Epidemiology Area, General Subdirectorate of Epidemiology, General Directorate of Public Health, Ministry of Health, Community of Madrid, Madrid, Spain.
Preventive Medicine Unit, University Hospital 12 de Octubre, Community of Madrid, Madrid, Spain.
BMC Public Health. 2021 Sep 8;21(1):1639. doi: 10.1186/s12889-021-11646-3.
The use of electronic media is widespread among young people and is a potential tool for the perpetration of intimate-partner violence (IPV) towards women. The aim of this study is to validate two questions focused on harassment and control by electronic tools (HCE-2) as a screening tool for the detection of IPV in young women.
The data source was the third Community of Madrid IPV survey in 2014. The screening tool consisted of two questions with five possible answers prepared by a group of experts. As the gold standard we used the definition of intimate partner violence based on a 26- question survey. The validity indices (with 95% confidence intervals) were compared between two age groups: 18-24 and 25-29 years.
Six hundred ninty-four women were sampled. The response rate was 68.7%, and 477 surveys were analyzed. The prevalence of IPV was 10.7% (95% CI: 8.2-13.8). HCE-2 was positive in 5.9% (95% CI: 4.1-8.4). The overall efficiency of the test was 93.5% (95% CI: 91.1-96.7), sensitivity 47.1% (95% CI: 33.7-60.8), specificity 99.1% (95% CI: 97.5-99.6), and positive predictive value 85.7% (95% CI: 67.1-94.6). The best validity indices of the questionnaire were observed in women aged 18 to 24 years: overall efficiency of the test 95.1% (95% CI: 92.6-97.7), sensitivity 62.5% (95% CI: 44.5-77.6), specificity 99.6% (95% CI: 97.0-99.9), and positive predictive value 95.2% (95% CI: 71.7-99.4).
The existing need to improve the detection of IPV in young women and the good validity indices observed here justify the recommendation of the HCE-2 questionnaire as a screening tool in young women.
电子媒体在年轻人中广泛使用,是对女性实施亲密伴侣暴力(IPV)的潜在工具。本研究的目的是验证两个针对电子工具骚扰和控制的问题(HCE-2),作为年轻女性中 IPV 的筛查工具。
数据源是 2014 年马德里第三次社区 IPV 调查。筛查工具由一组专家准备的两个有五个可能答案的问题组成。金标准是基于 26 个问题的调查对亲密伴侣暴力的定义。在两个年龄组(18-24 岁和 25-29 岁)之间比较了有效性指标(95%置信区间)。
共抽取 994 名女性,应答率为 68.7%,分析了 477 份调查。IPV 的患病率为 10.7%(95%CI:8.2-13.8)。HCE-2 阳性率为 5.9%(95%CI:4.1-8.4)。该测试的总效率为 93.5%(95%CI:91.1-96.7),敏感性为 47.1%(95%CI:33.7-60.8),特异性为 99.1%(95%CI:97.5-99.6),阳性预测值为 85.7%(95%CI:67.1-94.6)。在 18-24 岁的女性中,问卷的最佳有效性指标为:测试总效率为 95.1%(95%CI:92.6-97.7),敏感性为 62.5%(95%CI:44.5-77.6),特异性为 99.6%(95%CI:97.0-99.9),阳性预测值为 95.2%(95%CI:71.7-99.4)。
目前需要提高对年轻女性中 IPV 的检测,这里观察到的良好有效性指标证明了 HCE-2 问卷作为年轻女性筛查工具的推荐是合理的。