识别怀孕患者怀疑亲密伴侣暴力的怀孕患者
Maggie McGing1, Matthew Ashbrook1, Vincent Cheng1
1Department of Surgery, University of Southern California, Los Angeles, CA, USA.
The American surgeon
|April 18, 2024
概括
怀孕期间的亲密伴侣暴力 (IPV) 与头部,部或面部受伤有关. 黑人妇女和吸毒障碍者面临更高的风险,突出显著的种族和社会经济差异.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
背景情况:
- 亲密伴侣暴力 (IPV) 是孕妇死亡的主要原因.
- 孕妇患者头部,部或面部受伤可能表明有故意的攻击和IPV.
- 在怀孕期间识别IPV对于患者的安全和福祉至关重要.
研究的目的:
- 为了确定IPV在患有创伤的孕妇患者当前的患病率.
- 描述怀孕患者怀疑IPV (SIPV) 的人口统计和临床特征.
主要方法:
- 对2016年1月至2019年12月期间的孕妇国家住院样本数据库的分析.
- 根据故意的头部,部或面部受伤,将患者分为疑似IPV (SIPV) 和非SIPV组.
- 多变量后勤回归用于识别与SIPV相关的因素.
主要成果:
- 在28540名受创伤的孕妇中,530名 (0.02%) 被确定为SIPV.
- SIPV患者比较年轻,更有可能是黑人,社会经济地位较低,物质使用障碍率更高.
- 黑人种族 (OR:2.01) 和物质使用障碍 (OR:2.30) 与增加SIPV的几率显著相关.
结论:
- 在怀孕期间IPV的风险存在显著的种族和社会经济差异.
- 需要有针对性的干预措施来解决这些差异,并支持脆弱的孕妇人口.
- 进一步的研究应该探索IPV在怀孕期间的潜在原因和有效的预防策略.
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