Gunter Jennifer
Department of Obstetrics/Gynecology, Kaiser Northern California, 2238 Geary Boulevard, San Francisco, CA 94115, USA.
Obstet Gynecol Clin North Am. 2007 Sep;34(3):367-88, ix-x. doi: 10.1016/j.ogc.2007.06.010.
Intimate partner violence (IPV) has a lifetime prevalence of approximately 60% and is a leading cause of morbidity and mortality for women of all reproductive ages, especially among younger women and during pregnancy. Providers should recognize that every woman who has ever been partnered is at risk for IPV and should screen appropriately. When a woman screens positive for IPV, it important to consider the stages of change, to frame the response appropriately, to perform a risk assessment, to discuss interventions, and to document in the medical record accordingly. Screening has yet to translate into reduced rates of abuse, indicating that IPV is not simply a medical problem, but involves complex psychological, financial, familial, cultural, and legal issues.
亲密伴侣暴力(IPV)的终生患病率约为60%,是所有育龄女性发病和死亡的主要原因,尤其是年轻女性和孕期女性。医疗服务提供者应认识到,每一位有过伴侣关系的女性都有遭受亲密伴侣暴力的风险,应进行适当筛查。当一名女性亲密伴侣暴力筛查呈阳性时,重要的是要考虑其改变阶段,做出恰当反应,进行风险评估,讨论干预措施,并在病历中做好相应记录。筛查尚未转化为更低的虐待发生率,这表明亲密伴侣暴力不仅仅是一个医学问题,还涉及复杂的心理、经济、家庭、文化和法律问题。