Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY 14642, USA.
J Am Board Fam Med. 2012 May-Jun;25(3):333-42. doi: 10.3122/jabfm.2012.03.110193.
Intimate partner violence (IPV) victims frequently seek medical treatment, though rarely for IPV. Recommendations for health care providers (HCPs) include IPV screening, counseling, and safety referral. The objective of this study was to report women's experiences discussing IPV with HCPs.
This study used structured interviews with women reporting IPV discussions with their HCP; descriptive analyses and bivariate and multivariate analyses were performed, and association with patient demographics and substance abuse was reviewed. We included women from family court; a community-based, inner-city primary care practice; and a tertiary care-based, outpatient psychiatric practice.
A total of 142 women participated: 44 from family court (31%), 62 from a primary care practice (43.7%), and 36 from a psychiatric practice (25.4%). Fifty-one percent (n = 72) of patients reported that HCPs knew of their IPV. Of those, 85% (n = 61) told a primary care provider. Regarding IPV attitudes, 85% (n = 61) found their HCP open, and 74% (n = 53) found their HCP knowledgeable. Regarding approaches, 71% (n = 51) believed their HCP advocated leaving the relationship. Whereas 31% (n = 22) received safety information, only 8% (n = 6) received safety information and perceived their HCP as not advocating leaving the abusive relationship.
Half of participants disclosed IPV to their HCPs, and most perceived their provider advocated them leaving the relationship. Only 31% reported that HCPs provided safety planning despite increased risks associated with leaving. We suggest HCPs improve safety planning with patients who disclose IPV.
亲密伴侣暴力（IPV）的受害者经常寻求医疗治疗，但很少是因为 IPV。医疗保健提供者（HCP）的建议包括 IPV 筛查、咨询和安全转诊。本研究的目的是报告女性与 HCP 讨论 IPV 的经验。
本研究使用对报告与 HCP 讨论 IPV 的女性进行的结构访谈；进行了描述性分析以及单变量和多变量分析，并审查了与患者人口统计学和药物滥用的关联。我们纳入了来自家庭法院的女性；一个基于社区的、市中心的初级保健实践；以及一个基于三级保健的、门诊精神科实践。
共有 142 名女性参与：44 名来自家庭法院（31%），62 名来自初级保健实践（43.7%），36 名来自精神科实践（25.4%）。51%（n=72）的患者报告 HCP 知道他们的 IPV。其中，85%（n=61）告诉了初级保健提供者。关于 IPV 态度，85%（n=61）认为他们的 HCP 开放，74%（n=53）认为他们的 HCP 知识渊博。关于方法，71%（n=51）认为他们的 HCP 提倡离开这段关系。尽管有 31%（n=22）的人获得了安全信息，但只有 8%（n=6）的人获得了安全信息，并认为他们的 HCP 不提倡离开虐待关系。
一半的参与者向他们的 HCP 透露了 IPV，大多数人认为他们的提供者提倡他们离开这段关系。尽管离开会增加风险，但只有 31%的人报告 HCP 提供了安全计划。我们建议 HCP 改善与透露 IPV 的患者的安全计划。
