From the Division of Emergency Medicine.
Health Services Research.
Pediatr Emerg Care. 2021 Jan 1;37(1):e37-e41. doi: 10.1097/PEC.0000000000001462.
This study aimed to determine acceptability of intimate partner violence (IPV) materials and effect of the materials on caregiver attitudes toward IPV screening.
We used an anonymous computerized survey to assess approval of IPV materials and screening, and willingness to disclose IPV in response to screening among mothers bringing a child to an urban pediatric emergency department or 2 suburban pediatric urgent care centers affiliated with a free-standing academic children's hospital. We compared responses between participants recruited before and after display of the IPV materials, as well as between subgroups, using χ2 tests.
A total of 522 participated (predisplay, n = 261; postdisplay, n = 261). More subjects in the postdisplay group approved of display of IPV materials in pediatric emergency department/urgent care center restrooms (94% pre vs 98% post, P = 0.04) and examination rooms (94% pre vs 98% post, P = 0.01). We found no differences in acceptability of IPV screening between the pre and post groups (73% pre and post, P = 0.92). Willingness to disclose IPV in response to screening was higher in the postdisplay group for those with a personal IPV history (55% pre, 73% post; P = 0.02), African Americans (60% pre, 78% post; P = 0.02), and those with a high school degree or less education (66% pre, 77% post; P = 0.04).
Intimate partner violence materials in this study were acceptable to most participants and did not negatively impact attitudes toward IPV screening or willingness to disclose IPV. Display of IPV materials should be considered as a component of IPV intervention.
本研究旨在确定亲密伴侣暴力(IPV)材料的可接受性,以及这些材料对护理人员对 IPV 筛查态度的影响。
我们使用匿名计算机化调查来评估对 IPV 材料和筛查的认可程度,以及在城市儿科急诊部门或附属于独立学术儿童医院的 2 家郊区儿科紧急护理中心,带孩子前来就诊的母亲对筛查时披露 IPV 的意愿。我们使用 χ2 检验比较了在展示 IPV 材料前后招募的参与者之间以及亚组之间的反应。
共有 522 名参与者(预展示组,n=261;后展示组,n=261)。在后展示组中,更多的参与者赞成在儿科急诊部门/紧急护理中心的浴室(94%预 vs 98%后,P=0.04)和检查室(94%预 vs 98%后,P=0.01)展示 IPV 材料。我们在前组和后组之间未发现 IPV 筛查可接受性的差异(73%预和后,P=0.92)。在后展示组中,对于有个人 IPV 史的参与者(55%预,73%后;P=0.02)、非裔美国人(60%预,78%后;P=0.02)和接受高中及以下教育程度的参与者(66%预,77%后;P=0.04),筛查时披露 IPV 的意愿更高。
本研究中的 IPV 材料对大多数参与者是可接受的,并未对 IPV 筛查的态度或披露 IPV 的意愿产生负面影响。展示 IPV 材料应被视为 IPV 干预的一部分。