Jaffee Kim D, Epling John W, Grant William, Ghandour Reem M, Callendar Elizabeth
School of Social Work, College of Human Services and Health Professions, Syracuse University, Syracuse, NY 13244, USA.
J Womens Health (Larchmt). 2005 Oct;14(8):713-20. doi: 10.1089/jwh.2005.14.713.
Intimate partner violence (IPV) causes approximately 2 million injuries and 1300 deaths each year. Despite the high frequency of IPV among women seeking healthcare, only a small proportion report being asked by healthcare professionals about abuse. This study examined perceived barriers to IPV screening among obstetricians/gynecologists, family physicians, and internists, so that protocols for IPV training can be tailored to those particular areas of difficulty.
A cross-sectional survey of 143 obstetricians and gynecologists, family practice physicians, and internists in a medium-sized upstate New York city was conducted. Factor analysis was performed. Two IPV barrier domains emerged and were examined using a multivariate analysis to determine associations between the domains and physician characteristics.
For general knowledge, there were greater perceived barriers if the respondent was male but fewer perceived barriers if the respondent was an obstetrician/gynecologist and fewer perceived barriers if the respondent had 5-10 years in practice. For practice policy, there were greater perceived barriers if the physician was in a private practice setting and fewer perceived barriers if the physician was an obstetrician/gynecologist.
These findings provide direction for training in IPV recognition. They support a need for continued training throughout the physician's career. More importantly, the findings support a need for better practice systems to encourage routine screening for IPV by healthcare providers.
亲密伴侣暴力（IPV）每年导致约200万人受伤和1300人死亡。尽管在寻求医疗保健的女性中IPV发生率很高，但只有一小部分人报告称医疗保健专业人员询问过她们是否遭受虐待。本研究调查了产科医生/妇科医生、家庭医生和内科医生在IPV筛查方面所感知到的障碍，以便能够针对这些特定的困难领域制定IPV培训方案。
对纽约州北部一个中等规模城市的143名产科医生、妇科医生、家庭医生和内科医生进行了横断面调查。进行了因子分析。出现了两个IPV障碍领域，并使用多变量分析对其进行研究，以确定这些领域与医生特征之间的关联。
在一般知识方面，如果受访者为男性，则感知到的障碍更大；如果受访者是产科医生/妇科医生，则感知到的障碍较少；如果受访者有5至10年的从业经验，则感知到的障碍也较少。在实践政策方面，如果医生在私人诊所工作，则感知到的障碍更大；如果医生是产科医生/妇科医生，则感知到的障碍较少。
这些发现为IPV识别培训提供了方向。它们支持在医生的整个职业生涯中持续进行培训的必要性。更重要的是，这些发现支持需要更好的实践系统，以鼓励医疗保健提供者对IPV进行常规筛查。
