Dougherty Danielle, Winter Samantha C, Haig Andrew J, Ramaphane Peggi, Barchi Francis
J Health Care Poor Underserved. 2018;29(3):864-880. doi: 10.1353/hpu.2018.0065.
Despite evidence suggesting a strong association between women's experience of violence and their health-seeking behaviors, limited research has been conducted to date that explores factors associated with these behaviors in Botswana. A prospective, cross-sectional study involving semi-structured interviews with 479 women took place in Maun, Botswana, in 2012. Twenty-five percent of those interviewed reported not having visited a medical clinic at least once despite wishing to do so. Sequential binary-logistic regressions identified three factors associated with women's health services utilization: travel time, frequency of clinic visits, and experience of recent sexual intimate partner violence (IPV). Women who had experienced recent sexual IPV had over two and a half times the odds of having foregone medical care compared with women with no recent sexual IPV experience. Interventions that identify and encourage victims of sexual violence to seek timely screening and treatment may reduce overall disease burden in this population.
尽管有证据表明女性遭受暴力的经历与她们的就医行为之间存在紧密联系，但迄今为止，在博茨瓦纳，针对与这些行为相关因素的研究仍很有限。2012年，在博茨瓦纳的马翁进行了一项前瞻性横断面研究，对479名女性进行了半结构化访谈。25%的受访者表示，尽管希望就医，但至少有一次未前往医疗诊所。序贯二元逻辑回归确定了与女性医疗服务利用相关的三个因素：出行时间、就诊频率以及近期遭受性亲密伴侣暴力（IPV）的经历。与近期没有遭受性IPV经历的女性相比，近期遭受性IPV的女性放弃医疗护理的几率高出两倍半以上。识别并鼓励性暴力受害者及时进行筛查和治疗的干预措施，可能会减轻该人群的总体疾病负担。
