuse had poor quality of life and mental health, despite using more medications, counseling, and IPV services and were more likely to have days out of role because of emotional issues. In summary, women who were fearful of partners in the last year, have poor mental health and quality of life, attend health care services frequently, and domestic violence services infrequently. Those women experiencing severe combined physical, emotional, and sexual abuse have poorer quality of life and mental health than women experiencing other abuse types. Health practitioners should take a history of type and severity of abuse for women with mental health issues to assist access to appropriate specialist support.