Cesario Sandra K, McFarlane Judith, Nava Angeles, Gilroy Heidi, Maddoux John
College of Nursing, Texas Woman's University in Houston.
Health Promotion and Disease Prevention, Texas Woman's University in Houston.
Clin J Oncol Nurs. 2014 Feb;18(1):65-73. doi: 10.1188/14.CJON.65-73.
Millions of women in the United States experience physical abuse because of intimate partner violence (IPV) that results in injuries, social and family dysfunction, mental health disorders, chronic pain and illness, and death. Cancer causes a quarter of the deaths of women in the United States. When IPV and a cancer diagnosis intersect, a special population of women with unique needs is created. The purpose of the current study was to determine the rates of IPV and the types of cancer reported by women seeking services for IPV. Safety, community agency use, severity of violence, danger, psychological distress, post-traumatic stress disorder, self-efficacy, social support, pain, and marginality also were assessed. Three hundred abused women were interviewed in person to determine their health, safety, and functioning. Of the 300 women, eight reported receiving a cancer diagnosis, and most of those women had cervical cancer. The prevalence of cervical cancer reported by abused women was 10 times higher than the general population. Higher danger scores and risk for revictimization were reported. Increased awareness of the potential connection between IPV and cancer is needed, and evidence-based strategies that promote IPV screening in the oncology setting should be developed.
在美国,数以百万计的女性遭受亲密伴侣暴力(IPV)导致的身体虐待,这种暴力会造成伤害、社会和家庭功能失调、心理健康障碍、慢性疼痛和疾病以及死亡。癌症导致美国四分之一的女性死亡。当亲密伴侣暴力与癌症诊断同时出现时,就产生了一个有独特需求的特殊女性群体。本研究的目的是确定寻求亲密伴侣暴力服务的女性中亲密伴侣暴力的发生率以及所报告的癌症类型。还评估了安全性、社区机构使用情况、暴力严重程度、危险程度、心理困扰、创伤后应激障碍、自我效能感、社会支持、疼痛和边缘化情况。对300名受虐妇女进行了面对面访谈,以确定她们的健康、安全和功能状况。在这300名妇女中,有8人报告被诊断患有癌症,其中大多数患有宫颈癌。受虐妇女报告的宫颈癌患病率比普通人群高10倍。报告显示危险评分和再次受害风险更高。需要提高对亲密伴侣暴力与癌症之间潜在联系的认识,并且应制定在肿瘤学环境中促进亲密伴侣暴力筛查的循证策略。