Plazaola-Castaño Juncal, Ruiz-Pérez Isabel, Hernández-Torres Elisa
Escuela Andaluza de Salud Pública, Granada, Spain.
Gac Sanit. 2008 Sep-Oct;22(5):415-20. doi: 10.1157/13126922.
To examine the criterion validity of the Spanish short version of the Woman Abuse Screening Tool (WAST) to identify battered women among those attending primary health care services in Spain.
We performed a cross-sectional study in two primary care centers in Granada. A total of 390 women between 18 and 70 years old were studied. The Index of Spouse Abuse (ISA) was used as the gold standard.
Two score criteria were used. Using the first criterion, 132 women (33.8%) scored positively. The sensitivity was 91.4%, specificity was 76.2%, positive predictive value 40.2% and negative predictive value was 98.1%. Five women with a negative WAST score obtained a positive ISA score (false negatives). Seventy-nine women obtained a positive score in the WAST, with a negative score in the ISA (false positives).
These results coincide with the sensitivity and specificity values obtained in the validation of the instrument in Spanish-speaking women in the USA, which also recommend the use of the first criterion. The Spanish short version of the WAST is a suitable instrument to be used by health professionals for the early detection of gender violence in the healthcare context of Spain. However, because of its low specificity, this instrument should be used with caution.
检验西班牙文简短版妇女受虐筛查工具（WAST）在西班牙初级卫生保健服务机构中识别受虐妇女的标准效度。
我们在格拉纳达的两个初级保健中心进行了一项横断面研究。共研究了390名年龄在18至70岁之间的女性。配偶虐待指数（ISA）被用作金标准。
使用了两个评分标准。采用第一个标准时，132名女性（33.8%）得分呈阳性。敏感性为91.4%，特异性为76.2%，阳性预测值为40.2%，阴性预测值为98.1%。5名WAST评分阴性的女性获得了阳性ISA评分（假阴性）。79名女性WAST评分呈阳性，但ISA评分呈阴性（假阳性）。
这些结果与在美国对说西班牙语女性进行该工具验证时获得的敏感性和特异性值一致，后者也推荐使用第一个标准。西班牙文简短版WAST是一种适合卫生专业人员在西班牙医疗保健环境中早期发现性别暴力的工具。然而，由于其特异性较低，使用该工具时应谨慎。
