Hegarty Kelsey L, Bush Robert
Department of General Practice, University of Melbourne, Victoria, Carlton.
Aust N Z J Public Health. 2002 Oct;26(5):437-42. doi: 10.1111/j.1467-842x.2002.tb00344.x.
To determine the prevalence and socio-demographic associations of physical, emotional and sexual abuse by a partner or ex-partner for women attending Australian general practices.
In 1996, women attending 20 randomly chosen Brisbane inner south region general practices were screened for a history of partner abuse using a self-report questionnaire. Multivariate analyses were conducted on the data, using presence of abuse or not adjusting for cluster effect to obtain prevalence rate ratios for socio-demographic background data and history of violence in the family of origin.
Thirty-seven per cent (CI 31.0-42.4) of the survey participants (n = 1,836, response rate 78.5%) admitted to having ever experienced abuse in an adult intimate relationship. One in four women (23.3%) had ever experienced physical abuse, one in three (33.9%) emotional abuse and one in 10 (10.6%) sexual abuse. Abused women were 64.1 (Cl 44.4-94.1) times more likely to have ever been afraid of any partner than non-abused women. Of women in current relationships (n = 1,344), 8.0% self-reported physical or emotional or sexual abuse in the past 12 months and 1.5% all three types of abuse. Associations of abuse included being younger (< 60 years), separated or divorced, having a history of child abuse or domestic violence between their parents.
Partner abuse is very common in women attending general practices and clinicians need to be alert to possible indications of partner abuse (age, marital status, past history of abuse).
确定在澳大利亚普通诊所就诊的女性遭受伴侣或前伴侣身体、情感和性虐待的患病率及其社会人口学关联。
1996年,使用一份自我报告问卷,对随机选取的布里斯班内南区20家普通诊所的就诊女性进行伴侣虐待史筛查。对数据进行多变量分析,根据是否存在虐待情况,不调整聚类效应,以获得社会人口学背景数据和原生家庭暴力史的患病率比值比。
37%(置信区间31.0 - 42.4)的调查参与者(n = 1836,应答率78.5%)承认在成年亲密关系中曾遭受虐待。四分之一的女性(23.3%)曾遭受身体虐待,三分之一(33.9%)曾遭受情感虐待,十分之一(10.6%)曾遭受性虐待。受虐女性害怕任何伴侣的可能性是非受虐女性的64.1(置信区间44.4 - 94.1)倍。在当前处于恋爱关系的女性(n = 1344)中,8.0%的人自我报告在过去12个月遭受过身体、情感或性虐待,1.5%的人报告遭受过所有三种类型的虐待。虐待的相关因素包括年龄较小(<60岁)、分居或离婚、有童年受虐史或父母间存在家庭暴力史。
在普通诊所就诊的女性中,伴侣虐待非常普遍,临床医生需要警惕伴侣虐待的可能迹象(年龄、婚姻状况、过去的虐待史)。