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首页> 外文期刊>Journal of paediatrics and child health >Relating intimate partner violence to heath-care utilisation and injuries among Pacific children in Auckland: the Pacific Islands Families Study.
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Relating intimate partner violence to heath-care utilisation and injuries among Pacific children in Auckland: the Pacific Islands Families Study.

机译:将亲密伴侣的暴力行为与奥克兰太平洋儿童中的卫生保健利用和伤害相关:《太平洋岛屿家庭研究》。

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AIM: Despite well-known emotional and behavioural sequela, few studies investigate health-care utilisation and injury impacts of children exposed to intimate partner violence (IPV). This study examines the association between mothers' IPV experience and general practitioner (GP) and hospital presentations by their children within the first 6 years of life. METHODS: In 2000, a cohort of Pacific infants born in Auckland was established. At 6 weeks, 2 years and 6 years post-partum, maternal home interviews were conducted and IPV experience elicited using the Conflict Tactic Scale, together with reports of children's GP and hospital visitations. RESULTS: At 6 weeks, 2 years and 6 years, 1098, 921 and 799 participating mothers were in intimate relationships. Severe physical IPV was reported by 22.1, 23.0 and 7.1% of mothers, respectively, and minor IPV was reported by another 18.7, 16.9 and 6.1%, respectively. Compared with children without maternal physical IPV exposure, children of mothers disclosing severe physical IPV were 1.19 (95% confidence interval (CI): 1.08-1.31) times as likely to visit GPs, and children of mothers disclosing minor physical IPV were 1.13 (95% CI: 1.02-1.25) times as likely to visit GPs, after adjusting for socio-demographic, maternal mental health and other confounding factors. No significant association was found between maternal IPV and children's hospital visits, or GP or hospital visits for injury. CONCLUSIONS: IPV is common for many mothers of Pacific children, and is associated with significantly more GP visits for exposed children. Identification of maternal IPV during mothers' and children's GP and hospital visits may help guide services to prevent future presentations to children.
机译:目的:尽管存在众所周知的情感和行为后遗症,但很少有研究调查暴露于亲密伴侣暴力(IPV)的儿童的医疗保健利用和伤害影响。这项研究检查了母亲在IPV经验和全科医生(GP)以及孩子在出生后头6年内的医院陈述之间的关联。方法:2000年,建立了奥克兰出生的太平洋婴儿队列。在产后第6周,第2年和第6年,进行了产妇家访,并使用“冲突策略量表”获得了IPV经验,并报告了儿童的全科医生和就诊情况。结果:在6周,2年和6年时,有1098、921和799名参与研究的母亲处于亲密关系。分别有22.1%,23.0%和7.1%的母亲报告了严重的物理IPV,另外分别有18.7%,16.9%和6.1%的母亲报告了轻微的IPV。与未暴露母亲物理IPV的儿童相比,披露严重物理IPV的母亲的儿童就诊的可能性是普通家庭的1.19倍(95%置信区间(CI):1.08-1.31),而披露轻微物理IPV的母亲的儿童则为1.13(95在调整了社会人口统计资料,产妇心理健康状况和其他混杂因素后,CI访视的可能性为%CI:1.02-1.25)倍。孕产妇IPV与儿童医院就诊,全科医生或因伤害而就诊的医院之间未发现明显关联。结论:IPV在许多太平洋地区儿童的母亲中很普遍,并且与暴露儿童的全科医生就诊次数显着相关。在母亲和儿童的全科医生以及医院就诊期间确定母亲的IPV可能有助于指导服务,以防止将来向儿童展示。

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