• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The British journal of general practice: the journal of the Royal College of General Practitioners >Exposure to domestic violence and abuse and consultations for emergency contraception: nested case-control study in a UK primary care dataset
【24h】

Exposure to domestic violence and abuse and consultations for emergency contraception: nested case-control study in a UK primary care dataset

机译：遭受家庭暴力和虐待以及紧急避孕的咨询：英国初级保健数据集中的病例对照研究

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Evidence of an association between exposure to domestic violence and abuse (DVA) and use of emergency contraception (EC) is lacking in the UK.Aim To quantify the association between exposure to DVA and consultations for EC in general practice.Design and setting Nested case-control study in UK general practice.Method Using the Clinical Practice Research Datalink, the authors identified all women all women aged 15–49 years registered with a GP between 1 January 2011 and 31 December 2016. Cases with consultations for EC ( n = 43 570) were each matched on age and GP against four controls with no consultations for EC ( n = 174 280). The authors calculated odds ratios (ORs) and 95% confidence intervals (CIs) for the association between exposure to DVA in the previous year and consultations for EC. Covariates included age, ethnicity, socioeconomic status, pregnancy, children, alcohol misuse, and depression.Results Women exposed to DVA were 2.06 times more likely to have a consultation for EC than unexposed women (95% CI = 1.64 to 2.61). Women aged 25–39 years with exposure to DVA were 2.8 times more likely to have a consultation for EC, compared with unexposed women (95% CI = 2.08 to 3.75). The authors found some evidence of an independent effect of exposure to DVA on the number of consultations for EC (OR 1.48, 95% CI = 0.99 to 2.21).Conclusion A request for EC in general practice can indicate possible exposure to DVA. Primary care consultation for EC is a relevant context for identifying and responding to DVA as recommended by the World Health Organization and National Institute for Health and Care Excellence guidelines. DVA training for providers of EC should include this new evidence.
机译：背景技术在英国，缺乏证据表明家庭暴力和虐待（DVA）与使用紧急避孕（EC）之间存在关联。目的是量化DVA暴露与一般情况下进行EC咨询之间的关联。作者使用临床实践研究数据链，确定了2011年1月1日至2016年12月间在GP登记的所有15-49岁女性的所有妇女。进行EC咨询的病例（n = 43 570名患者的年龄和GP均与4名对照者进行了匹配，而未咨询EC（n = 174 280）。作者计算了前一年DVA暴露与EC咨询之间的关联的比值比（OR）和95％置信区间（CI）。协变量包括年龄，种族，社会经济地位，怀孕，儿童，酗酒和抑郁症。结果暴露于DVA的女性比没有暴露的女性接受EC咨询的可能性高2.06倍（95％CI = 1.64至2.61）。与未暴露的女性（95％CI = 2.08至3.75）相比，暴露于DVA的25-39岁女性进行EC咨询的可能性高2.8倍。作者发现一些证据表明，接触DVA对EC的诊治次数具有独立影响（OR 1.48，95％CI = 0.99至2.21）。结论一般情况下，要求EC可能表明可能接触DVA。 EC的初级保健咨询是根据世界卫生组织和美国国家健康与护理卓越研究院指南的建议确定和应对DVA的相关背景。对EC提供商的DVA培训应包括这一新证据。

著录项

相似文献

  • 外文文献
  • 中文文献
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号