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首页> 外文期刊>JAMA: the Journal of the American Medical Association >Mandatory reporting of domestic violence injuries to the police: what do emergency department patients think?
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Mandatory reporting of domestic violence injuries to the police: what do emergency department patients think?

机译：强制向警察报告家庭暴力伤害：急诊科患者怎么看？

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CONTEXT: Laws requiring mandatory reporting of domestic violence to police exist in 4 states. Controversy exists about the risks and benefits of such laws. OBJECTIVE: To examine attitudes of female emergency department patients toward mandatory reporting of domestic violence injuries to police and how these attitudes may differ by abuse status. DESIGN, SETTING, AND PARTICIPANTS: Cross-sectional survey conducted in 1996 of 1218 women patients (72.8% response rate) in 12 emergency departments in California (a state with a mandatory reporting law) and Pennsylvania (without such a law). MAIN OUTCOME MEASURES: Opposition to mandatory reporting to police and the characteristics associated with this belief. RESULTS: Twelve percent of respondents (n = 140) reported physical or sexual abuse within the past year by a current or former partner. Of abused women, 55.7% supported mandatory reporting and 44.3% opposed mandatory reporting (7.9% preferred that physicians never report abuse to police and 36.4% preferred physicians report only with patient consent). Among nonabused women, 70.7% (n = 728) supported mandatory reporting and 29.3% opposed mandatory reporting. Patients currently seeing/living with partners (odds ratio [OR], 1.5; 95% confidence interval [CI], 1.1-2.0), non-English speakers (OR, 2.1; 95% CI, 1.4-3.0), and those who had experienced physical or sexual abuse within the last year (OR, 2.2; 95% CI, 1.6-2.9) had higher odds of opposing mandatory reporting of domestic violence injuries. There were no differences in attitudes by location (California vs Pennsylvania). CONCLUSIONS: The efficacy of mandatory reporting of domestic violence to police should be further assessed, and policymakers should consider options that include consent of patients before wider implementation.
机译：背景：有四个州要求向警察强制报告家庭暴力的法律。关于此类法律的风险和利益存在争议。目的：研究女性急诊科患者对强制向警察报告家庭暴力伤害的态度，以及这些态度如何因虐待状态而有所不同。设计，地点和参与者：1996年在加利福尼亚州（有强制性报告法的州）和宾夕法尼亚州（无此法律）的12个急诊科中对1218名女性患者（应答率72.8％）进行了横断面调查。主要观察指标：反对对警察进行强制举报以及与这种信念有关的特征。结果：12％的受访者（n = 140）在过去一年中报告了当前或以前的伴侣遭受身体或性虐待。在受虐待的妇女中，有55.7％的人支持强制性报告，而44.3％的人反对强制性报告（7.9％的人倾向于医生从不向警察举报虐待行为，而36.4％的人倾向于仅在患者同意的情况下报告医生）。在未受虐待的妇女中，有70.7％（n = 728）支持强制性报告，而29.3％的人反对强制性报告。当前与伴侣见面/生活的患者（优势比[OR]为1.5; 95％置信区间[CI]为1.1-2.0），非英语使用者（OR为2.1; 95％CI为1.4-3.0）以及在过去一年中遭受过身体或性虐待（OR为2.2; 95％CI为1.6-2.9）反对强制报告家庭暴力伤害的几率更高。态度因地点而异（加利福尼亚州与宾夕法尼亚州）。结论：应进一步评估强制向警察报告家庭暴力的功效，政策制定者应考虑更广泛的实施方案，包括患者的同意。

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