Accuracy of 3 brief screening questions for detecting partner violence in the emergency department.
- To devise a brief screening instrument to detect partner violence and to partially validate this screen against established instruments.
- Prospective survey.
- Two urban, hospital-based emergency departments.
- Of 491 women presenting during 48 randomly selected 4-hour time blocks, 322 (76% of eligible patients) participated.
Respondents had a median age of 36 years ; 19% were black, 45% white, and 30% Hispanic, while 6% were of other racial or ethnic groups ; 54% were insured.
- We developed a partner violence screen (PVS), consisting of 3 questions about past physical violence and perceived personal safety.
We administered the PVS and 2 standardized measures of partner violence, the Index of Spouse Abuse (ISA) and the Conflict Tactics Scale (CTS).
Main Outcome Measures
- Sensitivity, specificity, and predictive values of the PVS were compared with the ISA and the CTS as criterion standards.
- The prevalence rate of partner violence using the PVS was 29.5% (95% confidence interval [Cl], 24.6% - 34.8%). For the ISA and CTS, the prevalence rates were 24.3% (95% Cl, 19.2% - 30. 1%) and 27.4% (95% Cl, 21.7% - 33.6%), respectively.
Compared with the ISA, the sensitivity of the PVS in detecting partner abuse was 64.5% ; the specificity was 80.3%. When compared with the CTS, sensitivity of the PVS was 71.4% ; the specificity was 84.4%. Positive predictive values ranged from 51.3% to 63. (...)
Mots-clés Pascal : Violence, Partenaire sexuel, Dépistage, Précision, Enquête sur terrain, Facteur prédictif, Urgence, Homme, Femelle, Psychopathologie, Système nerveux pathologie
Mots-clés Pascal anglais : Violence, Sex partner, Medical screening, Accuracy, Field inquiry, Predictive factor, Emergency, Human, Female, Psychopathology, Nervous system diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0299423
Code Inist : 002B18F01. Création : 15/07/1997.