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題名：臺灣1997~2008年親密伴侶暴力住院傷患特性
書刊名：護理暨健康照護研究
作者：邱鈺鸞／楊聰財／高森永／簡戊鑑
作者(外文)：Chiu, Yu-luan／Yang, Tsung-tsair／Kao, Sen-yeong／Chien, Wu-chien
出版日期：2011
卷期：7:2
頁次：頁140-150
主題關鍵詞：親密伴侶；暴力；傷害；全民健保資料庫；Intimate partner；Violence；Injury；National Health Insurance Research Database
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(1) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:36
  • 點閱點閱:60
背景 : 親密伴侶暴力是全世界重要的公共衛生議題，其對個人、家庭與社區造成的危害不容忽視。 目的 : 探討 1997~2008年 18歲以上成人遭受親密伴侶暴力住院的傷害類型、住院醫療相關特性。 方法 : 使用 1997~2008年全民健保資料庫，串連「住院醫療費用清單明細檔」與「醫事機構基本資料檔」。選取 ICD-9 CM中 N Code為 995.8x與 E Code為 E967.3的受虐個案，並以 SPSS 18.0統計套裝軟體統進行分析。 結果 : 1997~2008年遭受親密伴侶暴力住院者計 464人，女性為男性的 32倍；平均住院天數為 4.53天，平均住院費用約為 17,159.89元。受虐者平均每人約有 2.6個傷害部位，傷害類型以顱內損傷比例最高（45.0%）。受虐患者多至區域醫院就醫（49.1%），25－44歲年齡族群住院比例最高（59.8%）。整體親密伴侶暴力住院率顯著上升，自 2004年到 2008年男性住院率增幅 300%（為女性的 15倍）。 結論 : 女性為遭受親密伴侶暴力的主要族群，但男性增幅迅速。衛生醫療體系應與其他專業資源整合，落實責任通報與轉介，提供持續性與整體性的全人照護，減少暴力傷害及預防再次受暴。
Background: Intimate partner violence (IPV) is a global public health problem affecting individuals, families and communities. Purpose: Explore injury types and medical expenditures of inpatients above eighteen years of age admitted due to IPV between 1997 and 2008. Methods: This research used SPSS 18.0 software to analyze data from the Inpatient Expenditures by Admissions (DD) and Registry for Contracted Medical Facilities (HOSB) sections of the National Health Insurance Research Database. We defined intimate partner violence cases in accordance with ICD-9-CM N Code 995.8x and E967.3. Results: The study identified 464 inpatient cases resulting from IPV. Female IPV admissions were 32 times higher than male admissions. Mean of length of stay was 4.53 days and medical expenditures averaged NT$17,159 per subject. Subjects had an average of 2.6 injury sites of which intracranial injuries were most prevalent (45.0%). Among IPV inpatients, 49.1% were hospitalized in regional hospitals. The age group of 25-44 recorded the highest hospitalization rate (59.8%). IPV hospitalization rates revealed a rising trend over the research period, during which male admission rates increase 300% (15 times that of female admissions) between 2004-2008. Conclusions: Study findings indicate females as the highest risk group of intimate partner violence. However, male victims are growing rapidly in number terms. The healthcare system should provide integrated services, cooperate with other professional units, and refer patients to relevant authorities for help. Preventing intimate partner violence is an important future priority for Taiwan.
期刊論文
1.Coker, A. L.、Davis, K. E.、Arias, I.、Desai, S.、Sanderson, M.、Brandt, H. M.、Smith, P. H.(2002)。Physical and Mental Health Effects of Intimate Partner Violence for Men and Women。American Journal of Preventive Medicine，23(4)，260-268。  new window
2.Campbell, J. C.(2002)。Health consequences of intimate partner violence。The Lancet，359(9314)，1331-1336。  new window
3.李郁文(20010600)。對家庭暴力防治應有的基本認識與反省。社區發展季刊，94，268-276。new window  延伸查詢new window
4.葉肅科(20010600)。家庭暴力理論觀點與防治策略。社區發展季刊，94，289-305。new window  延伸查詢new window
5.Tilden, V. P.、Schmidt, T. A.、Limandri, B. J.、Chiodo, G. T.、Garland, M. J.、Loveless, P. A.(1994)。Factors that influence clinicians' assessment and management of family violence。American Journal of Public Health，84(4)，628-633。  new window
6.黃志中(19980500)。受虐婦女的求醫經驗。醫望雜誌，25，33-36。  延伸查詢new window
7.Rivara, F. P.、Anderson, M. L.、Fishman, P.、Bonomi, A. E.、Reid, R. J.、Carrell, D.(2007)。Healthcare utilization and costs for women with a history of intimate partner violence。American Journal of Preventive Medicine，32(2)，89-96。  new window
8.Bonomi, A. E.、Anderson, M. L.、Rivara, F. P.、Thompson, R. S.(2009)。Health care utilization and costs associated with physical and nonphysical-only intimate partner violence。Health Services Research，44(3)，1052-1067。  new window
9.柯麗評(20070600)。看見你我了嗎：受虐婦女急診室處遇現象之探討。朝陽人文社會學刊，5(1)，241-279。new window  延伸查詢new window
10.陳予修、黃志中(20090600)。臺灣護理論述中的婚姻暴力。護理雜誌，56(3)，36-45。new window  延伸查詢new window
11.黃志中、陳三能、黃旼儀、張淳茜、鄧淑如、陳建州、黃瑛琪、張高賓(20040300)。婚姻暴力受虐婦女的身體症狀。臺灣家庭醫學雜誌，14(1)，25-34。  延伸查詢new window
學位論文
1.李詩詠(2000)。婚姻暴力受虐婦女醫療處遇中社會工作才能之研究---以高雄市婦女保護聯合會報為例(碩士論文)。國立暨南國際大學。  延伸查詢new window
圖書
1.行政院內政部(2010)。內政統計年報。台北：內政部。  延伸查詢new window
其他
1.內政部家庭暴力及性侵害防治委員會(200911)。家庭暴力事件通報類型統計。  延伸查詢new window
2.內政部家庭暴力及性侵害防治委員會(200806)。家暴防治大事紀。  延伸查詢new window
3.王秋嵐(2010)。當愛人的臂彎不再是避風港～淺談親密伴侶暴力。  延伸查詢new window
4.王麗容、陳芬苓(2002)。台灣地區婚姻暴力問題之調查研究，台北市：國立臺灣大學。  延伸查詢new window
5.行政院主計處(20110208)。失業率統計。  延伸查詢new window
6.吳靜瑜、師慧娟、董道興(2005)。一位受家庭暴力婦女於急診照護之護理經驗。  延伸查詢new window
7.林英欽(2005)。親密伴侶暴力之傷害型態與危險因子。  延伸查詢new window
8.財團法人醫院評鑑暨醫療品質策進會(200609)。一般醫學訓練計畫。  延伸查詢new window
9.陳金蘭、黃志中(2010)。醫師如何提升對家暴個案診斷碼編譯的正確性。  延伸查詢new window
10.黃志中、高浩雲、張淑絹、張育華、許崇民、黃德揚(1998)。某綜合醫院五十位受虐婦女的醫療經驗。  延伸查詢new window
11.潘雅惠(2007)。婚暴婦女增權展能的學習--從女性主義教育學的觀點談起。new window  延伸查詢new window
12.錢欣(2002)。從女性主義觀點協助一位遭受婚姻暴力個案的護理經驗。new window  延伸查詢new window
13.鍾其祥、邱鈺鸞、白璐、簡戊鑑(2010)。台灣2006-2007年家暴受虐住院者流行病學特性。  延伸查詢new window
14.Avdibegović, E, & Sinanović, O.(2006)。Consequences of domestic violence on women’s mental health in Bosnia and Herzegovina。  new window
15.Biroscak, B. J., Smith, P. K., Roznowski, H., Tucker, J., & Carlson, G.(2006)。Intimate partner violence against women: Findings from one state’s ED surveillance system。  new window
16.Bonomi, A. E., Anderson, M. L., Reid, R. J., Rivara, F. P, Carrell, D., & Thompson, R. S.(2009)。Medical and psychosocial diagnoses in women with a history of intimate partner violence。  new window
17.Btoush, R., Campbell, J. C., & Gebbie, K. M.(2008)。Visits coded as intimate partner violence in emergency departments: Characteristics of the individuals and the system as reported in a national survey of emergency departments。  new window
18.Btoush, R., Campbell, J. C., & Gebbie, K. M.(2009)。Care provided in visits coded for intimate partner violence in a national survey of emergency departments。  new window
19.Chang, D. F., Shen, B. J., & Takeuchi, D. T.(2009)。Prevalence and demographic correlates of intimate partner violence in Asian Americans。  new window
20.Crandall, M. L., Nathens, A. B., & Rivara, F. P.(2004)。Injury patterns among female trauma patients: Recognizing intentional injury。  new window
21.Kyriacou, D. N., Anglin, D., Taliaferro, E., Stone, S., Tubb, T., Linden, J. A., et al.(1999)。Risk factors for injury to women from domestic violence against women。  new window
22.Lau, C. L., Ching, W. M., Tong, W. L., Chan, K. L., Tsui, K. L., & Kam, C. W.(2008)。1700 victims of intimate partner violence: Characteristics and clinical outcomes。  new window
23.Malcoe, L. H., Duran, B. M., & Montgomery, J. M.(2004)。Socioeconomic disparities in intimate partner violence against Native American women: A cross-sectional study。  new window
24.Max, W., Rice, D. P., Finkelstein, E., Bardwell, R. A., & Leadbetter, S.(2004)。The economic toll of intimate partner violence against women in the United States。  new window
25.McCauley, J., Kern, D. E., Kolodner, K., Dill, L., Schroeder, A. F., DeChant, H. K., et al.(1995)。The “battering syndrome”: Prevalence and clinical characteristics of domestic violence in primary care internal medicine practices。  new window
26.Mechanic, M. B., Weaver, T. L., & Resick, P. A.(2008)。Risk factors for physical injury among help-seeking battered women: An exploration of multiple abuse dimensions。  new window
27.Muelleman, R. L., Lenaghan, P. A., & Pakieser, R. A.(1996)。Battered women: injury locations and types。  new window
28.National Center for Injury Prevention and Control(2006)。CDC injury fact book，Atlanta, GA：Centers for Disease Control and Prevention。  new window
29.National Center for Injury Prevention and Control(2009)。Understanding intimate partner violence。  new window
30.Sheridan, D. J., & Nash, K. R.(2007)。Acute injury patterns of intimate partner violence victims。  new window
31.World Health Organization(2002)。World report on violence and health，Geneva, Switzerland：World Health Organization。  new window
32.Wu, V., Huff, H., & Bhandari, M.(2004)。Pattern of physical injury associated with intimate partner violence in women presenting to the emergency department: A systematic review and meta-analysis。  new window
33.Yoshioka, M. R., Dinola, J., & Ullah, K.(2001)。Attitudes toward marital violence: An examination of four Asian communities。  new window
 
 
 
 
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