EPIUnit, Institute of Public Health, University of Porto, Porto, Portugal.
Faculty of Health and Wellbeing, Canterbury Christ Church University, Canterbury, Kent, UK.
Eur J Public Health. 2019 Apr 1;29(2):359-364. doi: 10.1093/eurpub/cky167.
To examine the relationship between forgone healthcare and involvement in intimate partner violence (IPV) as victims, perpetrators or both.
This cross-sectional multicentre study assessed community non-institutionalized residents (n = 3496, aged 18-64) randomly selected from six European cities: Athens, Budapest, London, Östersund, Porto, Stuttgart. A common questionnaire was used, including self-reports of IPV and forgone healthcare ('Have you been in need of a certain care service in the past year, but did not seek any help?'). Odds ratios (ORs), 95% confidence intervals (CIs) were computed fitting logistic regression models adjusted for city, chronic disease, self-assessed health status and financial strain.
Participants experiencing past year IPV (vs. no violence) reported more often to forgone healthcare (n = 3279, 18.6% vs. 15.3%, P = 0.016). IPV experienced as both a victim and perpetrator was associated with forgone healthcare (adjusted OR, 95%CI: 1.32, 1.02-1.70).
IPV was associated with forgone healthcare, particularly for those experiencing violence as both victims and perpetrators. Results suggest that preventing IPV among adults may improve timely healthcare uptake.
研究因放弃医疗保健而与亲密伴侣暴力（IPV）受害者、施暴者或两者都有关联的关系。
这项横断面多中心研究评估了来自六个欧洲城市（雅典、布达佩斯、伦敦、厄斯特松德、波尔图、斯图加特）的社区非机构化居民（n=3496，年龄 18-64 岁）：随机选择。使用了一份共同的问卷，包括自我报告的 IPV 和放弃的医疗保健（“在过去一年中，您是否需要某种护理服务，但没有寻求任何帮助？”）。使用逻辑回归模型计算优势比（OR）和 95%置信区间（CI），并调整了城市、慢性疾病、自我评估的健康状况和财务压力。
报告在过去一年中经历过 IPV（与无暴力相比）的参与者更经常放弃医疗保健（n=3279，18.6%比 15.3%，P=0.016）。作为受害者和施暴者都经历过 IPV 与放弃医疗保健有关（调整后的 OR，95%CI：1.32，1.02-1.70）。
IPV 与放弃医疗保健有关，特别是对于那些作为受害者和施暴者都经历过暴力的人。结果表明，预防成年人中的 IPV 可能会提高及时获得医疗保健的机会。
