4家医疗机构医务人员对妇女暴力相关知识态度调查分析

Study on violence against women related knowledge and attitudes among selected medical personnel of 4 medical institutions

目的了解医务人员对针对妇女暴力的相关知识态度,为进一步开展医疗干预提供依据。方法 2012年7—8月在河北省承德县和湖南省浏阳市两地各一家妇幼保健机构和综合医院调查在职的全部医务人员,共计361人。使用自行设计的调查问卷收集一般情况、针对妇女暴力识别知识、暴力筛查迹象知识、与暴力有关的态度和针对妇女暴力医疗干预实践情况。结果医务人员对针对妇女暴力行为识别的满分率为42.7%,不能识别的前5种暴力形式包括"取笑妇女的缺陷或弱点"、"当妇女生病时,对其视而不见"、"长期拒绝与妇女过性生活"、"用经济手段控制妇女"和"长期不和妇女说话";对于暴力迹象识别的满分率仅为34.3%,不能识别的前3种迹象包括"没有明显病因的慢性疼痛"、"有酒精/药物滥用现象"和"反复的阴道和尿道损伤、感染";有24.9%、24.4%、21.1%和20.8%的医务人员认为在"妇女先动手"、"妇女对男性不忠"、"妇女不孝敬老人"和"妇女用恶毒语言羞辱男性"的情况下男人可以动手打女人。75.6%的医务人员从未接诊过受暴妇女。结论针对妇女暴力医疗干预刚起步,医务人员针对妇女暴力知识有待提高,暴力筛查能力有待增强。

Objective To measure selected medical personnel＇ s current levels of knowledge and attitudes about violence against women （VAW）. Methods A cross-sectional study was conducted in two hospitals and two health care fa- cilities in Hebei and Hunan Province between July and August in 2012. A total of 361 medical personnel were selected and investigated. Self-designed questionnaire was used to collect characteristics of participants, knowledge on VAW, knowledge on violence screening, attitude towards violence and current medical intervention on VAW. Results 42.7% of medical per- sonnel got full score of knowledge about violence. The top five forms of violence could not be recognized were ＂Laughing at defect or weakness of a woman＂, ＂Turning a blind eye to a woman＇ s sick＂, ＂Refusing to have sex for a long time＂, ＂U- sing economic means to control women＂ and ＂Refusing to communicate with a woman for a long time＂ . 34. 3% of them got full score of violence screening. The top three forms of violence could not be recognized were ＂Chronic pain with no obvious cause＂, ＂Alcohol/Drug abuse＂, ＂Repeated vaginal and urethral injury and infection＂ . 24. 9% , 24.4% , 21.1% and 20. 8% of them thought that men could batter women under the following conditions ： ＂A woman attacks first＂, ＂If a woman is disloyal to her husband/boyfriend＂, ＂If a woman is not filial to the aged＂ and ＂A woman shames a man with bitchy a- sides＂ . 75.6% of them never treated a women suffered from violence. Conclusion The knowledge about VAW of medical personnel is needed to be improved. Medical personnel do not take a zero tolerance attitudes towards VAW. The violence screening capacity needs to be enhanced.