A family planning clinic partner violence intervention to reduce risk associated with reproductive coercion
A family planning clinic partner violence intervention to reduce risk associated with reproductive coercion
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DOI：
10.1016/j.contraception.2010.07.013
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发表时间：
2011-03-01
期刊：
影响因子：
2.9
通讯作者：
Silverman, Jay G.
中科院分区：
文献类型：
--
作者：
Miller, Elizabeth;Decker, Michele R.;Silverman, Jay G.
背景资料：本研究探讨了有效的计划生育诊所为基础的干预措施，以解决亲密伴侣暴力（IPV）和生殖coercion.Study Design：四个独立的城市计划生育诊所在北方加州随机干预（训练有素的计划生育顾问）或标准的护理。年龄在16-29岁的讲英语和西班牙语的女性（N=906）在诊所访视前和12-24周后完成了音频计算机辅助调查（75%留存率）。分析包括评估干预效果对最近的IPV，IPV服务和生殖coercion.Results的认识：在妇女报告过去3个月的IPV在基线，有71%的参与者在干预诊所之间的怀孕胁迫的几率减少相比，在控制诊所，提供标准的护理。干预组的女性更有可能报告结束一段关系，因为这种关系是不健康的，或者因为他们感到不安全，无论IPV状态如何（校正比值比=1.63; 95%可信区间=1.01-2.63）。这项试点研究的结果表明，这种干预措施可能会降低计划生育服务对象中男性虐待伴侣的生殖胁迫风险，并支持这种干预措施。女人要离开不安全的关系。(C)2011 Elsevier Inc. All rights reserved.
Background: This study examined the efficacy of a family-planning-clinic-based intervention to address intimate partner violence (IPV) and reproductive coercion.Study Design: Four free-standing urban family planning clinics in Northern California were randomized to intervention (trained family planning counselors) or standard of care. English-speaking and Spanish-speaking females ages 16-29 years (N=906) completed audio computer-assisted surveys prior to a clinic visit and 12-24 weeks later (75% retention rate). Analyses included assessment of intervention effects on recent IPV, awareness of IPV services and reproductive coercion.Results: Among women reporting past-3-months IPV at baseline, there was a 71% reduction in the odds of pregnancy coercion among participants in intervention clinics compared to participants in the control clinics that provided standard of care. Women in the intervention arm were more likely to report ending a relationship because the relationship was unhealthy or because they felt unsafe regardless of IPV status (adjusted odds ratio=1.63; 95% confidence interval=1.01-2.63).Conclusions: Results of this pilot study suggest that this intervention may reduce the risk for reproductive coercion from abusive male partners among family planning clients and support such women to leave unsafe relationships. (C) 2011 Elsevier Inc. All rights reserved.