Clark K A, Martin S L, Petersen R, Cloutier S, Covington D, Buescher P, Beck-Warden M
Department of Maternal and Child Health, University of North Carolina, Chapel Hill, CB #7400, Chapel Hill, NC 27599-7400, USA.
Arch Fam Med. 2000 Nov-Dec;9(10):1093-9. doi: 10.1001/archfami.9.10.1093.
Despite recommendations to screen prenatal care patients for partner violence, the prevalence of such screening is unknown.
To estimate the statewide prevalence of partner violence screening during prenatal care among a representative sample of North Carolina women with newborns and to compare women screened for partner violence with women not screened.
DESIGN, SETTING, AND PARTICIPANTS: This investigation examines data gathered through the North Carolina Pregnancy Risk Assessment Monitoring System, a random sample of more than 2600 recently postpartum women who were delivered of newborns between July 1997 and December 1998.
Self-reports of violence, health service factors, and sociodemographic characteristics.
The prevalence of screening was computed, and odds ratios and 95% confidence intervals were used to examine bivariate and multivariable associations between being screened for partner violence and other factors.
Thirty-seven percent of women reported being screened for partner violence during prenatal care. Logistic regression analysis found that women were more likely to be screened if they received prenatal care from (1) a public provider paid by a public source; (2) a private provider paid by a public source; or (3) a public provider paid by a private source.
These findings suggest that the majority of prenatal care patients in North Carolina are not screened for partner violence. Screening appears to be most highly associated with whether a woman is a patient in the public sector or the private sector, and with the source of payment for prenatal care. Arch Fam Med. 2000;9:1093-1099
尽管有建议对产前护理患者进行伴侣暴力筛查，但此类筛查的普及率尚不清楚。
评估北卡罗来纳州有新生儿的女性代表性样本在产前护理期间伴侣暴力筛查的全州普及率，并比较接受伴侣暴力筛查的女性和未接受筛查的女性。
设计、地点和参与者：本调查分析了通过北卡罗来纳州妊娠风险评估监测系统收集的数据，该系统是对1997年7月至1998年12月间分娩新生儿的2600多名近期产后女性的随机抽样。
暴力行为的自我报告、卫生服务因素和社会人口学特征。
计算筛查的普及率，并使用比值比和95%置信区间来检验伴侣暴力筛查与其他因素之间的双变量和多变量关联。
37%的女性报告在产前护理期间接受了伴侣暴力筛查。逻辑回归分析发现，如果女性从以下机构接受产前护理，则更有可能接受筛查：（1）由公共资金支付的公共医疗机构；（2）由公共资金支付的私立医疗机构；或（3）由私人资金支付的公共医疗机构。
这些发现表明，北卡罗来纳州的大多数产前护理患者未接受伴侣暴力筛查。筛查似乎与女性是公共部门还是私营部门的患者以及产前护理的支付来源高度相关。《家庭医学文献》。2000年；9：1093 - 1099
