Evaluating Intimate Partner Violence

Evaluating Intimate Partner Violence
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评估亲密伴侣暴力

DOI:
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发表时间:
2002
影响因子:
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通讯作者:
S. Valente
S. Valente
中科院分区:
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文献类型:
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作者:
L. Schumann;S. Valente

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目的从文化的角度描述亲密伴侣暴力(IPV)的发生、评估和管理,强调非裔美国女性的价值观、优势和卫生保健需求。数据来源回顾已发表的科学文献、美国司法部统计局和国家犯罪受害者调查(NCVS),并补充假设案例。结论暴力是一种社会和公共卫生突发事件,超过10%的人口在一生中受到暴力的影响,22%的女性受到亲密性侵。据报道,每年约有300万至440万女性受到殴打,尽管这是一个较低的估计。无论是性别、年龄还是性取向都不能保护一个人免受IPV的侵袭。暴力犯罪造成220万人已知受伤,住院日和其他费用损失巨大。对实践的影响女性在报告暴力行为时往往犹豫不决;医疗保健专业人员只发现了5%的受虐妇女。女性要忍受数月甚至数年的痛苦,才能得到准确的诊断。临床医生需要对病例的发现、教育、预防和治疗保持警惕。价值观和信仰以及行为规范的文化差异会影响评估、治疗和转介。
Purpose To describe the incidence, assessment, and management of intimate partner violence (IPV) from a cultural perspective emphasizing the values, strengths, and health care needs of African‐American women. Data Sources Review of the published scientific literature, U.S. Bureau of Justice Statistics and the National Crime Victimization Survey (NCVS) supplemented with hypothetical cases. Conclusions Violence is a social and public health emergency affecting over 10% of the population during their lives and 22% of women who are physically assaulted by an intimate. Roughly 3 million to 4.4 million women report being battered annually, although this is a low estimate. Neither gender nor age nor sexual orientation protects one from IPV. Violent crime causes 2.2 million known injuries with a huge cost in hospital days and other expenses. Implications for Practice Women often hesitate to report violence; health care professionals detect as few as 5% of battered women. Women suffer for months and years before accurate diagnosis. Clinicians need to be vigilant in case finding, education, prevention, and treatment. Cultural differences in values and beliefs, and behavioral norms influence evaluation, treatment, and referral.