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常规筛查亲密伴侣暴力六个月后:态度转变、有益及不良影响

Six months after routine screening for intimate partner violence: attitude change, useful and adverse effects.

作者信息

Spangaro J M, Zwi A B, Poulos R G, Man W Y N

机构信息

School of Public Health and Community Medicine, The University of New South Wales, Sydney, New South Wales, Australia.

出版信息

Women Health. 2010 Mar;50(2):125-43. doi: 10.1080/03630241003705060.

Abstract

This evaluative study measured self-reported changes in abuse-related measures six months after routine screening for intimate partner violence. Participants were 122 women who disclosed abuse and 241 who did not report abuse, screened in antenatal, substance abuse, and mental health services according to an existing standardized protocol used in New South Wales, Australia. Six months after initial screening, abused women were more likely to report increased agreement with a number of attitudes relating to abuse, in particular that being hurt by a partner affects a woman's health and that health services should ask about abuse. The proportion reporting current abuse was significantly lower after six months. While 6% (7/119) reported negative emotional reactions, 34% (41/120) reported useful effects-most frequently re-evaluating their situation and reducing isolation. Women who had experienced abuse, but elected not to disclose it reported similar effects. The results of this study lend support to the use of protocols for asking about abuse and responding to disclosures of abuse.

摘要

这项评估研究测量了在对亲密伴侣暴力进行常规筛查六个月后,自我报告的与虐待相关指标的变化。参与者包括122名披露遭受虐待的女性和241名未报告遭受虐待的女性,她们是根据澳大利亚新南威尔士州使用的现有标准化方案,在产前、药物滥用和心理健康服务中接受筛查的。初次筛查六个月后,遭受虐待的女性更有可能报告对一些与虐待相关的态度的认同有所增加,特别是被伴侣伤害会影响女性健康以及医疗服务机构应该询问虐待情况。报告当前仍遭受虐待的比例在六个月后显著降低。虽然6%(7/119)报告有负面情绪反应,但34%(41/120)报告有有益影响——最常见的是重新评估自己的处境并减少孤立感。那些遭受过虐待但选择不披露的女性也报告了类似的影响。这项研究的结果支持使用询问虐待情况和应对虐待披露的方案。

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