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2016-2019 年美国怀孕前、怀孕期间和怀孕后亲密伴侣暴力的筛查和经历。

Screening for and Experiences of Intimate Partner Violence in the United States Before, During, and After Pregnancy, 2016-2019.

机构信息

Katy B. Kozhimannil, Julia D. Interrante, and Phoebe L. Chastain are with the University of Minnesota School of Public Health, Minneapolis. Valerie A. Lewis is with the University of North Carolina at Chapel Hill. Lindsay Admon is with the University of Michigan Institute for Healthcare Policy and Innovation, Ann Arbor.

出版信息

Am J Public Health. 2023 Mar;113(3):297-305. doi: 10.2105/AJPH.2022.307195. Epub 2023 Jan 26.

Abstract

To measure rates of intimate partner violence (IPV) screening during the perinatal period among people experiencing physical violence in the United States. We used 2016-2019 Pregnancy Risk Assessment Monitoring System data (n = 158 338) to describe the incidence of physical IPV before or during pregnancy. We then assessed the prevalence of IPV screening before, during, or after pregnancy and predictors of receiving screening among those reporting violence. Among the 3.5% (n = 6259) of respondents experiencing violence, 58.7%, 26.9%, and 48.3% were not screened before, during, or after pregnancy, respectively. Those reporting Medicaid or no insurance at birth, American Indian/Alaska Native people, and Spanish-speaking Hispanic people faced increased risk of not having a health care visit during which screening might occur. Among those attending a health care visit, privately insured people, rural residents, and non-Hispanic White respondents faced increased risk of not being screened. Among birthing people reporting physical IPV, nearly half were not screened for IPV before or after pregnancy. Public health efforts to improve maternal health must address both access to care and universal screening for IPV. (. 2023;113(3):297-305. https://doi.org/10.2105/10.2105/AJPH.2022.307195).

摘要

目的

在美国,针对遭受身体暴力的人群,测量围产期亲密伴侣暴力(IPV)筛查率。

方法

我们使用了 2016-2019 年妊娠风险评估监测系统的数据(n=158338),来描述怀孕前或怀孕期间身体 IPV 的发生率。然后,我们评估了在怀孕前、期间或之后进行 IPV 筛查的流行率,以及报告暴力的人群中接受筛查的预测因素。在 3.5%(n=6259)经历暴力的受访者中,分别有 58.7%、26.9%和 48.3%的人在怀孕前、期间或之后未接受筛查。报告出生时接受医疗补助或无保险、美国印第安人/阿拉斯加原住民和讲西班牙语的西班牙裔人群,以及未接受产前检查的人群,发生未接受筛查的风险增加。在接受医疗保健访问的人群中,私人保险、农村居民和非西班牙裔白人受访者未接受筛查的风险增加。在报告身体 IPV 的分娩人群中,近一半人在怀孕前或怀孕后未接受 IPV 筛查。改善产妇健康的公共卫生工作必须同时解决获得医疗保健和普遍筛查 IPV 的问题。

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