Rivara Frederick P, Anderson Melissa L, Fishman Paul, Bonomi Amy E, Reid Robert J, Carrell David, Thompson Robert S
Harborview Injury Prevention and Research Center and the Department of Pediatrics, University of Washington, Seattle, Washington 98104, USA.
Am J Prev Med. 2007 Feb;32(2):89-96. doi: 10.1016/j.amepre.2006.10.001.
To determine the healthcare utilization and medical care costs of women with a history of intimate partner violence (IPV) compared to women without a history of IPV.
Longitudinal cohort study.
Mixed-model health maintenance organization.
Over 3000 (3333) women aged 18 to 64 years with > or = 3 year's cumulative enrollment prior to the survey, at least 1 year of which was after the 18th birthday.
IPV since age 18 as determined from responses to telephone interview using questions from the Behavioral Risk Factor Surveillance System and also the Women's Experience with Battering Scale.
Healthcare utilization and costs (from automated data) during the time that IPV occurred and following its cessation, compared to healthcare utilization for women who did not report IPV since age 18.
A total of 1546 women reported IPV in their lifetime; at the time of interview, IPV had ceased in 87% of women, on average 16.0 years prior to interview. Healthcare utilization was higher for all categories of service during IPV compared to women without IPV, and decreased over time after cessation of IPV. However, healthcare utilization was still 20% higher 5 years after women's abuse ceased compared to women without IPV. Adjusted annual total healthcare costs were 19% higher in women with a history of IPV (amounting to $439 annually) compared to women without IPV. Based on prevalence for IPV of 44%, the excess costs due to IPV are approximately $19.3 million per year for every 100,000 women enrollees aged 18-64.
Women with a history of IPV had significantly higher healthcare utilization and costs, continuing long after IPV ended. Given its high prevalence, IPV has a major impact on medical care resource utilization and efforts to prevent its occurrence and consequences are clearly indicated.
确定有亲密伴侣暴力（IPV）史的女性与无IPV史的女性的医疗保健利用率和医疗费用。
纵向队列研究。
混合模式健康维护组织。
超过3000名（3333名）18至64岁的女性，在调查前有≥3年的累计参保时间，其中至少1年是在18岁生日之后。
根据使用行为风险因素监测系统的问题以及《女性受虐经历量表》对电话访谈的回答确定的18岁以来的IPV。
与18岁以来未报告IPV的女性的医疗保健利用率相比，IPV发生期间及其停止后的医疗保健利用率和费用（来自自动化数据）。
共有1546名女性报告一生中曾遭受IPV；在访谈时，87%的女性的IPV已经停止，平均在访谈前16.0年。与无IPV的女性相比，IPV期间所有服务类别的医疗保健利用率都更高，并且在IPV停止后随时间下降。然而，在女性遭受虐待停止5年后，其医疗保健利用率仍比无IPV的女性高20%。有IPV史的女性调整后的年度医疗总费用比无IPV史的女性高19%（每年总计439美元）。根据IPV的患病率为44%，每10万名18 - 64岁的参保女性中，IPV导致的额外费用每年约为1930万美元。
有IPV史的女性的医疗保健利用率和费用显著更高，在IPV结束后仍持续很长时间。鉴于其高患病率，IPV对医疗保健资源利用有重大影响，显然需要努力预防其发生及其后果。
