Randell Kimberly A, Masonbrink Abbey R, Hunt Jane A, Mermelstein Sarah, Kilaru Raga, Thevatheril Sarah, Miller Melissa K
Division of Emergency Medicine (KA Randell and MK Miller), Children's Mercy Kansas City, Kansas City, Mo; University of Missouri (KA Randell, AR Masonbrink, R Kilaru, and MK Miller), Kansas City School of Medicine, Kansas City, Mo; University of Kansas School of Medicine (KA Randell and MK Miller), Kansas City, Kans.
Division of Hospital Medicine (AR Masonbrink), Children's Mercy Kansas City, Kansas City, Mo; University of Missouri (KA Randell, AR Masonbrink, R Kilaru, and MK Miller), Kansas City School of Medicine, Kansas City, Mo.
Acad Pediatr. 2025 Jan-Feb;25(1):102577. doi: 10.1016/j.acap.2024.09.001. Epub 2024 Sep 26.
We assessed adolescent relationship abuse (ARA) prevalence and ARA intervention acceptability and perceived benefit among hospitalized adolescents and young adults (AYA).
This was a planned secondary analysis of a cross-sectional survey exploring sexual and reproductive health among a convenience sample of AYA (14-25 years) hospitalized in medical/surgical units at two Midwest children's hospitals. Survey items assessed history of dating, lifetime prevalence of four types of ARA (physical abuse, sexual abuse, reproductive coercion, sexual exploitation), and demographics.
Among 324 participants, 72.5% reported dating and, among those with history of dating, 17% reported one or more types of ARA. ARA was more common among those who reported foregone health care in the preceding 12 months. There was no difference in likelihood of dating and ARA between those with and without a chronic health condition. Approximately half felt it is helpful for clinicians to discuss dating relationships with adolescents (58.6%) and acceptable to do this during a hospitalization (50.6%). Conversations with clinicians about dating relationships were more likely to be reported helpful by those who had dated (63.9% reporting dating vs 50.6% not reporting dating, P 0.04) and those who reported prior ARA (79.5% reporting ARA vs 60.4% not reporting ARA, P 0.02).
Hospitalization may represent a unique opportunity to support healthy AYA dating relationships. Further work is needed to further explore acceptability and feasibility of such interventions.
我们评估了住院青少年及青年（AYA）中青少年关系虐待（ARA）的患病率、ARA干预的可接受性及感知益处。
这是一项对横断面调查的计划二次分析，该调查探讨了在中西部两家儿童医院内科/外科病房住院的AYA（14 - 25岁）便利样本中的性健康和生殖健康。调查项目评估了约会史、四种类型ARA（身体虐待、性虐待、生殖胁迫、性剥削）的终生患病率以及人口统计学特征。
在324名参与者中，72.5%报告有约会经历，在有约会史的人群中，17%报告有一种或多种类型的ARA。ARA在那些报告在前12个月放弃医疗保健的人群中更为常见。有慢性健康状况和没有慢性健康状况的人群在约会和ARA的可能性上没有差异。大约一半的人认为临床医生与青少年讨论约会关系是有帮助的（58.6%），并且在住院期间这样做是可以接受的（50.6%）。与临床医生关于约会关系的谈话更有可能被有约会经历的人报告为有帮助（63.9%报告有约会经历，而未报告有约会经历的为50.6%，P<0.04）以及那些报告有既往ARA的人（79.5%报告有ARA，而未报告有ARA的为60.4%，P<0.02）。
住院可能是支持健康的AYA约会关系的一个独特机会。需要进一步开展工作以进一步探索此类干预措施的可接受性和可行性。
