Comparison of three instruments for assessing ongoing intimate partner violence.
Comparison of three instruments for assessing ongoing intimate partner violence.
复制标题
评估持续的亲密伴侣暴力的三种工具的比较。
DOI：
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发表时间：
2002
影响因子：
3.1
通讯作者：
Martina Marquez
中科院分区：
文献类型：
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作者：
A. Ernst;S. Weiss;Elaine Cham;Martina Marquez
背景
积极的伤害监测计划需要解决“持续的”亲密伴侣暴力（IPV）。虽然滥用评估屏幕（AAS）已被验证为“目前”（一年内）的IPV，但不清楚它是否对“目前”（正在进行）的IPV有效。我们已经创建了一个OAS（持续滥用屏幕，OAS），通过更改AAS来专门请求与“持续”IPV相关的信息。本研究的假设是，OAS代表一个结构，不同于原始AAS或询问正在进行的IPV的单个问题。
材料/方法
在轮班方便抽样期间到艾德就诊的所有患者完成了调查。该调查包括OAS，AAS和问题“你目前是IPV的受害者吗？”使用kappa统计量比较这3个数据的一致性。
结果
共完成了488项调查。AAS在288/488例患者中为阳性（59%，95%CI= 55-63%），OAS在78/488例患者中为阳性（16%，95%CI=13-19%），DV的单一问题在14/488例患者中为阳性（3%，95%CI=2-5%）。AAS和OAS的Kappa值为0.28。与关于当前DV的单一问题相比，AAS的kappa值为0.05，OAS为0.27。
结论
OAS可能是评估正在进行的IPV的有用工具。OAS导致的比率与AAS不同，可能比AAS更具体地针对正在进行的IPV，并且比关于DV的单个问题更敏感。
BACKGROUND
Active injury surveillance programs need to address 'ongoing' intimate partner violence (IPV). While the Abuse Assessment Screen (AAS) has been validated for 'present'(within a year) IPV it is not clear that it is valid for 'present' (ongoing) IPV. We have created an OAS (Ongoing Abuse Screen, OAS) by changing the AAS to specifically request information related to 'ongoing' IPV. The hypothesis of this study was that the OAS represents a construct that is different from either the original AAS or a single question asking about ongoing IPV.
MATERIAL/METHODS
All patients presenting to the ED during a convenience sampling of shifts completed the survey. The survey included the OAS, the AAS, and the question 'Are you presently a victim of IPV?' Comparisons were made between these 3 using the kappa statistic for agreement.
RESULTS
A total of 488 surveys were completed. The AAS was positive in 288/488 (59%, 95%CI= 55-63%), the OAS was positive in 78/488 (16%, 95%CI=13-19%), and the single question for DV was positive in 14/488 (3%, 95%CI=2-5%). Kappa was 0.28 for the AAS and the OAS. When compared to the single question about present DV, kappa was 0.05 for the AAS and 0.27 for the OAS.
CONCLUSIONS
The OAS may be a useful tool for evaluating ongoing IPV. The OAS resulted in rates different from that of the AAS and may be more specific to ongoing IPV than the AAS and more sensitive than a single question about DV.