Klevens Joanne, Sadowski Laura S, Kee Romina, Garcia Diana
Centers for Disease Control and Prevention, Atlanta, USA.
Department of Medicine, Stroger Hospital of Cook County, Chicago, USA.
J Womens Health Issues Care. 2015;4(2). doi: 10.4172/2325-9795.1000181. Epub 2015 Mar 5.
Screening for IPV in health care settings might increase women's knowledge or awareness around its frequency and its impact on health. When IPV is disclosed, assuring women it is not their fault should improve their knowledge that IPV is the perpetrator's responsibility. Providing information about IPV resources may also increase women's knowledge about the availability of solutions.
Women (n=2708) were randomly assigned to one of three groups: (1) partner violence screen plus video referral and list of local partner violence resources if screening was positive (n=909); (2) partner violence resource list only without screen (n=893); and (3) a no-screen, no-partner violence resource list control group (n=898). One year later, 2364 women (87%) were re-contacted and asked questions assessing their knowledge of the frequency of partner violence, its impact on physical and mental health, the availability of resources to help women experiencing partner violence, and that it is the perpetrator's fault.
There were no differences between women screened and provided with a partner violence resource list compared to a control group as to women's knowledge of the frequency of IPV, its impact on physical or mental health, or the availability of IPV services in their community. However, among women who experienced IPV in the year before or year after enrolling in the trial, those who were provided a list of IPV resources without screening were significantly less likely to know that IPV is not the victim's fault than those in the control or list plus screening conditions.
The results of this study suggest that providing information on partner violence resources, with or without asking questions about partner violence, did not result in improved knowledge.
在医疗保健机构筛查亲密伴侣暴力(IPV)可能会提高女性对其发生频率及其对健康影响的认识。当女性披露遭受IPV时,向其保证这不是她们的错,应能增强她们对IPV是施暴者责任的认知。提供有关IPV资源的信息也可能增加女性对可用解决方案的了解。
将2708名女性随机分为三组:(1)进行伴侣暴力筛查,若筛查呈阳性则提供视频转介及当地伴侣暴力资源清单(n = 909);(2)仅提供伴侣暴力资源清单但不进行筛查(n = 893);(3)不进行筛查且不提供伴侣暴力资源清单的对照组(n = 898)。一年后,再次联系了2364名女性(87%),并询问她们关于伴侣暴力发生频率、其对身心健康的影响、帮助遭受伴侣暴力女性的资源可用性以及这是施暴者过错的相关知识。
与对照组相比,接受伴侣暴力筛查并获得资源清单的女性在IPV发生频率、其对身心健康的影响或社区中IPV服务可用性方面的认知并无差异。然而,在试验前一年或试验后一年经历过IPV的女性中,未接受筛查仅获得IPV资源清单的女性比对照组或既获得清单又接受筛查的女性更不太可能知道IPV不是受害者的错。
本研究结果表明,无论是否询问伴侣暴力相关问题,提供伴侣暴力资源信息均未导致认知改善。