Forcier Michelle, Patel Rita, Kahn Jessica A
Department of Pediatrics, University of North Carolina, Chapel Hill, NC, USA.
Ambul Pediatr. 2003 Nov-Dec;3(6):317-23. doi: 10.1367/1539-4409(2003)003<0317:praapr>2.0.co;2.
To examine pediatric residents' knowledge, attitudes, self-reported screening, and care of adolescents involved in violent dating relationships.
Data were obtained by a cross-sectional survey of pediatrics and medicine-pediatrics residents at 4 pediatric and medicine-pediatric training programs in the United States during 1996-1997. We analyzed self-reported rates of screening for dating violence, resident responses to an adolescent report of dating violence, and barriers to caring for adolescent patients who report dating violence by descriptive statistics and bivariate analyses, chi(2) analysis, and prevalence ratios.
A survey was completed by 204 of 296 residents (69% response rate). Residents were knowledgeable about the prevalence of dating violence, but 91% did not routinely screen for dating violence in adolescent patients. Residents were more likely to ask about dating violence, be concerned, and refer for counseling when a teen was female or was involved in a physically versus emotionally violent relationship. Resident characteristics associated with responses were female sex, number of adolescent patients seen, and prior personal experience with intimate violence. Barriers to asking about dating violence mirror those for marital violence, with lack of time and insufficient training cited as major barriers.
Residents in pediatric training programs report that they would not routinely screen for or manage appropriately their adolescent patients in violent dating relationships. Residents believe that although it is a physician's role to discuss adolescent dating violence, they are not adequately trained to do so. Efforts are needed to properly prepare pediatricians to deal with this common adolescent health risk.
考察儿科住院医师对于卷入暴力恋爱关系的青少年的知识掌握情况、态度、自我报告的筛查情况及护理情况。
通过对美国4个儿科及儿内科培训项目中的儿科和儿内科住院医师进行横断面调查获取数据。调查时间为1996 - 1997年。我们通过描述性统计、双变量分析、卡方分析和患病率比，分析了恋爱暴力筛查的自我报告率、住院医师对青少年恋爱暴力报告的反应，以及为报告恋爱暴力的青少年患者提供护理的障碍。
296名住院医师中有204名完成了调查（回应率为69%）。住院医师了解恋爱暴力的患病率，但91%的人没有对青少年患者常规筛查恋爱暴力。当青少年为女性或卷入身体暴力而非情感暴力关系时，住院医师更有可能询问恋爱暴力情况、表示关注并转介咨询。与反应相关的住院医师特征包括性别、诊治的青少年患者数量以及之前的亲密暴力个人经历。询问恋爱暴力的障碍与婚姻暴力的障碍相似，缺乏时间和培训不足被列为主要障碍。
儿科培训项目中的住院医师报告称，他们不会对处于暴力恋爱关系中的青少年患者进行常规筛查或妥善管理。住院医师认为，尽管讨论青少年恋爱暴力是医生的职责，但他们没有得到足够的培训来这样做。需要做出努力，使儿科医生做好充分准备，以应对这种常见的青少年健康风险。
