Mechem C C, Shofer F S, Reinhard S S, Hornig S, Datner E M
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Acad Emerg Med. 2001 Jan;8(1):30-5. doi: 10.1111/j.1553-2712.2001.tb00544.x.
To determine what percentage of women presenting to an urban emergency department (ED) for any reason had been the victims of violence committed by another woman in the previous year.
This was a prospective study of a consecutive sample of female patients of legal age presenting to the ED between 8 AM and 12 midnight over an 11-week period. Patients were asked a series of questions adapted from the George Washington University Universal Violence Prevention Screening Protocol. Non-English-speaking patients, those unable to give informed consent, and those meeting regional criteria for major trauma were excluded.
One thousand six hundred seventy-six women participated; 426 (25%) refused. Of the 1,250 women interviewed, 118 (9.4%; 95% CI = 7.8% to 11.1%) reported being assaulted by another woman in the previous 12 months. Compared with the nonvictims, the victims were more frequently younger and single. The most common forms of assault were slapping, grabbing, and shoving (54.7% of victims). These were followed by being choked, kicked, bitten, or punched (46.2%). Eighteen percent of the assaults involved a weapon or an object. Five percent of the victims described being forced to have sex. Thirty-seven percent of the victims contacted the police, 13% required medical attention, 17% pursued legal action, and 10% sought follow-up counseling.
Nine percent of the women in the study sample had been assaulted by another woman in the previous year. Further attention to the recognition and management of violence committed by women against other women may be warranted to ensure that patients receive appropriate treatment and referral.
确定因任何原因前往城市急诊科（ED）就诊的女性中，上一年曾遭受另一名女性暴力侵害的比例。
这是一项前瞻性研究，对在11周期间上午8点至午夜12点之间前往急诊科就诊的法定年龄女性患者的连续样本进行研究。患者被问及一系列改编自乔治华盛顿大学通用暴力预防筛查方案的问题。排除非英语患者、无法给予知情同意的患者以及符合重大创伤区域标准的患者。
1676名女性参与研究；426名（25%）拒绝参与。在接受访谈的1250名女性中，118名（9.4%；95%置信区间=7.8%至11.1%）报告在过去12个月内曾遭受另一名女性的袭击。与未受侵害者相比，受害者更年轻且单身的情况更为常见。最常见的袭击形式是扇耳光、抓扯和推搡（54.7%的受害者）。其次是被掐脖、踢打、咬伤或拳击（46.2%）。18%的袭击涉及武器或物品。5%的受害者称曾被迫发生性行为。37%的受害者联系了警方，13%需要医疗救治，17%采取了法律行动，10%寻求后续咨询。
研究样本中有9%的女性上一年曾遭受另一名女性的袭击。可能需要进一步关注对女性对其他女性实施暴力行为的识别和管理，以确保患者得到适当的治疗和转诊。
