Long-term Healthcare Effects of Domestic Violence

家庭暴力对医疗保健的长期影响

• 批准号: 6712068
• 负责人: Robert Sharpe Thompson
• 金额: $ 68.05万
• 依托单位: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-07-09 至 2006-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6712068
• 关键词: age difference; behavioral /social science research tag; children; clinical research; disease /disorder proneness /risk; epidemiology; female; functional ability; gender difference; health behavior; health care cost /financing; health care service utilization; health services research tag; health surveys; human subject; longitudinal human study; managed care; outcomes research; spouse abuse; women' s health

DESCRIPTION: Domestic violence (DV) is a major societal problem, impacting up to 25% of women in their lifetime. However, knowledge of the impact of DV over time on healthcare utilization and costs and on health status is only rudimentary. This knowledge gap is a major barrier to research on outcome and effectiveness of DV programs in health settings. Objective: Assess the longitudinal impact of DV over an 11-year period on the healthcare cost and utilization of adult women and their children. For the women, assess the effects of DV on health status and risk profiles (e.g. excessive drinking). Secondary objective: estimate DV prevalence among men and seniors. Site: Group Health Cooperative (GHC), a large HMO in Washington and Idaho. Methods: Telephone survey a random sample of 6667 women 18-64 years who have been GHC enrollees over the last 3 years to establish the presence or absence of DV and to measure health status, social functioning, and health risk outcomes. Link the survey data to automated cost and utilization data. Compare longitudinally cohorts of women with and without DV (and their children) on healthcare utilization and costs. Make similar comparisons for health status, social functioning, and health risk outcomes. Main outcomes: Healthcare costs, utilization rates, utilization patterns (from ICD codes), physical health status, mental health status, social functioning, and health risk profiles (e.g. excessive alcohol consumption). Major study benefits: The study will: 1) Use a population-based survey to identify female DV victims and a comparison group of women not exposed to DV; 2) Encompass all levels of care from hospital to primary care; 3) Follow female victims (and their children) and a comparison group of non-DV victims longitudinally over an 11-year period to assess the impact of DV on healthcare costs and utilization; 4) Determine the effect of DV on physical and mental health status, social functioning, and health risk profiles; 5) Estimate the prevalence of DV by type, duration and frequency among women and also among men and seniors.

家庭暴力（DV）是一个主要的社会问题，影响了25%的妇女在其一生中。然而，随着时间的推移，家庭暴力对医疗保健利用和成本以及对健康状况的影响的知识只是初步的。这种知识差距是研究家庭暴力方案在卫生环境中的结果和有效性的主要障碍。 目的：评估11年期间家庭暴力对成年妇女及其子女的医疗费用和利用的纵向影响。对于妇女，评估家庭暴力对健康状况和风险状况的影响（例如过度饮酒）。次要目的：估计男性和老年人的家庭暴力患病率。 地点：团体健康合作社（GHC），一个在华盛顿和爱达荷州的大型HMO。 方法：随机抽取6667例18-64岁的GHC患者进行电话调查 在过去3年中登记的人，以确定是否存在家庭暴力，并衡量健康状况，社会功能和健康风险结果。将调查数据链接到自动化成本和利用率数据。纵向比较队列的妇女和没有家庭暴力（及其子女）的医疗保健利用和成本。对健康状况、社会功能和健康风险结果进行类似的比较。 主要成果：医疗费用、利用率、利用模式（来自ICD代码）、身体健康状况、心理健康状况、社会功能和健康风险状况（例如过度饮酒）。 主要研究获益：该研究将：1）进行基于人口的调查，以确定女性家庭暴力受害者和未遭受家庭暴力的妇女对照组; 从医院到初级保健; 3）纵向跟踪女性受害者（及其子女）和非家庭暴力受害者对照组11年，以评估家庭暴力对医疗保健费用和利用的影响; 4）确定家庭暴力对身心健康状况、社会功能和健康风险状况的影响; 5）按类型、持续时间和频率估计家庭暴力在妇女、男子和老年人中的流行率。