亲密伴侣暴力中的性别差异死亡率风险查管理和结果
Galina A Portnoy1,2, Elizabeth C Coppola1,2, Katherine M Iverson3,4
1VA Connecticut Healthcare System, West Haven, Connecticut.
JAMA network open
|December 3, 2025
概括
亲密伴侣暴力 (IPV) 对死亡风险的查显示了差异. 男性更有可能被错误分类,而女性面临更高的死亡风险,突出需要改进IPV查协议.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 性别研究是性别研究.
背景情况:
- 亲密伴侣暴力 (IPV) 是一个重要的公共卫生问题,需要在医疗保健系统内进行有效的查.
- 退伍军人卫生管理局 (VHA) 实施常规IPV查和二次死亡风险评估.
- 关于实施IPV相关的致死性查的研究有限,特别是在男性退伍军人方面.
研究的目的:
- 调查与IPV相关的致死性查的性别差异.
- 检查男性和女性退伍军人之间的IPV查后临床结果的差异.
- 确定所有性别的IPV查和反应的潜在改进.
主要方法:
- 这是一项回顾性横截面研究,利用来自135个VHA医疗中心的电子健康记录数据.
- 从2022年10月1日到2023年9月30日收集的数据,重点关注具有IPV阳性查的退伍军人.
- 混合效应物流回归分析,以评估性别和查结果之间的关联.
主要成果:
- 在67,379名IPV阳性查患者中,82.3%接受了二次致死性查,男性中使用错误率更高 (aOR,1.42).
- 几乎五分之一的男性被错误分类,没有按照协议接受致命性屏幕.
- 女性报告去年IPV相关死亡风险的可能性明显高于男性 (29.9%对13.3%,aOR,2.29).
结论:
- 基于性别的差异存在于IPV相关的致死性查管理和VHA中的结果.
- 对男性退伍军人查的差距需要进一步调查和有针对性的干预措施.
- 需要加强战略,以改善IPV查,应对和所有风险人群的服务连接.
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