Mazza D, Dennerstein L, Ryan V
University of Melbourne, VIC.
Med J Aust. 1996 Jan 1;164(1):14-7.
To determine the prevalence of domestic violence, childhood abuse and sexual assault experienced by women attending general practitioners.
A cross-sectional, questionnaire-based prevalence survey.
15 general practices in metropolitan Melbourne between November 1993 and February 1994.
3026 women over the age of 18 attending for a consultation.
The response rate was 72%. Over a quarter of women in relationships had been victims of physical or emotional partner abuse in the previous year, one in 10 having experienced severe physical violence. Thirteen percent of women had experienced rape or attempted rape, 10% had been severely beaten during childhood and 28% had experienced childhood sexual abuse involving physical contact. The abuse had been disclosed to the woman's doctor by only 27% of those who had experienced partner or childhood physical abuse (mostly because the doctor had never asked) and 9% of those who had experienced sexual abuse (mostly because the woman did not see it as relevant to the consultation).
There is a high prevalence of physical, sexual and emotional violence against women as well as poor communication about this violence to their general practitioners.
Medical practitioners should be more proactive in questioning women about violence.
确定就诊于全科医生的女性中家庭暴力、童年期虐待及性侵犯的发生率。
一项基于问卷调查的横断面患病率调查。
1993年11月至1994年2月间墨尔本市区的15家全科诊所。
3026名年龄在18岁以上前来就诊的女性。
应答率为72%。超过四分之一处于恋爱关系中的女性在前一年遭受过伴侣的身体或情感虐待，十分之一的女性曾遭受严重身体暴力。13%的女性曾遭受强奸或强奸未遂，10%的女性在童年期曾遭到严重殴打，28%的女性曾遭受涉及身体接触的童年期性虐待。在遭受伴侣或童年期身体虐待的女性中，只有27%向其医生透露过（主要原因是医生从未询问过）；在遭受性虐待的女性中，只有9%向医生透露过（主要原因是女性认为这与就诊无关）。
针对女性的身体、性及情感暴力发生率很高，且在向全科医生提及此类暴力方面沟通不畅。
医生在询问女性暴力问题时应更加主动。
