Nội dung được dịch bởi AI, chỉ mang tính chất tham khảo
Nghiên cứu cắt ngang xác định mô hình các yếu tố liên quan đến việc tiếp xúc với bạo lực đối tác thân mật tâm lý ở những người tham gia khám chữa bệnh tại các phòng khám gia đình Slovenia: Điều gì làm họ tổn thương nhất
Tóm tắt
Bạo lực đối tác thân mật (IPV) vẫn chưa được công nhận đầy đủ như một vấn đề sức khỏe cộng đồng ở Slovenia. Nghiên cứu này nhằm khám phá các đặc điểm sức khỏe và các đặc điểm khác của bệnh nhân liên quan đến việc tiếp xúc với bạo lực tâm lý IPV và tính đặc thù giới tính ở những người tham dự phòng khám gia đình. Trong một nghiên cứu cắt ngang đa trung tâm, 960 người tham dự phòng khám gia đình từ 18 tuổi trở lên đã được tuyển chọn. Trong 689 cuộc phỏng vấn với bệnh nhân hiện có hoặc đã có bạn tình, phiếu khảo sát ngắn về tiếp xúc với bạo lực gia đình và các câu hỏi bổ sung về các mẫu hành vi tiếp xúc với lạm dụng tâm lý trong năm qua đã được thực hiện. Các bác sĩ gia đình (GPs) đã xem xét hồ sơ bệnh án của 470 bệnh nhân đáp ứng tiêu chí tiếp xúc với IPV. Danh sách kiểm tra hồ sơ bệnh án về tiếp xúc với bạo lực gia đình đã được sử dụng, thu thập dữ liệu về cuộc sống của bệnh nhân và tình trạng sức khỏe thể chất, tình dục, sinh sản và tâm lý, cũng như nghỉ ốm, nhập viện, thăm khám tại phòng khám gia đình và giới thiệu đến các chuyên gia lâm sàng khác trong năm qua. Trong mô hình hồi quy logistic đa biến, các yếu tố liên quan đến việc tiếp xúc với IPV tâm lý trong năm qua đã được xác định, với P < 0,05 được thiết lập là mức độ ý nghĩa thống kê. Trong số các người tham gia (n = 470), 12.1% (n = 57) đã tiếp xúc với IPV tâm lý trong năm trước (46 phụ nữ và 11 nam giới). Họ đã bày tỏ nhiều phàn nàn hơn liên quan đến tình trạng sức khỏe sinh sản và tình dục (p = 0.011), và tình trạng tâm lý và hành vi (p < 0.001), trong năm trước cuộc khảo sát. Thất nghiệp hoặc làm việc bán thời gian, có bằng đại học, có mối quan hệ thân mật kéo dài từ sáu năm trở lên và có tiền sử tranh cãi trong mối quan hệ thân mật đã làm tăng tỷ lệ tiếp xúc IPV tâm lý trong mẫu, giải thích 41% sự biến động. Đối với nữ giới, thất nghiệp và tiền sử tranh cãi trong mối quan hệ thân mật giải thích 43% sự biến động. Tỷ lệ tiếp xúc với IPV tâm lý trên 10% trong năm trước tương tự như các nghiên cứu trước đây ở Slovenia, mặc dù sự chiếm ưu thế của những người có trình độ học vấn cao hơn có thể liên quan đến việc khoan dung thấp hơn đối với lạm dụng tâm lý. Các bác sĩ gia đình nên chú ý đặc biệt đến những bệnh nhân thất nghiệp và những người khiếu nại về tranh cãi trong gia đình, để tăng cường việc phát hiện sớm.
Từ khóa
#bạo lực đối tác thân mật #bạo lực tâm lý #sức khỏe tâm thần #nghiên cứu cắt ngang #phòng khám gia đình #SloveniaTài liệu tham khảo
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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/14/223/prepub