对伴侣暴力查对妇女生活质量的影响:一项随机对照试验
Joanne Klevens1, Romina Kee, William Trick
1Centers for Disease Control and Prevention, Division of Violence Prevention, Atlanta, Georgia, USA. levens@cdc.gov
JAMA
|August 16, 2012
概括
在初级保健中对伴侣暴力的查并没有改善妇女的健康结果. 提供资源列表,无论是否进行查,都没有显示出对生活质量或医疗保健利用的显著好处.
科学领域:
- 公共卫生 公共卫生
- 临床研究 临床研究
- 妇女健康 妇女健康
背景情况:
- 广泛推对伴侣暴力进行查,但缺乏对健康益处的证据.
- 初级保健环境对于识别和干预伴侣暴力至关重要.
- 目前关于查干预措施有效性的证据有限.
研究的目的:
- 评估计算机化伴侣暴力查和资源清单对妇女健康的影响.
- 为了比较接受查加资源,仅资源和对照组的妇女之间的健康结果.
- 评估伴侣暴力干预措施在初级保健中的有效性.
主要方法:
- 一个3组盲目的随机对照试验,涉及10个初级保健中心的2708名女性.
- 干预包括:查加资源列表,仅资源列表,或控制 (没有干预).
- 衡量的主要结局是1年随访后的生活质量 (身体和精神健康组成部分).
主要成果:
- 干预组和对照组之间没有观察到生活质量 (身体或精神健康) 的显著差异.
- 无法工作/完成家务,利用医疗保健或伴侣暴力复发的日子没有改善.
- 与伴侣暴力机构的接触在各组之间没有显著差异.
结论:
- 在初级保健机构中,伴侣暴力查与资源提供相结合,并不能改善妇女的健康.
- 该研究表明,目前的查和资源列表策略可能无法有效地改善健康结果.
- 需要进一步的研究,以确定在医疗保健机构对伴侣暴力的有效干预措施.
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