Association of Women Surgeons, Chicago, Illinois.
University Hospitals Research in Surgical Outcomes and Effectiveness (UH RISES), Cleveland, Ohio.
Ann Surg. 2021 Mar 1;273(3):387-392. doi: 10.1097/SLA.0000000000004553.
The incidence and risk factors for IPV are not well-studied among surgeons. We sought to fill this gap in knowledge by surveying surgeons to estimate the incidence and identify risk factors associated with IPV.
An estimated 36.4% of women and 33.6% of men in the United States have experienced IPV. Risk factors include low SES, non-White ethnicity, psychiatric disorders, alcohol and drug abuse, and history of childhood abuse. Families with higher SES are not exempt from IPV, yet there is very little data examining incidence and risk factors among these populations.
An anonymous online survey targeting US-based surgeons was distributed through 4 major surgical societies. Demographics, history of abuse, and related factors were assessed. Chi-square analysis and multivariable logistic regression were utilized to evaluate for potential risk factors of IPV.
Eight hundred eighty-two practicing surgeons and trainees completed the survey, of whom 536 (61%) reported experiencing some form of behavior consistent with IPV. The majority of respondents were women (74.1%, P = 0.004). Emotional abuse was most common (57.3%), followed by controlling behavior (35.6%), physical abuse (13.1%), and sexual abuse (9.6%).History of mental illness, [odds ratio (OR) 2.32, P < 0.001], alcohol use (frequent/daily OR 1.76, P = 0.035 and occasional OR 1.78, P = 0.015), childhood physical abuse (OR 1.96, P = 0.020), childhood emotional abuse (OR 1.76, P = 0.008), and female sex (OR 1.46, P = 0.022) were associated with IPV.
As the first national study of IPV among surgeons, this analysis demonstrates surgeons experience IPV and share similar risk factors to the general population.
在外科医生中，关于 IPV 的发生率和危险因素的研究还不够充分。我们通过调查外科医生来填补这一知识空白，以估计 IPV 的发生率并确定与 IPV 相关的危险因素。
在美国，估计有 36.4%的女性和 33.6%的男性经历过 IPV。危险因素包括低社会经济地位、非白种人种族、精神疾病、酗酒和吸毒以及童年虐待史。高社会经济地位的家庭也不能免除 IPV 的发生，但很少有数据研究这些人群中的发生率和危险因素。
通过 4 个主要的外科医生协会，向美国的外科医生分发了一份匿名的在线调查。评估了人口统计学、虐待史和相关因素。使用卡方分析和多变量逻辑回归来评估 IPV 的潜在危险因素。
882 名执业外科医生和学员完成了这项调查，其中 536 名（61%）报告曾经历过某种形式的与 IPV 一致的行为。大多数受访者是女性（74.1%，P=0.004）。情感虐待最为常见（57.3%），其次是控制行为（35.6%）、身体虐待（13.1%）和性虐待（9.6%）。精神病史（比值比[OR]2.32，P<0.001）、饮酒（频繁/每日 OR 1.76，P=0.035 和偶尔 OR 1.78，P=0.015）、童年期身体虐待（OR 1.96，P=0.020）、童年期情感虐待（OR 1.76，P=0.008）和女性性别（OR 1.46，P=0.022）与 IPV 相关。
作为第一项关于外科医生中 IPV 的全国性研究，本分析表明外科医生经历过 IPV，并且与普通人群有相似的危险因素。
