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健康访谈调查是否是评估家庭暴力的合适工具?

Is a Health Interview Survey an appropriate tool to assess domestic violence?

机构信息

Department of Public Health and Surveillance, Scientific Institute of Public Health, Brussels, Belgium.

Institute for the equality of women and men, Brussels, Belgium.

出版信息

Eur J Public Health. 2017 Oct 1;27(5):903-909. doi: 10.1093/eurpub/ckx078.

DOI:10.1093/eurpub/ckx078
PMID:28633419
Abstract

BACKGROUND

The aim of this study is to assess if a Health Interview Survey (HIS) targeting the general population is an appropriate tool to collect valid data on domestic violence. Studying item non-response on the question on domestic violence and its association with socio-demographic and health characteristics compared with victims of domestic violence can contribute to this.

METHODS

Cross-sectional data from the Belgian HIS 2013 were analysed. A question whether the perpetrator of a violent event was a member of the respondents' household was embedded in a general topic on violence in the self-administered questionnaire. This study is limited to people aged 15+ that at least completed the first question of this topic. Socio-demographic characteristics of item non-respondents and of victims of domestic violence were explored and the association with health status was assessed through ORs calculated via logistic regression.

RESULTS

The year prevalence of domestic violence is 1.1%. Although the question on domestic violence yields a high level of non-response (62%), this does not hinder the further completion of the questionnaire. When compared with victims of domestic violence, those not responding on the question on the perpetrator have better (mental) health. When compared with those not being victim of domestic violence, victims report poorer physical and mental health.

CONCLUSION

An HIS can be an appropriate tool to assess domestic violence in the general population and its association with health. However, a solution should be found for the high item non-response on the question on the perpetrator of the violent event.

摘要

背景

本研究旨在评估针对普通人群的健康访谈调查(HIS)是否是收集家庭暴力相关有效数据的合适工具。研究家庭暴力问题的项目无应答情况及其与社会人口学和健康特征的关联,以及与家庭暴力受害者的关联,可以为此做出贡献。

方法

分析了 2013 年比利时 HIS 的横断面数据。在自我管理问卷中,一个关于暴力事件实施者是否为受访者家庭成员的问题被嵌入到一个关于暴力的一般性主题中。本研究仅限于至少完成该主题第一个问题的 15 岁以上人群。探讨了项目无应答者和家庭暴力受害者的社会人口学特征,并通过逻辑回归计算的 OR 值评估了与健康状况的关联。

结果

家庭暴力的年患病率为 1.1%。尽管家庭暴力问题的回答率很高(62%),但这并不妨碍问卷的进一步完成。与家庭暴力受害者相比,对实施者问题无应答的人具有更好的(心理)健康状况。与未成为家庭暴力受害者的人相比,受害者报告的身体和心理健康状况更差。

结论

HIS 可以成为评估普通人群中家庭暴力及其与健康关联的合适工具。然而,应该找到解决暴力事件实施者问题高项目无应答的办法。

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