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亲密伴侣暴力受害者的健康状况是否需要药店作为公共卫生宣传的门户?

Does the health status of intimate partner violence victims warrant pharmacies as portals for public health promotion?

机构信息

Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA.

出版信息

J Am Pharm Assoc (2003). 2010;50(2):200-6. doi: 10.1331/JAPhA.2010.09094.

Abstract

OBJECTIVES

To explore whether the health status of intimate partner violence (IPV) victims warrants pharmacies to be portals for public health promotion. Specific objectives included (1) identifying prevalence of IPV including domestic violence (DV) and sexual assault (SA) in a community sample, (2) describing characteristics and correlates of DV/SA between participants who reported and did not report DV/SA, and (3) exploring whether DV/SA status is related to mental health medication use.

DESIGN

Cross sectional.

SETTING

Upstate New York during 2006.

PARTICIPANTS

English- and Spanish-speaking respondents younger than 65 years of age answering four questions to assess DV/SA.

INTERVENTION

Secondary analysis of a countywide random telephone survey, the 2006 Monroe County Adult Health Survey, which collects prevalence data on health behaviors and health status indicators.

MAIN OUTCOME MEASURE

To determine whether those reporting DV/SA are at increased odds for mental health medication use, controlling for other sociodemographic- and health-related variables.

RESULTS

The survey response rate was 30.3%, with 1,881 respondents meeting inclusion criteria. Those reporting DV/SA were almost twice as likely to use mental health medications. However, when controlling for other variables, only poor mental and physical health were significant in increasing the odds of mental health medication use.

CONCLUSION

The analyses reported here suggest that DV/SA victims in a community sample use mental health medications. When controlling for other variables, survey respondents reported worse physical and mental health. If pharmacies are suitable portals for DV/SA outreach, curricula would need to provide the knowledge and skills needed to take an active role in this public health promotion.

摘要

目的

探讨亲密伴侣暴力(IPV)受害者的健康状况是否需要药房成为公共卫生促进的门户。具体目标包括:(1)在社区样本中确定 IPV(包括家庭暴力[DV]和性侵犯[SA])的流行率;(2)描述报告和未报告 DV/SA 的参与者之间的 DV/SA 特征和相关性;(3)探讨 DV/SA 状况是否与心理健康药物使用有关。

设计

横断面研究。

地点

2006 年纽约州北部。

参与者

年龄在 65 岁以下的讲英语和西班牙语的受访者,回答四个问题以评估 DV/SA。

干预措施

对全县范围的随机电话调查(2006 年门罗县成人健康调查)的二次分析,该调查收集了健康行为和健康状况指标的流行数据。

主要观察指标

确定报告 DV/SA 的人是否因心理健康药物使用而增加,控制其他社会人口统计学和健康相关变量。

结果

调查的回复率为 30.3%,符合纳入标准的有 1881 名受访者。报告 DV/SA 的人使用心理健康药物的可能性几乎是两倍。然而,在控制其他变量后,只有心理健康和身体健康状况不佳才会显著增加使用心理健康药物的几率。

结论

这里报告的分析表明,社区样本中的 DV/SA 受害者使用心理健康药物。在控制其他变量后,调查受访者报告了更差的身体和心理健康状况。如果药房是适合 DV/SA 外联的门户,课程将需要提供在这种公共卫生促进中发挥积极作用所需的知识和技能。

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