Identifying domestic violence: cross sectional study in primary care
Identifying domestic violence: cross sectional study in primary care
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DOI：
10.1136/bmj.324.7332.274
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发表时间：
2002-02-02
影响因子：
--
通讯作者：
Feder, G
中科院分区：
文献类型：
--
作者：
Richardson, J;Coid, J;Feder, G
目的：测量参加全科实践的妇女中家庭暴力的患病率;测试家庭暴力经历与人口因素之间的关联;评估全科实践中家庭暴力记录的程度;评估全科医生或执业护士对妇女进行家庭暴力筛查的可接受性。研究背景：哈克尼，伦敦的一般性实践，参与者：1207名参加选定实践的妇女（> 15岁），主要结果测量：对妇女的家庭暴力的流行率。调查问卷中报告的人口因素与家庭暴力之间的关联。家庭暴力在病历中的记录与问卷调查的比较妇女的态度被质疑家庭暴力的全科医生或实习nurs.Results 425/1035妇女（41%，95%置信区间38%至44%）曾经历过身体暴力的合作伙伴或前合作伙伴和160/949（17%，14%至19%）经历了在过去的一年。过去一年中怀孕与当前暴力风险增加相关（调整后的比值比为2.11，1.39至3.19）。在调查表中报告的90名妇女中，有15名（17%）的医疗记录中记录了身体暴力。至少有202/1010（20%）妇女反对筛查家庭暴力。结论随着家庭暴力的高患病率，卫生专业人员应保持高水平的认识，家庭暴力的可能性，特别是影响孕妇，但筛查的情况还没有令人信服。
Objectives To measure the prevalence of domestic Violence among women attending general practice; test the association between experience of domestic violence and demographic factors; evaluate the extent of recording of domestic violence in records held by general practices; and assess acceptability to women of screening for domestic violence by general practitioners or practice nurses.Design Self administered questionnaire survey. Review of medical records.Setting General practices in Hackney, London.Participants 1207 women (> 15 years) attending selected practices.Main outcome measures Prevalence of domestic violence against women. Association between demographic factors and domestic violence reported in questionnaire. Comparison of recording of domestic Violence in medical records with that reported in questionnaire. Attitudes of women towards being questioned about domestic violence by general practitioners or practice nurses.Results 425/1035 women (41%, 95% confidence interval 38% to 44%) had ever experienced physical violence from a partner or former partner and 160/949 (17%, 14% to 19%) had experienced it within the past year. Pregnancy in the past year was associated with an increased risk of current violence (adjusted odds ratio 2.11, 1.39 to 3.19). Physical violence was recorded in the medical records of 15/90 (17%) women who reported it on the questionnaire. At least 202/1010 (20%) women objected to screening for domestic violence.Conclusions With the high prevalence of domestic violence, health professionals should maintain a high level of awareness of the possibility of domestic violence, especially affecting pregnant women, but the case for screening is not yet convincing.