在医疗保健环境中查亲密伴侣暴力的方法:一项随机试验
Harriet L MacMillan1, C Nadine Wathen, Ellen Jamieson
1Department of Psychiatry and Behavioural Neurosciences, Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada. macmilnh@mcmaster.ca
JAMA
|August 3, 2006
概括
女性更喜欢自己完成的亲密伴侣暴力 (IPV) 查,而不是面对面的面试. 书面调查问卷缺少的数据最少,使其成为医疗保健环境的最佳选择.
科学领域:
- 公共卫生 公共卫生
- 临床医学 临床医学
- 医疗保健研究 医疗保健研究
背景情况:
- 建议在医疗机构进行亲密伴侣暴力 (IPV) 查,但缺乏关于最佳方法的数据.
- 关于各种IPV查方法的准确性,可接受性和完整性的信息有限.
研究的目的:
- 确定在各种医疗保健环境中查亲密伴侣暴力 (IPV) 的最佳方法.
- 评估不同IPV查方法的准确性,可接受性和完整性.
主要方法:
- 一个集群随机试验,涉及2,602名妇女在加拿大安大略省的急诊部,家庭诊所和妇女健康诊所.
- 我们比较了三种查方法:面对面采访,书面问卷和基于计算机的问卷,使用伴侣暴力屏幕 (PVS) 和女性虐待查工具 (WAST) 与综合虐待量表 (CAS) 相比.
主要成果:
- 根据方法,仪器和环境 (4,1%-17,7%) 的IPV患病率有所不同.
- 书面问卷,特别是WAST,显示缺失数据显著减少,参与者更喜欢面对面的面试.
- PVS和WAST表现出类似的敏感性和特异性.
结论:
- 女性更喜欢自行完成的IPV查方法,而不是直接询问.
- 书面查格式与最少的缺失数据相关,为临床和研究应用提供实际优势.
- 基于计算机的查并没有显著增加IPV流行率的检测.
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