DOMESTIC VIOLENCE AGAINST WOMEN - INCIDENCE AND PREVALENCE IN AN EMERGENCY DEPARTMENT POPULATION
DOMESTIC VIOLENCE AGAINST WOMEN - INCIDENCE AND PREVALENCE IN AN EMERGENCY DEPARTMENT POPULATION
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DOI：
10.1001/jama.273.22.1763
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发表时间：
1995-06-14
影响因子：
120.7
通讯作者：
LOWENSTEIN, SR
中科院分区：
文献类型：
--
作者：
ABBOTT, J;JOHNSON, R;LOWENSTEIN, SR
客观。-确定女性急诊科（艾德）患者中家庭暴力（DV）的发生率、1年患病率和累积患病率。描述性书面调查。设置。-科罗拉多州丹佛市的两个教学急诊室，两个医院免预约诊所和一个私立医院艾德。在30个随机选择的4小时时间段内，833名女性中有648名（78%）同意参加。大多数受访者年轻（中位年龄为34岁）和失业（62%）;一半（49%）的家庭年收入低于10000美元。家庭暴力被定义为男性伴侣的攻击、威胁或恐吓。急性DV（发病率）和过去的DV暴露（1年患病率和累积患病率）进行了测定。在418名目前有男性伴侣的女性中，急性DV的发生率为11.7%（95%置信区间[CI]，8.7%至15.2%）。在这47名遭受急性家庭暴力的妇女中，只有11名（23%）因创伤而接受护理，只有6名（13%）告诉工作人员家庭暴力或被艾德专业人员询问家庭暴力。在230名没有现任伴侣的妇女中，13名（5.6%）报告在过去30天内发生过家庭暴力。对于整个样本，DV暴露的累积终生患病率为54.2%（95% CI，50.2%至58.1%）。暴露于急性或既往DV的女性比未暴露的女性更可能有自杀企图（26% vs 8%; P
Objective.-To determine the incidence, 1-year prevalence, and cumulative prevalence of domestic violence (DV) among female emergency department (ED) patients.Design.-Descriptive written survey.Setting.-Two teaching EDs, two hospital walk-in clinics, and one private hospital ED in Denver, Colo.Participants.-Of 833 women presenting during 30 randomly selected 4-hour time blocks, 648 (78%) agreed to participate. Most respondents were young (median age, 34 years) and unemployed (62%); half (49%) had annual household incomes less than $10 000.Main Outcome Measures.-Domestic violence was defined as an assault, threat, or intimidation by a male partner. Acute DV (incidence) and past DV exposure (1-year prevalence and cumulative prevalence) were determined.Results.-The incidence of acute DV among the 418 women with a current male partner was 11.7% (95% confidence interval [CI], 8.7% to 15.2%). Only 11 (23%) of these 47 women subjected to acute DV presented for care because of trauma, and only six (13%) either told staff about DV or were asked about DV by ED professionals. Among 230 women without current partners, 13 (5.6%) reported an episode of DV within the previous 30 days. For the entire sample, the cumulative lifetime prevalence of DV exposure was 54.2% (95% CI, 50.2% to 58.1%). Women exposed to acute or prior DV were more likely than unexposed women to have made suicide attempts (26% vs 8%; P