Kim Young-Ju, Montano Nilda Peragallo
Sungshin Women's University College of Nursing, Seoul, South Korea.
University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC, USA.
Public Health Nurs. 2017 Nov;34(6):569-575. doi: 10.1111/phn.12348. Epub 2017 Aug 22.
The purpose of this study was to test the validity of a single violence question compared with revised Conflict Tactics Scales (CTS2) as an initial tool which can be easily used in community-based health care settings to detect IPV in Latina women.
The study was conducted using secondary analyses of the baseline data from a culturally tailored HIV risk prevention project SEPA. A total of 657 Mexican and Puerto-Rican women aged 18-40, who reported sexual activities were interviewed.
We used data regarding sociodemographic factors, Latino acculturation, a single violence question of "Did your partner hit or hurt you in any way?" and the CTS2 measuring intimate partner violence.
Using the CTS2 as a gold standard, the sensitivity and specificity of a single question for screening partner physical violence was 45.9% and 94.7%, respectively. The positive likelihood ratio of a single question for physical violence was 8.59. The sensitivity, specificity, and likelihood ratio of a single question for screening psychological aggression were 17.9%, 98.5%, and 11.89, respectively.
While a single question used in our study needs further improvement for desirable sensitivity, it may be usable as an initial question for detecting IPV.
本研究旨在测试与修订后的冲突策略量表(CTS2)相比,单个暴力问题作为一种可在社区医疗环境中轻松使用以检测拉丁裔女性亲密伴侣暴力的初始工具的有效性。
本研究采用对文化定制的HIV风险预防项目SEPA的基线数据进行二次分析的方法。共对657名年龄在18至40岁、有性行为的墨西哥和波多黎各女性进行了访谈。
我们使用了关于社会人口学因素、拉丁裔文化适应情况、“你的伴侣是否以任何方式打过你或伤害过你?”这一单个暴力问题以及测量亲密伴侣暴力的CTS2的数据。
以CTS2作为金标准,单个问题筛查伴侣身体暴力的敏感性和特异性分别为45.9%和94.7%。单个身体暴力问题的阳性似然比为8.59。单个问题筛查心理攻击的敏感性、特异性和似然比分别为17.9%、98.5%和11.89。
虽然我们研究中使用的单个问题在敏感性方面需要进一步改进,但它可作为检测亲密伴侣暴力的初始问题。