The Healing Place, PLLC , Washington, DC, USA.
Department of Psychology, American University, American University , Washington, DC, USA.
Women Health. 2020 Oct;60(9):1000-1013. doi: 10.1080/03630242.2020.1784368. Epub 2020 Jul 2.
Screening for intimate partner violence is recommended by the medical community. This study investigated obstetrician-gynecologists' intimate partner violence screening patterns and physician and patient factors associated with screening. Four hundred obstetricians-gynecologists completed the Physician Readiness to Manage Intimate Partner Violence Survey between December 2014 and July 2015. Their patients completed the Patient Safety and Satisfaction Survey. Hierarchical generalized linear modeling analyzed physician and patient variables related to the likelihood of being screened. Forty-four physicians responded. The viable patient response rate was 81.3 percent ( = 894) of patients from included physicians. Less than half (43.2 percent) of physicians reported screening during annual exams. There was a statistically significant difference for patient race/ethnicity ( < .03) and the number of previous doctor visits ( < .03) with not being screened. These patient-level variables accounted for approximately 68.3 percent of the variance screening odds. There was no significant difference ( < .10) between physicians' perceived preparation, knowledge, and attitudes for not being screened. The hierarchical generalized linear modeling analysis showed a trend for physicians with a high-perceived preparation for screening was related to initial visits. This study identified that obstetrician-gynecologists do not routinely screen for IPV and race/ethnicity and number of visits are factors in screening for intimate partner violence.
医疗机构推荐对亲密伴侣暴力进行筛查。本研究调查了妇产科医生进行亲密伴侣暴力筛查的模式，以及与筛查相关的医生和患者因素。400 名妇产科医生于 2014 年 12 月至 2015 年 7 月期间完成了《医生准备管理亲密伴侣暴力调查》。他们的患者完成了《患者安全和满意度调查》。分层广义线性模型分析了与筛查可能性相关的医生和患者变量。44 名医生做出了回应。有活力的患者应答率为 81.3%（=894），来自参与医生的患者。不到一半（43.2%）的医生报告在年度检查中进行了筛查。患者的种族/民族（<0.03）和就诊次数（<0.03）存在统计学差异，与未进行筛查有关。这些患者层面的变量解释了大约 68.3%的筛查几率差异。医生对筛查的感知准备、知识和态度没有显著差异（<0.10），不能进行筛查。分层广义线性模型分析显示，对筛查有高度感知准备的医生与初诊有关。本研究表明，妇产科医生没有常规进行亲密伴侣暴力筛查，种族/民族和就诊次数是亲密伴侣暴力筛查的因素。
