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更多暴力受害者寻求全科医生咨询:来自具有代表性的德国 DEGS1 研究的结果。

More GP Consultations by Violence Victims: Results from the Representative German DEGS1 Study.

机构信息

Institute of General Practice and Family Medicine, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, Germany.

Robert-Koch-Institute, Nordufer 20, 13353 Berlin, Germany.

出版信息

Int J Environ Res Public Health. 2023 Mar 6;20(5):4646. doi: 10.3390/ijerph20054646.

Abstract

Violence is a growing public health problem influencing physical and mental health. Victims tend to contact medical care in the first place, yet a discrepancy between patients' violence experiences (VE) and general practitioners' (GP) awareness is reported. The number of GP visits by victims is of interest. Using data of the nationally representative German Health Interview and Examination Survey for Adults (DEGS1), associations between the prevalence of ≥1 recent VE (last 12 months) and the number of GP contacts were analyzed with respect to age, gender, socio-economic status, and health conditions. The DEGS1 dataset comprised persons aged 18 to 64 years (n = 5938). The prevalence of a recent VE was 20.7%. Compared to non-victims, VE victims visited their GP significantly more often in the preceding 12 months (3.47 vs. 2.87, < 0.001), which increased markedly in those who were strongly impaired by a recent physical VE (3.55 GP visits) or psychological VE (4.24). The high frequency of GP contacts in VE victims constitutes opportunities to professionally support this vulnerable patient group and underlines the necessity for GPs to integrate VE as a bio-psycho-social problem in a holistic treatment approach.

摘要

暴力是一个日益严重的公共卫生问题,影响着身心健康。受害者往往首先寻求医疗护理,但据报道,患者的暴力经历(VE)和全科医生(GP)的意识之间存在差距。受害者的 GP 就诊次数是一个关注点。利用全国代表性的德国成年人健康访谈和体检调查(DEGS1)的数据,分析了年龄、性别、社会经济地位和健康状况等因素与≥1 次近期 VE(过去 12 个月)的流行率和 GP 接触次数之间的关联。DEGS1 数据集包括 18 至 64 岁的人群(n=5938)。最近 VE 的流行率为 20.7%。与非受害者相比,VE 受害者在过去 12 个月内就诊 GP 的次数明显更多(3.47 次比 2.87 次,<0.001),而那些近期受到身体 VE(3.55 次 GP 就诊)或心理 VE(4.24 次)严重影响的受害者就诊次数明显增加。VE 受害者高频次的 GP 就诊为专业支持这一脆弱患者群体提供了机会,并强调了全科医生将 VE 作为一个生物-心理-社会问题纳入整体治疗方法的必要性。

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