Characterizing Intimate Partner Violence-Related Head Trauma in Community-Recruited Women.

IF 2.4 3区 医学 Q2 CLINICAL NEUROLOGY
Carrie Esopenko, Divya Jain, Amelia J Hicks, Emily Carter, Ella Carlsson, Andrew Cwiek, Katherine Dorman, Adriana P Méndez-Fernández, Emma N Read, Elizabeth Rebuck, Philine Rojczyk, Carmen Velez, Inga K Koerte, Alexander P Lin, David F Tate, Frank G Hillary, Elisabeth A Wilde, Amy D Marshall
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引用次数: 0

Abstract

Objective: The aim of the study was to characterize the experiences of intimate partner violence (IPV)-related head trauma (HT) among cisgender women.

Setting: Three geographic regions across the United States.

Participants: Seventy-two cisgender women aged 18 to 60 years (mean age = 39.6 years).

Design: In-depth semi-structured interviews.

Main measures: Participants completed a semi-structured interview, which was audio-recorded to determine the number and mechanisms of IPV-HT injuries experienced over their lifetime. Quotes from interview transcriptions were used to illustrate how participants describe their IPV-HT episodes.

Results: A total of 69/72 cisgender women reported at least 1 injury episode that involved IPV-HT. Participants reported between 1 and 9 injury episodes that involved HT during their lifetimes. Participants reported a total of 240 injury episodes, of which 186 represented a single, isolated injury, while 54 were a repetitive exposure by the same mechanism(s) of injury over time. The time over which an injury episode was repeated ranged from 1 month to 16 years (mean: 4.72 years, standard deviation: 4.70 years). The most frequent mechanisms of injury were blunt force trauma (41.7%) and strangulation (22.1%), while 22.5% of episodes involved multiple mechanisms. The most common within-person overlap of mechanisms was blunt force trauma and strangulation (n = 21, 31%). The interview quotes demonstrated that the true frequency of IPV-HT may be unknown and/or unable to be recalled, highlighting the challenges in capturing accurate IPV-HT exposure within this population even through in-depth interviews.

Conclusions: This study provides important information on the experience of HT among women with exposure to IPV. Such findings may improve our ability to characterize and understand the injuries resulting from IPV among women, which may, in turn, benefit existing tools for determining experiences of IPV-HT and probable brain injury.

社区招募妇女中与亲密伴侣暴力相关的头部创伤特征。
目的:研究顺性女性亲密伴侣暴力(IPV)相关头部创伤(HT)的特征。背景:横跨美国的三个地理区域。参与者:72名年龄在18 - 60岁的顺性别女性(平均年龄= 39.6岁)。设计:深入的半结构化访谈。主要措施:参与者完成半结构化访谈,录音以确定其一生中所经历的ipvv - ht损伤的数量和机制。引用采访记录来说明参与者如何描述他们的IPV-HT发作。结果:共有69/72名顺性别女性报告了至少1次涉及ipvv - ht的损伤事件。参与者报告了他们一生中涉及HT的1至9次伤害事件。参与者总共报告了240次损伤事件,其中186次是单一的、孤立的损伤,而54次是随着时间的推移由相同机制的损伤反复暴露。损伤事件重复发生的时间从1个月到16年不等(平均4.72年,标准差4.70年)。最常见的损伤机制是钝器创伤(41.7%)和绞勒(22.1%),而22.5%的事件涉及多种机制。最常见的人体重叠机制是钝器创伤和勒死(n = 21,31 %)。访谈引用表明,IPV-HT的真实频率可能是未知的和/或无法回忆起来,突出了即使通过深入访谈也难以准确捕获该人群中IPV-HT暴露的挑战。结论:本研究提供了暴露于IPV的妇女HT经历的重要信息。这些发现可能会提高我们描述和理解女性IPV造成的损伤的能力,这反过来可能有利于现有的工具来确定IPV- ht的经历和可能的脑损伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
153
审稿时长
6-12 weeks
期刊介绍: The Journal of Head Trauma Rehabilitation is a leading, peer-reviewed resource that provides up-to-date information on the clinical management and rehabilitation of persons with traumatic brain injuries. Six issues each year aspire to the vision of “knowledge informing care” and include a wide range of articles, topical issues, commentaries and special features. It is the official journal of the Brain Injury Association of America (BIAA).
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