Almqvist Kjerstin, Källström Åsa, Appell Petra, Anderzen-Carlsson Agneta
1 Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden.
2 School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden.
J Child Health Care. 2018 Jun;22(2):228-237. doi: 10.1177/1367493517753081. Epub 2018 Jan 16.
Intimate partner violence (IPV) constitutes a hidden health risk for exposed mothers and children. In Sweden, screening for IPV in healthcare has only been routine during pregnancy, despite an increase in IPV following childbirth. The arguments against routine questions postpartum have concerned a lack of evidence of beneficial effects as well as fear of stigmatizing women or placing abused women at further risk. Increased understanding of women's attitudes to routine questions may allay these fears. In this study, 198 mothers in 12 child healthcare centres (CHCs) filled in a short questionnaire about their exposure and received information on IPV at a regular baby check-up visit. The mothers' lifetime prevalence of exposure to IPV was 16%. One hundred and twenty-eight mothers participated in a telephone interview, giving their opinion on the screening experience. The intervention was well-received by most of the mothers who reported that questions and information on IPV are essential for parents, considering the health risks for children, and that the CHC is a natural arena for this. Necessary prerequisites were that questioning be routine to avoid stigmatizing and be offered in privacy without the partner being present.
亲密伴侣暴力（IPV）对受影响的母亲和儿童构成了潜在的健康风险。在瑞典，尽管产后亲密伴侣暴力事件有所增加，但在医疗保健中对亲密伴侣暴力的筛查仅在孕期是常规操作。反对产后常规询问的理由包括缺乏有益效果的证据，以及担心给女性贴上标签或使受虐待的女性面临更大风险。对女性对常规询问态度的进一步了解可能会减轻这些担忧。在本研究中，12个儿童保健中心（CHC）的198名母亲填写了一份关于她们受影响情况的简短问卷，并在定期的婴儿体检时收到了有关亲密伴侣暴力的信息。这些母亲一生中遭受亲密伴侣暴力的患病率为16%。128名母亲参与了电话访谈，表达了她们对筛查体验的看法。大多数母亲对该干预措施表示欢迎，她们报告称，考虑到儿童的健康风险，关于亲密伴侣暴力的询问和信息对父母来说至关重要，而且儿童保健中心是进行此类询问的合适场所。必要的前提条件是询问应成为常规操作以避免给人贴上标签，并且应在私密环境中进行，伴侣不得在场。
