Litherland Rachel
Bridgewater Community Healthcare, Ashton, Leigh and Wigan Division.
Community Pract. 2012 Aug;85(8):20-3.
Internationally, domestic abuse is a significant public health issue in terms of imposing physical and psychological distress upon victims, having a detrimental impact upon parenting and causing psychological problems for victim's children. Figures identify that one in four UK women experience domestic abuse. However, it is acknowledged that reported rates are gross underestimates of true figures and that multiple barriers exist that inhibit domestic abuse identification. This paper reviews the literature to explore these barriers and ascertain evidence-based strategies that will help practitioners to identify domestic abuse more effectively. Particular attention is paid to domestic abuse screening tools, as research suggests their use increases disclosure rates. The paper concludes that routine and recurrent enquiry using a screening tool, information giving to all women, knowledgeable staff and supportive environments, are all potential facilitators to identification.
在国际上，家庭虐待是一个重大的公共卫生问题，它给受害者带来身体和心理上的痛苦，对养育子女产生不利影响，并给受害者的子女造成心理问题。数据显示，英国四分之一的女性遭受过家庭虐待。然而，人们公认，报告的比率严重低估了实际数字，而且存在多种阻碍家庭虐待识别的障碍。本文回顾了相关文献，以探讨这些障碍，并确定基于证据的策略，帮助从业者更有效地识别家庭虐待。特别关注家庭虐待筛查工具，因为研究表明使用这些工具会提高披露率。本文得出结论，使用筛查工具进行常规和反复询问、向所有女性提供信息、配备知识渊博的工作人员以及营造支持性环境，都是识别家庭虐待的潜在促进因素。
