Intimate Partner Violence and Health Care-Seeking Patterns Among Female Users of Urban Adolescent Clinics
Intimate Partner Violence and Health Care-Seeking Patterns Among Female Users of Urban Adolescent Clinics
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DOI：
10.1007/s10995-009-0520-z
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发表时间：
2010-11-01
影响因子：
2.3
通讯作者：
Silverman, Jay G.
中科院分区：
文献类型：
--
作者：
Miller, Elizabeth;Decker, Michele R.;Silverman, Jay G.
评估青少年诊所女性患者中亲密伴侣暴力（IPV）的流行程度及其与求医模式的关系，并检查这些诊所内的IPV筛查和IPV披露模式。对在5家城市青少年诊所就诊的14-20岁女性（N = 448）进行自我管理、匿名、计算机化的调查，询问她们的IPV病史、就诊原因、IPV筛查以及向提供者披露的IPV情况。五分之二（40%）的城市女性青少年门诊患者经历过IPV， 32%报告身体伤害，21%报告性侵害。在IPV幸存者中，45%报告在目前或最近的关系中受到虐待。因生殖健康问题到诊所就诊的人与因其他原因求医的人的IPV患病率同样高。IPV受害与当前健康状况不佳（AOR 1.57, 95% CI 1.03-2.40）和过去一年放弃护理（AOR 2.59, 95% CI 1.20-5.58）相关。最近的IPV受害仅与过去12个月的放弃护理相关（AOR 2.02, 95% CI 1.18-3.46）。少数人（30%）报告曾在临床环境中接受过IPV筛查。IPV受害是普遍存在于女性青少年诊所参加者，无论访问类型，但IPV筛查的提供者似乎很低。报告健康状况不佳和放弃治疗的患者更有可能经历过IPV。需要针对青少年诊所的女性患者进行IPV筛查和干预。
To assess the prevalence of intimate partner violence (IPV) and associations with health care-seeking patterns among female patients of adolescent clinics, and to examine screening for IPV and IPV disclosure patterns within these clinics. A self-administered, anonymous, computerized survey was administered to female clients ages 14-20 years (N = 448) seeking care in five urban adolescent clinics, inquiring about IPV history, reasons for seeking care, and IPV screening by and IPV disclosure to providers. Two in five (40%) female urban adolescent clinic patients had experienced IPV, with 32% reporting physical and 21% reporting sexual victimization. Among IPV survivors, 45% reported abuse in their current or most recent relationship. IPV prevalence was equally high among those visiting clinics for reproductive health concerns as among those seeking care for other reasons. IPV victimization was associated with both poor current health status (AOR 1.57, 95% CI 1.03-2.40) and having foregone care in the past year (AOR 2.59, 95% CI 1.20-5.58). Recent IPV victimization was associated only with past 12 month foregone care (AOR 2.02, 95% CI 1.18-3.46). A minority (30%) reported ever being screened for IPV in a clinical setting. IPV victimization is pervasive among female adolescent clinic attendees regardless of visit type, yet IPV screening by providers appears low. Patients reporting poor health status and foregone care are more likely to have experienced IPV. IPV screening and interventions tailored for female patients of adolescent clinics are needed.