Is Spanish Language a Barrier to Domestic Violence Assessment?
Is Spanish Language a Barrier to Domestic Violence Assessment?
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DOI：
10.1089/jwh.2010.2536
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发表时间：
2011-07-01
影响因子：
3.5
通讯作者：
Breitkopf, Carmen Radecki
中科院分区：
文献类型：
--
作者：
Jatoi, Aminah;Breitkopf, Carmen Radecki
背景：家庭暴力是绝经前妇女受伤的主要原因，每年导致 1000 多名妇女死亡，但很少有医疗保健提供者询问这一问题，理由是包括语言在内的众多障碍。这项研究检验了这样一个假设，即语言实际上对筛查构成了障碍，并且说西班牙语的女性报告的终生筛查率较低。方法：这项研究是一项正在进行的、多诊所站点的宫颈癌预防试验的一部分，其中患者完成了一项基线调查，有西班牙语和英语版本，问题是：“医生或其他医疗保健提供者是否曾问过您有关家庭暴力的问题？”结果：在 2591 名女性中，1017 名（39%）选择用西班牙语完成调查，1574 名（61%）选择用英语完成调查。在整个群体中，有 1137 人（44%）表示曾被问及家庭暴力问题。在完成西班牙语调查的受访者中，这一比例为 47%（终身评估），而在英语受访者中，这一比例出人意料地低至 42%（p = 0.011）。然而，在多变量分析中，这种语言效应被降低到无意义。相反，年龄（特别是 28-34 岁四分位数）、是否怀孕、诊所地点和医疗就诊类型（产后）与终生评估呈正相关。 结论：这项研究发现西班牙语偏好并不是家庭暴力评估的障碍。
Background: Domestic violence is the leading cause of injury to premenopausal women and fatal in over 1000 women annually, but few healthcare providers ask about it, citing numerous barriers, including language. This study tested the hypothesis that language does, in fact, pose a barrier to screening and that Spanish-speaking women report lower lifetime screening rates.Methods: This study was part of an ongoing, multiclinic site, cervical cancer prevention trial in which patients completed a baseline survey, available in both Spanish and English, with the question: "Has a doctor or other healthcare provider ever asked you about domestic violence?" as well as other questions.Results: Of 2591 women, 1017 (39%) chose to complete the survey in Spanish and 1574 (61%) in English. Within the entire group, 1137 (44%) reported having been asked about domestic violence. Among those completing the Spanish survey, this rate was 47% (lifetime assessment), and among English-language respondents, it was surprisingly lower at 42% (p = 0.011). In multivariate analyses, however, this language effect was reduced to nonsignificance. Instead, age (particularly the 28-34-year quartile), having been pregnant, clinic site, and type of medical visit (postpartum) were positively associated with lifetime assessment.Conclusions: This study found a Spanish language preference is not a barrier to domestic violence assessment.