Roche Melissa, Moracco Kathryn E, Dixon Kimberly S, Stern Elizabeth A, Bowling J Michael
Department of Health Behavior and Health Education, University of North Carolina at Chapel Hill, USA.
N C Med J. 2007 Mar-Apr;68(2):89-94.
This paper identifies comorbid factors among female emergency department (ED) patients who have experienced intimate partner violence (IPV).
321 adult female patients completed self-administered questionnaires while in an urban North Carolina emergency department. IPV was assessed by questioning whether the patient had ever been afraid of a partner, physically hurt or threatened by a partner, or forced to have sex by a partner.
One third of all female patients reported at least one form of IPV in their lifetimes. IPV was associated with a low self-rating of physical and mental health, frequent visits to the ED, and problems with alcohol, drugs, and mental health. In multivariate analysis, only a history ofalcohol and mental health problems and a low self-rating of mental health remained significant.
The findings illustrate the need for IPVscreening protocols that address mental health and substance abuse and also emphasize the importance ofscreening all women for IPV
本文旨在确定遭受亲密伴侣暴力（IPV）的女性急诊科（ED）患者中的共病因素。
321名成年女性患者在北卡罗来纳州城市的一家急诊科就诊时完成了自我管理问卷。通过询问患者是否曾害怕伴侣、受到伴侣身体伤害或威胁、或被迫与伴侣发生性行为来评估IPV。
所有女性患者中有三分之一报告在其一生中至少经历过一种形式的IPV。IPV与身心健康自评分数低、频繁前往急诊科就诊以及酒精、药物和心理健康问题有关。在多变量分析中，只有酒精和心理健康问题史以及心理健康自评分数低仍然具有显著性。
研究结果表明需要制定针对心理健康和药物滥用的IPV筛查方案，同时也强调了对所有女性进行IPV筛查的重要性。
