Roelens K, Verstraelen H, Temmerman M
Ghent University Hospital, Department of Obstetrics and Gynaecology, De Pintelaan 185, 9000 Ghent, Belgium.
Facts Views Vis Obgyn. 2009;1(2):88-98.
Intimate partner violence (IPV) is an important public health problem, which has been extensively studied all over the world, yet Belgian data are limited. IPV remains a taboo resulting in denial and underreporting. For an obstetrician-gynaecologist (OB/GYN), IPV, committed by a male partner to a woman, is of particular interest, because of its negative impact on women's and children's health. In Belgium there are few data on IPV and guidelines for OB/GYN are -missing. In a multi-centered survey surveillance study which was carried out among pregnant women attending 5 large hospitals in the province of East Flanders, the lifetime prevalence of IPV was estimated to be 10.1% and the period prevalence during pregnancy and/or in the year preceding pregnancy 3.4%. In our highly medicalised society, only 19.2% and 6.6% of the victims of physical and sexual abuse respectively sought medical care. Routine screening for IPV by a general practitioner or OB/GYN was found to be largely acceptable. In a questionnaire-based Knowledge, Attitude, and Practice survey among OB/GYN in Flanders, OB/GYN prove -unfamiliar with IPV and largely underestimate the extent of the problem. Merely 6.8% of the respondents ever received any education on IPV. They refute the incentive of universal screening, even during pregnancy and one of the major barriers is fear of offending patients. Physician education was found to be the strongest predictor of a positive attitude towards screening and of current screening practices. Hence, there is a definite need to improve women's awareness regarding abuse and to endorse physician training on IPV.
亲密伴侣暴力（IPV）是一个重要的公共卫生问题，已在全球范围内得到广泛研究，但比利时的数据有限。IPV仍然是一个禁忌话题，导致人们否认并少报这一情况。对于妇产科医生而言，男性伴侣对女性实施的IPV尤其值得关注，因为它会对妇女和儿童的健康产生负面影响。在比利时，关于IPV的数据很少，也没有针对妇产科医生的指南。在一项对东佛兰德省5家大型医院的孕妇进行的多中心调查监测研究中，IPV的终生患病率估计为10.1%，孕期和/或孕前一年的期间患病率为3.4%。在我们这个高度医疗化的社会中，分别只有19.2%和6.6%的身体虐待和性虐待受害者寻求医疗护理。全科医生或妇产科医生对IPV进行常规筛查在很大程度上是可以接受的。在一项针对佛兰德地区妇产科医生的基于问卷的知识、态度和实践调查中，妇产科医生对IPV并不熟悉，并且在很大程度上低估了问题的严重程度。只有6.8%的受访者曾接受过任何关于IPV的教育。他们反对进行普遍筛查，即使在孕期也是如此，主要障碍之一是担心冒犯患者。研究发现，医生教育是对筛查持积极态度和当前筛查实践的最强预测因素。因此，确实有必要提高女性对虐待行为的认识，并支持对医生进行IPV方面的培训。
