Feldhaus K M, Koziol-McLain J, Amsbury H L, Norton I M, Lowenstein S R, Abbott J T
Department of Emergency Medicine, Denver Health Medical Center, CO 80204, USA.
JAMA. 1997 May 7;277(17):1357-61.
To devise a brief screening instrument to detect partner violence and to partially validate this screen against established instruments.
Prospective survey.
Two urban, hospital-based emergency departments.
Of 491 women presenting during 48 randomly selected 4-hour time blocks, 322 (76% of eligible patients) participated. Respondents had a median age of 36 years; 19% were black, 45% white, and 30% Hispanic, while 6% were of other racial or ethnic groups; 54% were insured.
We developed a partner violence screen (PVS), consisting of 3 questions about past physical violence and perceived personal safety. We administered the PVS and 2 standardized measures of partner violence, the Index of Spouse Abuse (ISA) and the Conflict Tactics Scale (CTS).
Sensitivity, specificity, and predictive values of the PVS were compared with the ISA and the CTS as criterion standards.
The prevalence rate of partner violence using the PVS was 29.5% (95% confidence interval [CI], 24.6%-34.8%). For the ISA and CTS, the prevalence rates were 24.3% (95% CI, 19.2%-30.1 %) and 27.4% (95% CI, 21.7%-33.6%), respectively. Compared with the ISA, the sensitivity of the PVS in detecting partner abuse was 64.5%; the specificity was 80.3%. When compared with the CTS, sensitivity of the PVS was 71.4%; the specificity was 84.4%. Positive predictive values ranged from 51.3% to 63.4%, and negative predictive values ranged from 87.6% to 88.7%. Overall, 13.7% of visits were the result of acute episodes of partner violence.
Three brief directed questions can detect a large number of women who have a history of partner violence.
设计一种简短的筛查工具来检测伴侣暴力行为，并对照已有的工具对该筛查工具进行部分验证。
前瞻性调查。
两家城市医院的急诊科。
在48个随机抽取的4小时时间段内就诊的491名女性中，322名（占符合条件患者的76%）参与了调查。受访者的年龄中位数为36岁；19%为黑人，45%为白人，30%为西班牙裔，6%为其他种族或族裔群体；54%有保险。
我们开发了一种伴侣暴力筛查工具（PVS），由3个关于过去身体暴力和个人安全感的问题组成。我们实施了PVS以及两种标准化的伴侣暴力测量工具，即配偶虐待指数（ISA）和冲突策略量表（CTS）。
将PVS的敏感性、特异性和预测值与作为标准对照的ISA和CTS进行比较。
使用PVS得出的伴侣暴力患病率为29.5%（95%置信区间[CI]，24.6%-34.8%）。对于ISA和CTS，患病率分别为24.3%（95%CI，19.2%-30.1%）和27.4%（95%CI，21.7%-33.6%）。与ISA相比，PVS检测伴侣虐待的敏感性为64.5%；特异性为80.3%。与CTS相比，PVS的敏感性为71.4%；特异性为84.4%。阳性预测值在51.3%至63.4%之间，阴性预测值在87.6%至88.7%之间。总体而言，13.7%的就诊是由伴侣暴力急性发作导致的。
三个简短的定向问题能够检测出大量有伴侣暴力史的女性。
