MMWR Morb Mortal Wkly Rep. 2005 Oct 21;54(41):1041-5.
Intimate partner violence (IPV) is a serious public health problem in the United States and a common cause of injury. Prevalence rates of IPV vary by the surveillance methods and definitions used. National data from the 1995 National Violence Against Women Survey indicate that 22.1% of women and 7.4% of men experience IPV during their lifetimes and that 1.3% of women and 0.9% of men experience IPV annually. IPV results in an estimated 4.1 billion dollars each year in direct medical and mental health-care costs, including 159 million dollars in emergency department (ED) treatments for IPV physical assaults. IPV might constitute as much as 17% of all violence-related injuries treated in EDs. To determine the magnitude of the IPV problem in Oklahoma, including IPV-related injuries and medical service utilization, researchers analyzed injury surveillance data from ED medical records and data from the Oklahoma Women's Health Survey (OWHS). This report summarizes the findings, which indicated that, during 2002 in Oklahoma, approximately 16% of all ED visits for assaults were for IPV injuries, including 35% of assault visits among females and 3% of assault visits among males. In addition, results of the OWHS for 2001-2003 indicated that 5.9% of surveyed Oklahoma women aged 18-44 years sustained an IPV injury during the preceding year. Overall, IPV resulted in a substantial number of injuries, particularly to women, many of whom required treatment in EDs. Medical recognition and documentation of IPV are important for identification of persons in need of services.
亲密伴侣暴力(IPV)在美国是一个严重的公共卫生问题,也是受伤的常见原因。IPV的患病率因所使用的监测方法和定义而异。1995年全国妇女遭受暴力调查的全国数据表明,22.1%的女性和7.4%的男性在其一生中经历过IPV,1.3%的女性和0.9%的男性每年经历IPV。IPV每年造成的直接医疗和心理健康护理费用估计为41亿美元,其中包括1.59亿美元用于IPV身体攻击的急诊科(ED)治疗。IPV可能占急诊科治疗的所有与暴力相关伤害的17%。为了确定俄克拉荷马州IPV问题的严重程度,包括与IPV相关的伤害和医疗服务利用情况,研究人员分析了ED医疗记录中的伤害监测数据以及俄克拉荷马州妇女健康调查(OWHS)的数据。本报告总结了研究结果,结果表明,2002年在俄克拉荷马州,所有因攻击而进行的ED就诊中,约16%是因IPV伤害,其中包括女性攻击就诊的35%和男性攻击就诊的3%。此外,2001 - 2003年OWHS的结果表明,在接受调查的18 - 44岁俄克拉荷马州女性中,有5.9%在上一年遭受了IPV伤害。总体而言,IPV导致了大量伤害,尤其是对女性,其中许多人需要在急诊科接受治疗。对IPV的医学识别和记录对于识别需要服务的人员很重要。