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首页> 外文期刊>Journal of women’s health >Association between intimate partner violence and preventive screening among women
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Association between intimate partner violence and preventive screening among women

机译：亲密伴侣的暴力行为与妇女的预防性筛查之间的联系

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Background: Intimate partner violence (IPV) is defined as physical, sexual, or psychological harm that can be perpetrated by a former/current spouse. IPV has been linked to adverse health outcomes and risky behaviors, and victims of IPV tend to need more healthcare overall than nonvictims of IPV. The purpose of this study was to determine the association between IPV and preventive screening among women. Methods: The study used data from eight states/territories, which collected IPV information in the 2006 and 2007 Behavioral Risk Factor Surveillance System (n=30,182). IPV and preventive screening for HIV, cervical cancer, colorectal cancer, cholesterol, and breast cancer were determined by self-report. Multivariable logistic regression models provided adjusted estimates of odds ratios (aOR) and 95% confidence intervals (CI). Results: Approximately one in four women reported a history of lifetime IPV. Relative to those who did not report a history of IPV, IPV victims were twice as likely to have had an HIV test (aOR: 2.34; 95% CI: 2.06 to 2.66) or a breast exam (aOR: 1.76; 95% CI: 1.37 to 2.27). IPV victims are vigilant about certain screening practices related to sexual health (HIV testing) and passive screening (breast exam) compared to active screening. Conclusion: The strongest association between IPV and preventive screening was seen for HIV testing, which likely reflects the women's perceived risk for HIV infection. That these women are in contact with the healthcare system provides support for recommendations for widespread adoption of IPV screening and counseling.
机译：背景：亲密伴侣暴力（IPV）定义为前/现任配偶可能造成的身体，性或心理伤害。 IPV与不良的健康后果和危险行为相关联，与IPV的非受害者相比，IPV的受害者总体上需要更多的医疗保健。这项研究的目的是确定IPV与女性预防性筛查之间的关联。方法：该研究使用了来自八个州/地区的数据，这些州/地区在2006年和2007年的行为危险因素监视系统（n = 30,182）中收集了IPV信息。通过自我报告确定IPV和HIV，子宫颈癌，结肠直肠癌，胆固醇和乳腺癌的预防性筛查。多变量逻辑回归模型提供了调整后的比值比（aOR）和95％置信区间（CI）的估计值。结果：大约四分之一的女性报告有终生IPV病史。相对于那些没有IPV病史的人，IPV受害者接受HIV检测（aOR：2.34; 95％CI：2.06至2.66）或进行乳房检查（aOR：1.76; 95％CI： 1.37至2.27）。与主动筛查相比，IPV受害人要警惕某些与性健康（艾滋病毒检测）和被动筛查（乳房检查）有关的筛查做法。结论：在HIV检测中，IPV与预防性筛查之间存在最强的关联，这很可能反映出妇女对HIV感染的感知风险。这些妇女与医疗系统接触，为广泛采用IPV筛查和咨询的建议提供了支持。

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