Ulbrich Patricia M, Stockdale Jami
Family Health Council, Inc., Pittsburgh, PA 15222, USA.
Women Health. 2002;35(2-3):83-100. doi: 10.1300/J013v35n02_06.
While domestic violence in rural areas is not different in kind or incidence from that found in urban areas of the country, rural women face unique difficulties in accessing health and social services when they experience abuse. We present an overview of rural life and the difficulties rural women face in accessing health care and other services. We describe the network of family planning clinics and domestic violence advocacy programs in western Pennsylvania and a pilot project designed to implement routine screening for domestic violence in family planning clinics in rural Pennsylvania. We report on changes in the staff's practice of and comfort with screening and making referrals during the initial six months of the program. Finally, we report on a partnership between the clinic and the domestic violence advocacy program in one county as a model for meeting the needs of rural women who experience abuse. This research supports recommendations that assessment and interventions for abuse be incorporated into rural health care systems.
虽然农村地区的家庭暴力在性质或发生率上与该国城市地区并无不同，但农村妇女在遭受虐待时，在获得健康和社会服务方面面临独特困难。我们概述了农村生活以及农村妇女在获得医疗保健和其他服务方面面临的困难。我们描述了宾夕法尼亚州西部的计划生育诊所和家庭暴力宣传项目网络，以及一个旨在在宾夕法尼亚州农村地区的计划生育诊所实施家庭暴力常规筛查的试点项目。我们报告了该项目最初六个月期间工作人员在筛查和转诊方面的实践变化以及舒适度。最后，我们报告了一个县的诊所与家庭暴力宣传项目之间的合作关系，作为满足遭受虐待的农村妇女需求的典范。这项研究支持将虐待评估和干预纳入农村医疗保健系统的建议。
