Division of Orthopaedic Surgery, Department of Surgery, McMaster University, 293 Wellington Street North, Suite 110, Hamilton, Ontario L8L 2X2, Canada.
J Bone Joint Surg Am. 2011 Jan 19;93(2):132-41. doi: 10.2106/JBJS.I.01713. Epub 2010 Dec 10.
from 1999 to 2004, an estimated 653,000 women in Canada were either physically or sexually abused by their current or previous intimate partners. We aimed to determine the proportion of women presenting to orthopaedic fracture clinics for the treatment of musculoskeletal injuries who had experienced intimate partner violence, defined as physical, sexual, or emotional abuse, within the past twelve months.
we completed a cross-sectional study of 282 injured women attending two Level-I trauma centers in Canada. Female patients presenting to the orthopaedic fracture clinics anonymously completed two previously developed self-reported written questionnaires, the Woman Abuse Screening Tool (WAST) and the Partner Violence Screen (PVS), to determine the prevalence of intimate partner violence. The questionnaire also contained questions that pertain to the participant's demographic characteristics, fracture characteristics, and experiences with health-care utilization.
the overall prevalence of intimate partner violence (emotional, physical, and sexual abuse) within the last twelve months was 32% (95% confidence interval, 26.4% to 37.2%). Twenty-four (8.5%) of the injured women disclosed a history of physical abuse in the past year. Seven women indicated that the cause for their current visit was directly related to physical abuse. Ethnicity, socioeconomic status, and injury patterns were not associated with abuse. Of the twenty-four women who reported physical abuse, only four had been asked about intimate partner violence by a physician; none of these physicians were the treating orthopaedic surgeons.
our study suggests a high prevalence of intimate partner violence among female patients with injuries who presented to two orthopaedic fracture clinics in Ontario. Surgeons and health-care personnel in fracture clinics should consider intimate partner violence when interacting with injured women.
1999 年至 2004 年，加拿大约有 65.3 万名女性遭受现任或前任亲密伴侣的身体或性虐待。我们旨在确定在过去 12 个月内，因肌肉骨骼损伤就诊于骨科骨折诊所的女性中，有多少人经历过亲密伴侣暴力，定义为身体、性或情感虐待。
我们对加拿大两家一级创伤中心的 282 名受伤女性进行了横断面研究。女性患者匿名填写了两份先前开发的自我报告书面问卷，即妇女虐待筛查工具（WAST）和伴侣暴力筛查（PVS），以确定亲密伴侣暴力的流行率。问卷还包含与参与者的人口统计学特征、骨折特征以及与医疗保健利用相关的经历相关的问题。
在过去 12 个月内，亲密伴侣暴力（情感、身体和性虐待）的总体流行率为 32%（95%置信区间，26.4%至 37.2%）。24 名（8.5%）受伤女性报告在过去一年中遭受过身体虐待。有 7 名女性表示，她们目前就诊的原因与身体虐待直接相关。种族、社会经济地位和受伤模式与虐待无关。在报告身体虐待的 24 名女性中，只有 4 名女性曾被医生询问过亲密伴侣暴力问题；这些医生中没有一个是治疗骨科外科医生。
我们的研究表明，在安大略省两家骨科骨折诊所就诊的受伤女性中，亲密伴侣暴力的流行率很高。骨折诊所的外科医生和医疗保健人员在与受伤女性互动时应考虑亲密伴侣暴力。
