在医疗保健机构对亲密伴侣暴力的查:一项随机试验
Harriet L MacMillan1, C Nadine Wathen, Ellen Jamieson
1Offord Centre for Child Studies, Department of Psychiatry and Behavioural Neurosciences, McMaster University, Patterson Bldg, 1200 Main St W, Hamilton, ON L8N 3Z5, Canada. macmilnh@mcmaster.ca
JAMA
|August 6, 2009
概括
在医疗机构的亲密伴侣暴力 (IPV) 查并没有显著减少暴力或改善妇女的生活质量. 需要进一步的研究来评估IPV的妇女的服务.
科学领域:
- 公共卫生 公共卫生
- 临床医学 临床医学
- 妇女健康 妇女健康
背景情况:
- 亲密伴侣暴力 (IPV) 查在减少暴力和改善妇女健康结果方面的有效性仍然不清楚.
- 在各种医疗保健机构中实施IPV常规查,但其影响需要严格评估.
研究的目的:
- 评估IPV查的有效性和向医疗保健机构的临床医生传达积极结果.
- 确定IPV查是否会影响妇女的暴力复发和生活质量.
主要方法:
- 在加拿大安大略省100多个医疗保健机构进行了一项随机对照试验,涉及6743名18-64岁的妇女.
- 参与者被随机分配到使用妇女虐待查工具 (WAST) 的查组 (n=3271) 中,结果传达给临床医生,以及非查组 (n=3472).
- 主要结局包括IPV再暴露和生活质量,通过采访评估超过18个月.
主要成果:
- 参与者的高 attrition (41-43%) 影响了研究的力量,需要谨慎地解释结果.
- 在18个月后,查和非查组之间没有观察到IPV复发的统计学上显著差异 (46%与53%对比).
- 虽然查的女性显示出改善生活质量的趋势,但考虑到缺失的数据后,这种差异并不显著.
结论:
- 该研究没有提供足够的证据来支持在医疗机构中常规实施IPV查.
- 尽管有负面的发现,对IPV确诊的妇女提供有效服务的需求仍然是关键的公共卫生优先事项.
- 进一步的研究应该集中在优化亲密伴侣暴力受害者的支持系统和干预措施上.
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