Ernst Amy A, Weiss Steven J, Enright-Smith Shannon, Hilton Elizabeth, Byrd Emily C
Department of Emergency Medicine, MSC10 5560 1 University of New Mexico, Albuquerque, NM 95817, USA.
Am J Emerg Med. 2008 Jun;26(5):592-6. doi: 10.1016/j.ajem.2007.09.015.
Our objectives were (1) to determine demographic characteristics of intimate partner violence (IPV) victims and perpetrators, as reported by victims in a Victim Assistance Unit where police are called to the scene for IPV, and (2) to compare the relative risk of methamphetamine, cocaine, and alcohol use in perpetrators vs victims of IPV, as reported by victims.
Data from a Victim Assistance Unit intake statistics for the months of January to November 2006 were accessed. For this system in a city of approximately 500,000 population, with a large Hispanic population, police call for an onsite advocate intervention (trained social worker) at their own discretion for the victim and for children involved. Data were collected from the homes visited by police for IPV calls based on victim report on victims, perpetrators, and children in the home and their involvement in IPV. Reports of drug use were self-reported by the victim only. Comparisons were made using chi(2) tests, relative risks (RRs), and 95% confidence intervals (CIs). P < .05 was considered statistically significant.
Police and advocates visited 1712 homes for IPV calls; males were victims in 141 (8.2%) cases. Nine hundred ninety-seven (58.2%) victims were Hispanic. By victim report, perpetrators were significantly more likely to have witnessed IPV as a child than victims did (48.8% vs 34.3%; RR, 1.4; 95% CI, 1.3-1.6). Of the 2266 children in these homes, 1800 (79.2%) witnessed IPV and 716 (31.6%) were victims themselves. By victim report, the perpetrators were significantly more likely to use methamphetamine (8.9% vs 0.8%; RR, 10.9; 95% CI, 6.4-18.8 ), cocaine (11.8% vs 0.7%; RR, 16.8), and alcohol (53.3% vs 12.9%; RR, 4.1; 95% CI, 3.6-4.7) than victims.
By victim report, perpetrators were more likely to have witnessed IPV as children. By victim report, perpetrators were also more likely to use methamphetamine, cocaine, and alcohol and other drugs. Knowing this correlation may be important to the emergency department physician as screening for drug use, especially methamphetamine, as well as IPV may be useful to identify IPV-related injuries and provide proper referrals for IPV and drug use treatment.
我们的目的是：（1）确定亲密伴侣暴力（IPV）受害者和施暴者的人口统计学特征，这些信息由受害者在一个受害者援助部门报告，在该部门，警方会因IPV事件被传唤至现场；（2）比较IPV施暴者与受害者使用甲基苯丙胺、可卡因和酒精的相对风险，这些信息由受害者报告。
获取了2006年1月至11月期间一个受害者援助部门的 intake 统计数据。对于这个约有50万人口且西班牙裔人口众多的城市的这个系统，警方可自行决定为受害者及相关儿童请求现场倡导者干预（受过培训的社会工作者）。根据受害者对家中受害者、施暴者和儿童及其在IPV事件中的参与情况的报告，收集警方因IPV事件走访家庭的数据。药物使用报告仅由受害者自行报告。使用卡方检验、相对风险（RRs）和95%置信区间（CIs）进行比较。P <.05被认为具有统计学意义。
警方和倡导者因IPV事件走访了1712个家庭；男性受害者有141例（8.2%）。997名（58.2%）受害者为西班牙裔。根据受害者报告，施暴者在儿童时期目睹IPV事件的可能性显著高于受害者（48.8%对34.3%；RR，1.4；95%CI，1.3 - 1.6）。在这些家庭的2266名儿童中，1800名（79.2%）目睹了IPV事件，716名（31.6%）自己也是受害者。根据受害者报告，施暴者使用甲基苯丙胺（8.9%对0.8%；RR，10.9；95%CI，6.4 - 18.8））、可卡因（11.8%对0.7%；RR，16.8）和酒精（53.3%对12.9%；RR，4.1；95%CI，3.6 - 4.7）的可能性显著高于受害者。
根据受害者报告，施暴者在儿童时期更有可能目睹IPV事件。根据受害者报告，施暴者也更有可能使用甲基苯丙胺、可卡因、酒精及其他药物。了解这种相关性对于急诊科医生可能很重要，因为筛查药物使用情况，尤其是甲基苯丙胺，以及IPV情况可能有助于识别与IPV相关的损伤，并为IPV和药物使用治疗提供适当的转诊建议。
