来自HARMONY的基线队列数据,这是一个集群随机对照试验,用于在一般实践中对文化安全的家庭暴力管理
Angela J Taft1, Felicity Young2, Kelsey L Hegarty3,4
1Judith Lumley Centre, La Trobe University, Bundoora, Vic, 3086, Australia. a.taft@latrobe.edu.au.
BMC primary care
|July 29, 2025
概括
家庭暴力和虐待 (DVA) 在一般实践中被严重低估,特别是在南亚女性中. 文化安全的识别和护理对多元化社区至关重要.
科学领域:
- 公共卫生 公共卫生
- 一般的做法一般的做法
- 文化安全文化安全
背景情况:
- 家庭暴力和虐待 (DVA) 是一个全球性的健康问题,在移民/难民群体中,其流行率和披露障碍更大.
- 一般诊所 (GP) 患者群体越来越多样化,但文化安全的DVA管理的证据有限.
- 这项HARMONY研究旨在通过在南亚家庭中测试一种文化上安全的DVA干预来弥补这一差距.
研究的目的:
- 评估文化安全的DVA干预措施在改善南亚家庭中GP识别和转诊率方面的有效性.
- 在日常电子GP数据中调查DVA和种族识别的基线患病率.
主要方法:
- 一个实用集群随机对照试验 (RCT) 涉及澳大利亚墨尔本的19个GP诊所.
- 从未识别的电子GP记录中提取18岁以上的女性患者的数据,重点是DVA识别,转诊和南亚族裔.
- 南亚和非南亚妇女之间的DVA识别比例的统计比较,使用Chi-square测试.
主要成果:
- 在45,438名女性患者中,17.6%是南亚人. 在所有患者中,DVA记录在0.58%的患者中.
- 与非南亚女性 (0.63%) 相比,南亚女性对DVA的鉴定率明显较低 (0.38%).
- 在提取的数据中没有发现任何DVA转介.
结论:
- 在一般实践中,家庭暴力和虐待 (DVA) 显著未被确定,南亚女性患者的比例明显较低.
- 需要加强全科医生诊所的培训和支持,以改善文化安全的DVA识别,护理和文档,特别是在不同的社区.
- 这些发现突显了DVA识别的差异,并强调了文化敏感的医疗保健方法的重要性.
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