Screening for partner violence: Direct questioning or self-report?

Screening for partner violence: Direct questioning or self-report?
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DOI:
10.1097/01.aog.0000110245.83404.3d
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发表时间:
2004-02-01
影响因子:
7.2
通讯作者:
Holt, V
Holt, V
中科院分区:
医学2区
文献类型:
--
作者:
Webster, J;Holt, V

文献摘要

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目的:比较自我报告检查表与一套标准的直接问题的有效性,以确定妇女谁是经历家庭partner violence.METHODS:医疗记录进行了审查,为证据的积极合作伙伴暴力的妇女参加皇家布里斯班和妇女医院产前诊所在2002年8月和9月。对记录(n = 1,596)进行了稽查,937份(58.7%)包含两种形式。自我报告核对表确定的伴侣暴力“案件”(151起)多于直接问题(66起),两个工具之间的一致程度仅为“一般”(Kappa系数0.34)。每种方法都确定了7起严重滥用案件,如果只使用一种工具,就会漏掉这些案件。所有的情况下,妇女说,他们害怕他们的合作伙伴使用的直接问题,也确定了使用自我报告清单。结论:自我报告清单是一个有效的替代直接提问,发现妇女谁是经历伴侣暴力,是可以接受的妇女。(C)2004年由美国妇产科医师学会。
OBJECTIVE: To compare the effectiveness of a self-report checklist with a standard set of direct questions in identifying women who are experiencing domestic partner violence.METHODS: Medical records were reviewed for evidence of positive partner violence for women attending the Royal Brisbane and Women's Hospital prenatal clinic between August and September 2002.RESULTS: Records (n = 1,596) were audited, and 937 (58.7%) contained both forms. The self-report check list identified a greater number of "cases" of partner violence (151) than the direct questions (66), with the level of agreement between the two instruments being only "fair" (Kappa coefficient .34). Each of the methods identified 7 cases of major abuse, which would have been missed if only 1 instrument had been used. All cases where women stated that they were afraid of their partner using the direct questions were also identified using the self-report checklist.dCONCLUSION: A self-report checklist is an effective alternative to direct questioning in detecting women who are experiencing partner violence and is acceptable to women. (C) 2004 by The American College of Obstetricians and Gynecologists.