了解退伍军人使用亲密伴侣暴力以及医疗保健利用模式
Mark R Relyea1,2, Candice Presseau1,2, Tessa Runels1
1VA Connecticut Healthcare System, West Haven, Connecticut, USA.
Health services research
|July 15, 2023
概括
参与亲密伴侣暴力 (IPV) 的退伍军人对心理健康,慢性疼痛和消化问题的医疗保健使用率更高. 这凸显了对退伍军人中IPV的有针对性的查和干预的需要.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 退伍军人事务 医疗保健 医疗保健
背景情况:
- 亲密伴侣暴力 (IPV) 是一个重要的公共卫生问题.
- 了解参与IPV的退伍军人的医疗保健利用模式对于有效的干预至关重要.
- 以前的研究还没有完全阐明与退伍军人之间IPV犯罪相关的特定健康状况和服务利用情况.
研究的目的:
- 调查亲密伴侣暴力 (IPV) 行为与持久自由行动,伊拉克自由行动和新黎明行动 (OEF/OIF/OND) 退伍军人医疗保健利用之间的联系.
- 为了在这个人群中识别与IPV犯罪相关的医疗条件.
- 为临床环境提供针对性IPV查,干预和提供者培训的信息.
主要方法:
- 来自834名OEF/OIF/OND退伍军人的全国样本调查数据的分析.
- 评估过去一年的IPV行为与医疗治疗,健康问题和医疗服务利用 (VA和非VA) 之间的关联.
- 统计方法包括千平方测试和后勤回归来确定显著关系.
主要成果:
- 几乎一半 (49%) 使用VA医疗保健的退伍军人报告IPV犯罪.
- 犯下IPV的退伍军人更有可能接受PTSD,慢性睡眠问题,焦虑/抑郁,严重的慢性疼痛和消化系统疾病的治疗.
- IPV犯罪与增加的整体医疗治疗和更多地使用VA系统之外的门诊精神病学和医疗保健服务有关.
结论:
- 退伍军人的IPV犯罪与心理健康状况,慢性疼痛和消化系统问题的服务利用率增加有关.
- 这些健康问题可能代表IPV犯罪的风险因素或后果.
- 调查结果强调了将IPV查和支持纳入退伍军人医疗机构的重要性.
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