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01-06-2013 | Onderzoek
Zorggebruik van vrouwen die slachtoffer zijn van partnergeweld
Auteurs: Gert-Jan Prosman, dr. Sylvie Lo Fo Wong, Elske Bulte, prof. dr. Antoine Lagro-Janssen
Gepubliceerd in: Huisarts en wetenschap | Uitgave 6/2013
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Samenvatting
Š
Prosman G, Lo Fo Wong S, Bulte, E, Lagro-Janssen ALM. Zorggebruik van vrouwen die slachtoffer zijn van partnergeweld. Huisarts Wet 2013;56(6):258-62.
Achtergrond
Uit voorgaande onderzoeken blijkt dat er een relatie bestaat tussen partnergeweld en een toename van gezondheidsklachten. Vroegtijdige herkenning van partnergeweld door huisartsen is noodzakelijk om een toename van gezondheidsklachten te voorkomen. Over het zorggebruik van mishandelde vrouwen in de huisartsenpraktijk is weinig bekend. Wij hebben onderzocht of het zorggebruik van mishandelde vrouwen verschilt van dat van niet-mishandelde vrouwen.
Methode
Een gematcht case-control-onderzoek met behulp van elektronische patiëntendossiers (EPD’s) uit 16 huisartsenpraktijken in Rotterdam. We hebben de EPD’s van 50 slachtoffers van partnergeweld over een periode van vijf jaar geanalyseerd. De EPD’s van de controlegroep, die bestaat uit 50 vrouwen van wie is vastgesteld dat ze geen slachtoffer zijn van partnergeweld, hebben we gematcht op huisartsenpraktijk, aantal kinderen, leeftijd, land van herkomst en opleidingsniveau. In beide groepen hebben we het aantal huisartsenbezoeken, aantal verwijzingen, aantal voorgeschreven recepten en de reden van het huisartsenbezoek geanalyseerd.
Resultaten
Vrouwelijke slachtoffers van partnergeweld bezochten de huisarts bijna 1,5 keer vaker dan niet-mishandelde vrouwen. Zij hadden meer sociale problemen (OR = 3,5; 95%-BI 1,2-10,5; p = 0,01) en gynaecologische en zwangerschapsklachten (OR = 3,0; 95%-BI 1,3-6,8; p = 0,009). Huisartsen verwezen slachtoffers van partnergeweld vaker voor aanvullend specialistisch onderzoek (OR = 3,6; 95%-BI 1,1-12,2; p = 0,03) en voor psychische hulp (OR = 2,9; 95%-BI 1,2-7,1; p = 0,02). Mishandelde vrouwen kregen veel vaker antidepressiva voorgeschreven dan niet-mishandelde vrouwen (OR = 4,1; 95%-BI 1,5-11,6; p = 0,005).
Conclusie
Vrouwelijke slachtoffers van partnergeweld vertoonden een hoger zorggebruik dan niet-mishandelde vrouwen. Deze uitkomsten geven huisartsen meer inzicht in het patroon van zorggebruik van mishandelde vrouwen, waardoor ze deze problematiek eerder kunnen herkennen en ze adequater beleid kunnen inzetten.
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Metagegevens
- Titel
- Zorggebruik van vrouwen die slachtoffer zijn van partnergeweld
- Auteurs
-
Gert-Jan Prosman
dr. Sylvie Lo Fo Wong
Elske Bulte
prof. dr. Antoine Lagro-Janssen
- Publicatiedatum
- 01-06-2013
- Uitgeverij
- Bohn Stafleu van Loghum
- Gepubliceerd in
-
Huisarts en wetenschap
/ Uitgave 6/2013
Print ISSN: 0018-7070
Elektronisch ISSN: 1876-5912 - DOI
- https://doi.org/10.1007/s12445-013-0150-y