亲密伴侣暴力与医院医疗利用之间的关联:一个匹配的队列分析
Amrapali Maitra1, Jeffrey L Schnipper2,3, Catherine S Yoon2
1Stanford University School of Medicine, Stanford, CA, USA. amaitra@stanford.edu.
Journal of general internal medicine
|July 8, 2025
概括
亲密伴侣暴力 (IPV) 显著增加了成人患者住院率和医疗保健使用率. 早期检测和医院干预对于改善IPV感染者的护理至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健研究 医疗保健研究
- 临床医学 临床医学
背景情况:
- 亲密伴侣暴力 (IPV) 是一个关键的公共卫生问题.
- IPV与医疗保健利用率的增加和不良健康结果有关.
- 现有的IPV研究主要集中在紧急和门诊环境中.
研究的目的:
- 检查IPV对成人患者住院率的影响.
- 评估IPV如何影响医院治疗结果和医疗保健资源利用情况.
主要方法:
- 一个匹配的队列研究在东北学术医疗保健系统的五家医院进行.
- 该研究包括2095名IPV暴露患者和6285名匹配对照患者,他们在2016年10月至2019年10月期间住院.
- 关键结果包括住院率,住院时间,医疗保健利用率和住院发病率,使用多变量回归和分阶段调解器分析进行分析.
主要成果:
- 与对照组相比,暴露于IPV的患者的住院率显著提高 (1.12/年 vs 0.74/年).
- 暴露于IPV与更长的停留时间,更多的克制使用,自我导向放电和更高的疼痛评分有关.
- 心理健康和物质使用诊断分别介导了主要结果的9%和15%,两者均占19%的介导.
结论:
- 暴露于IPV显然与高住院率和增加医院内发病率和资源使用有关.
- 这些发现凸显了在医院环境中实施IPV查和干预计划的必要性.
- 有效的医院干预措施对于改善亲密伴侣暴力患者的护理和治疗结果至关重要.
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