D'Avolio D, Hawkins J W, Haggerty L A, Kelly U, Barrett R, Durno Toscano S E, Dwyer J, Higgins L P, Kearney M, Pearce C W, Aber C S, Mahony D, Bell M
Boston College School of Nursing, Chestnut Hill, Massachusetts, USA.
Health Care Women Int. 2001 Jun;22(4):349-62. doi: 10.1080/07399330152398891.
Domestic abuse is the leading cause of injuries and death among women of childbearing age in the United States. The broad purpose of this research is to discover how pregnant women's psychological and behavioral responses to abuse affect birth outcomes. To select a diverse sample of women, we identified 8 prenatal care sites and completed the human subjects approval process with each. Rates of screening for abuse range from all but 12 women over a 2-1/2-year period at one site to no screening for abuse at another site. In this article, we will review pertinent literature and discuss the supports and barriers we observed when implementing an abuse screening program using the Abuse Assessment Screen, a well-tested and valid clinical instrument. Suggestions will be made for improving the screening rates at those sites where screening is absent or inconsistent.
在美国，家庭虐待是育龄妇女受伤和死亡的主要原因。本研究的广泛目的是发现孕妇对虐待的心理和行为反应如何影响分娩结果。为了选取多样化的女性样本，我们确定了8个产前护理地点，并分别完成了各地点的人体研究审批程序。虐待筛查率各不相同，在一个地点，2年半时间里除了12名女性外其他所有人都接受了筛查；而在另一个地点则完全没有进行虐待筛查。在本文中，我们将回顾相关文献，并讨论在使用经过充分测试且有效的临床工具《虐待评估筛查表》实施虐待筛查项目时所观察到的支持因素和障碍。对于在那些没有进行筛查或筛查情况不一致的地点提高筛查率，我们将提出建议。
