Berrios D C, Grady D
Department of Epidemiology and Biostatics, University of California, School of Medicine, San Francisco 94105.
West J Med. 1991 Aug;155(2):133-5.
Domestic violence is a pervasive and frequently unrecognized cause of injury among women. We reviewed data from standardized interviews with 218 women who presented to an emergency department with injuries due to domestic violence. Victims ranged in age from 16 to 66 years and constituted a wide range of socioeconomic and ethnic backgrounds. Domestic violence often resulted in severe injury; 28% of the women interviewed required admission to hospital for injuries, and 13% required major surgical treatment. The typical presentation was injuries to the face, skull, eyes, extremities, and upper torso. A third of the cases involved a weapon, such as a knife, club, or gun. In all, 10% of the victims were pregnant at the time of abuse, and 10% reported that their children had also been abused by the batterer. Most victims (86%) had suffered at least one previous incident of abuse, and about 40% had previously required medical care for abuse. Victim recognition and referral to appropriate agencies could be improved if primary care physicians were more aware of the prevalence, severity, frequency of occurrence, and typical presentation of domestic violence.
家庭暴力是女性受伤的一个普遍且常常未被认识到的原因。我们回顾了对218名因家庭暴力受伤而前来急诊科就诊的女性进行标准化访谈的数据。受害者年龄在16岁至66岁之间，涵盖了广泛的社会经济和种族背景。家庭暴力常常导致重伤；28%的受访女性因伤需要住院治疗，13%需要进行大手术治疗。典型的受伤部位是面部、颅骨、眼睛、四肢和上半身。三分之一的案例涉及武器，如刀、棍棒或枪。总体而言，10%的受害者在受虐时怀有身孕，10%报告称其子女也遭到施虐者虐待。大多数受害者（86%）此前至少遭受过一次虐待事件，约40%曾因虐待接受过医疗护理。如果初级保健医生能更清楚地了解家庭暴力的患病率、严重程度、发生频率和典型表现，那么对受害者的识别以及转介至适当机构的情况可能会得到改善。
