Dearwater S R, Coben J H, Campbell J C, Nah G, Glass N, McLoughlin E, Bekemeier B
Department of Emergency Medicine, Center for Violence and Injury Control, Allegheny University of the Health Sciences, Pittsburgh, PA 15212, USA.
JAMA. 1998 Aug 5;280(5):433-8. doi: 10.1001/jama.280.5.433.
The majority of prior studies examining intimate partner abuse in the emergency department (ED) setting have been conducted in large, urban tertiary care settings and may not reflect the experiences of women seen at community hospital EDs, which treat the majority of ED patients in the United States.
To determine the prevalence of intimate partner abuse among female patients presenting for treatment in community hospital EDs and describe their characteristics.
An anonymous survey conducted from 1995 through 1997 inquiring about physical, sexual, and emotional abuse.
Eleven community EDs in Pennsylvania and California.
All women aged 18 years or older who came to the ED during selected shifts.
Reported acute trauma from abuse, past-year physical or sexual abuse, and lifetime physical or emotional abuse.
Surveys were completed by 3455 (74%) of 4641 women seen. The prevalence of reported abuse by an intimate partner was 2.2% (95% confidence interval [CI], 1.7%-2.7%) for acute trauma from abuse, 14.4% (95% CI, 13.2%-15.6%) for past-year physical or sexual abuse, and 36.9% (95% CI, 35.3%-38.6%) for lifetime emotional or physical abuse. California had significantly higher reported rates of past-year physical or sexual abuse (17% vs 12%, P<.001) and lifetime abuse (44% vs 31%, P<.001) than Pennsylvania. Logistic regression modeling identified 4 risk factors for reported physical, sexual, or acute trauma from abuse within the past year: age, 18 to 39 years (odds ratio [OR], 2.2; 95% CI, 1.7-3.0); monthly income less than $1000 (OR, 1.7; 95% CI, 1.3-2.1); children younger than 18 years living in the home (OR, 2.0; 95% CI, 1.5-2.6); and ending a relationship within the past year (OR, 7.0; 95% CI, 5.5-8.9).
If the prevalence of abuse in community hospitals throughout the United States is similar to the range of prevalence estimates found in this study, then heightened awareness of intimate partner abuse is warranted for patients presenting to the ED.
之前大多数在急诊科（ED）环境中研究亲密伴侣虐待情况的研究都是在大型城市三级医疗中心进行的，可能无法反映在社区医院急诊科就诊的女性的经历，而美国大多数急诊科患者是在社区医院接受治疗的。
确定在社区医院急诊科就诊的女性患者中亲密伴侣虐待的患病率，并描述她们的特征。
1995年至1997年进行的一项匿名调查，询问身体、性和情感虐待情况。
宾夕法尼亚州和加利福尼亚州的11家社区急诊科。
在选定班次期间前来急诊科的所有18岁及以上女性。
报告的因虐待导致的急性创伤、过去一年的身体或性虐待以及一生的身体或情感虐待。
4641名就诊女性中有3455名（74%）完成了调查。亲密伴侣报告的虐待患病率为：因虐待导致的急性创伤为2.2%（95%置信区间[CI]，1.7%-2.7%），过去一年的身体或性虐待为14.4%（95%CI，13.2%-15.6%），一生的情感或身体虐待为36.9%（95%CI，35.3%-38.6%）。加利福尼亚州报告的过去一年身体或性虐待率（17%对12%，P<.001）和一生虐待率（44%对31%，P<.001）显著高于宾夕法尼亚州。逻辑回归模型确定了过去一年报告的身体、性或因虐待导致的急性创伤的4个风险因素：年龄18至39岁（优势比[OR]，2.2；95%CI，1.7-3.0）；月收入低于1000美元（OR，1.7；95%CI，1.3-2.1）；家中有18岁以下子女（OR，2.0；95%CI，1.5-2.6）；以及在过去一年结束一段关系（OR，7.0；95%CI，5.5-8.9）。
如果美国各地社区医院的虐待患病率与本研究中发现的患病率估计范围相似，那么对于前往急诊科就诊的患者，有必要提高对亲密伴侣虐待的认识。
