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女性遭受虐待对医疗保健利用和健康状况的影响:一项文献综述。

The effects of woman abuse on health care utilization and health status: a literature review.

作者信息

Plichta S

机构信息

School of Hygiene and Public Health, Johns Hopkins University, Baltimore, Maryland.

出版信息

Womens Health Issues. 1992 Fall;2(3):154-63. doi: 10.1016/s1049-3867(05)80264-6.

DOI:10.1016/s1049-3867(05)80264-6
PMID:1422244
Abstract

Estimates of the physical abuse of women by husbands or boyfriends in the United States range from 85 per 1000 couples to 113 per 1000 couples per year. Victims of abuse are much more likely than nonvictims to have poor health, chronic pain problems, depression, suicide attempts, addictions, and problem pregnancies. Abused women use a disproportionate amount of health care services, including emergency room visits, primary care, and community mental health center visits. Despite its high prevalence and the disproportionate use of health care services it causes, woman abuse is rarely recognized by health care providers. Even when the abuse is recognized, health care professionals often provide inappropriate or even harmful treatment. Because many abused women pass through the health care system, it is important that providers learn how to identify those who are abused, treat all the effects of the abuse, and make appropriate referrals.

摘要

在美国,据估计,丈夫或男友对女性实施身体虐待的比例为每1000对伴侣中每年有85至113人。与未受虐待的女性相比,受虐女性健康状况不佳、患有慢性疼痛问题、抑郁、有自杀企图、成瘾及出现问题妊娠的可能性要大得多。受虐女性使用了不成比例的医疗服务,包括急诊室就诊、初级保健以及社区心理健康中心就诊。尽管女性受虐情况普遍且导致医疗服务使用不成比例,但医疗服务提供者很少能识别出这种情况。即使识别出了虐待行为,医疗专业人员往往也会提供不恰当甚至有害的治疗。由于许多受虐女性会经过医疗系统,因此提供者了解如何识别受虐者、治疗虐待造成的所有影响并进行适当转诊非常重要。

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