| 1. |
- Hilden, Malene, et al.
(författare)
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A history of sexual abuse and health : A Nordic multicentre study
- 2004
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Ingår i: British Journal of Obstetrics and Gynecology. - : Wiley. - 1470-0328 .- 1471-0528. ; 111:10, s. 1121-1127
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To determine if a history of sexual abuse is associated with objective and subjective indicators of health and if certain abusive incidents had a stronger impact on health than others. Design: A cross-sectional, multicentre study. Setting: Five gynaecological departments in the five Nordic countries. Sample: Three thousand five hundred and thirty-nine gynaecology patients. Methods: The NorVold Abuse Questionnaire (NorAQ) on abuse history and current health was mailed to all patients who consented to participate. Main outcome measures: Reason for index visit at the gynaecologic clinic as well as several questions on health were recorded. General health status was measured as self-estimated health, psychosomatic symptoms (headache, abdominal pain, muscle weakness, dizziness), number of health care visits and number of periods on sick leave. Result: A history of sexual abuse was reported by 20.7% of respondents. A history of sexual abuse was significantly associated with chronic pelvic pain as reason for index visit (P < 0.01), laparoscopic surgery (P < 0.01), psychosomatic symptoms (P < 0.01), self-estimated poor health (P < 0.01), many health care visits (P < 0.01) and high incidence of sick leave (P < 0.01). Several subgroups within the group of sexually abused women were more likely to report poor health: women abused as both children and adults, women who experienced additional emotional and/or physical abuse and women abused by a person they knew. Conclusion: Sexual abuse has a profound impact on women's health. Taking a history of sexual abuse seems particularly warranted when the patient presents with chronic pelvic pain or symptoms of a vague and diffuse nature.
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| 2. |
- Swahnberg, Katarina, et al.
(författare)
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Are sociodemographic and regional and sample factors associated with prevalence of abuse?
- 2004
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Ingår i: Acta Obstetricia et Gynecologica Scandinavica. - : Wiley. - 0001-6349 .- 1600-0412. ; 83:3, s. 276-288
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Tidskriftsartikel (refereegranskat)abstract
- Background. The aims of the present study were: 1) to estimate the prevalence of emotional, physical and sexual abuse and abuse in the health care system, and 2) to study the associations between prevalence of abuse and sociodemographic and sample variables.Methods. This cross-sectional study used a validated postal questionnaire in four Swedish samples; patients at three gynecologic clinics with different character and in different regions (n = 2439) and women in one randomized population sample (n = 1168).Results. Any lifetime emotional abuse was reported by 16.8–21.4% of the women; physical abuse by 32.1–37.5%; sexual abuse by 15.9–17.0%; and abuse in the health care system by 14.0–19.7%. For 7–8% abuse had included life threats and 9–20% of all women in the study currently suffered from their experiences of abuse. Most women had not disclosed their background of abuse to the gynecologist.There were differences in sociodemographic variables between the four samples. Generally, in the multivariate analyses we found associations between prevalence of abuse and age, educational level, civil status and occupation, but no consistent association between prevalence of abuse and sample variables.Conclusion. Lifetime prevalence rates of the four kinds of abuse were high in all samples as measured by the NorVold Abuse Questionnaire (NorAQ), and 1/10–1/5 women in the study suffered currently from abusive experiences. In multivariate analyses prevalence of abuse was consistently associated with sociodemographic but not to sample variables.
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| 3. |
- Swahnberg, Katarina, et al.
(författare)
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Have adults victims of abuse in the health care system been exposed to emotional, physical and/or sexual abuse as children more often than non-victims?
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Objectives: The aim of this study was to find out if there was an association between any lifetime abuse and abuse in the health care system. Furthermore we wanted to analyse if adult victims of abuse in the health care system reported exposure to emotional, physical and/or sexual abuse as children more often than non-victims did.Design: A cross-sectional questionnaire study. Our first hypothesis was tested in the total sample, and the second one in a case-control analysis. The cases were those women who reported experiences of abuse in the health care system as adults. Exposure was defined as emotional, physical and/or sexual abuse in childhood.Settings: Data were gathered from patients visiting three Swedish gynaecological clinics.Sample: 2439 gynaecology patients (response rate 81%).Method: The NorVold Abuse Questionnaire (NorAQ) sent out by post.Main outcome measure: Associations between experiences of emotional, physical and/or sexual abuse, and abuse in the health care system; operationalised in NorAQ.Results: A general association was found between lifetime emotional, physical and/or sexual abuse and abuse in the health care system in all three samples. Adult victims of abuse in the health care system reported emotional, physical and/or sexual abuse in childhood more often than non-victims did. These fmdings also held after adjustment for age and educational level.Conclusions: There is a general association between lifetime experiences of abuse and abuse in the health care system. Adult victimisation in the health care system is associated with childhood exposure to emotional, physical and/or sexual abuse. These associations call for attention and need to be further investigated.
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| 4. |
- Swahnberg, Katarina, et al.
(författare)
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Have adults victims of abuse in the health care system been exposed to emotional, physical and/or sexual abuse as children more often than non-victims?
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Objectives: The aim of this study was to find out if there was an association between any lifetime abuse and abuse in the health care system. Furthermore we wanted to analyse if adult victims of abuse in the health care system reported exposure to emotional, physical and/or sexual abuse as children more often than non-victims did.Design: A cross-sectional questionnaire study. Our first hypothesis was tested in the total sample, and the second one in a case-control analysis. The cases were those women who reported experiences of abuse in the health care system as adults. Exposure was defined as emotional, physical and/or sexual abuse in childhood.Settings: Data were gathered from patients visiting three Swedish gynaecological clinics.Sample: 2439 gynaecology patients (response rate 81%).Method: The NorVold Abuse Questionnaire (NorAQ) sent out by post.Main outcome measure: Associations between experiences of emotional, physical and/or sexual abuse, and abuse in the health care system; operationalised in NorAQ.Results: A general association was found between lifetime emotional, physical and/or sexual abuse and abuse in the health care system in all three samples. Adult victims of abuse in the health care system reported emotional, physical and/or sexual abuse in childhood more often than non-victims did. These fmdings also held after adjustment for age and educational level.Conclusions: There is a general association between lifetime experiences of abuse and abuse in the health care system. Adult victimisation in the health care system is associated with childhood exposure to emotional, physical and/or sexual abuse. These associations call for attention and need to be further investigated.
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| 5. |
- Swahnberg, Katarina, et al.
(författare)
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Patients' experiences of abuse in health care : A Nordic study on prevalence and associated factors in gynecological patients
- 2007
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Ingår i: Acta Obstetricia et Gynecologica Scandinavica. - : Wiley. - 0001-6349 .- 1600-0412. ; 86:3, s. 349-356
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Tidskriftsartikel (refereegranskat)abstract
- Background. In an earlier Swedish study conducted with The NorVold Abuse Questionnaire, we found that one-third of female patients who had experienced adult abuse in health care (AAHC) had a background of childhood emotional, physical and/or sexual abuse (EPSA) ('revictimised'). But since the majority of women with AAHC were 'new victims' without such a background, there might be other factors associated with AAHC. The present study aimed to map prevalence of abuse in health care (AHC), and associated variables among new victims and revictimised patients. Methods. We carried out a cross-sectional questionnaire study at 5 Nordic gynecological clinics. Associations between AAHC and other variables were tested in a multivariate model in 4 groups of women with adult EPSA, childhood EPSA, childhood and adult EPSA, and no EPSA. Results. The response rate was 77% (n=3,641). The overall prevalence of any lifetime experience of AHC was 13-28%. High educational level, physical complaints, post-traumatic stress symptoms, and sleeping problems were associated with AAHC in women without EPSA (new victims). Poor self-rated health was strongly associated with AAHC in the 3 groups of women with EPSA. Conclusion. AHC is commonly reported by gynecological patients in the Nordic countries, but not yet properly explored or understood. The most important factors associated with AAHC were high educational level and poor self-rated health.
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| 6. |
- Swahnberg, Katarina, et al.
(författare)
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Women's perceived experiences of abuse in the health care system : their relationship to childhood abuse
- 2004
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Ingår i: British Journal of Obstetrics and Gynecology. - : Wiley. - 1470-0328 .- 1471-0528. ; 111:12, s. 1429-1436
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Tidskriftsartikel (refereegranskat)abstract
- Objectives The aim of this study was to determine whether there was an association between any lifetime experiences of emotional, physical and/or sexual abuse and perceived abuse in the health care system. Furthermore, we wanted to ascertain if adult victims of perceived abuse in the health care system reported exposure to childhood emotional, physical and/or sexual abuse more often than non-victims did.Design A cross sectional questionnaire study. The first hypothesis was tested in the total sample, and the second hypothesis in a case–control analysis. The cases were those women who reported perceived experiences of abuse in the health care system as adults. Exposure was defined as experience of emotional, physical and/or sexual abuse in childhood.Settings Three Swedish gynaecological clinics.Sample A total of 2439 gynaecology patients (response rate 81%).Methods Postal questionnaire.Main outcome measure Associations between experiences of emotional, physical and/or sexual abuse, and perceived abuse in the health care system; all operationalised in The NorVold Abuse Questionnaire (NorAQ).Results A general association was found between lifetime experiences of emotional, physical and/or sexual abuse and perceived abuse in the health care system. Adult victims of abuse in the health care system reported experiences of emotional, physical and/or sexual abuse in childhood more often than non-victims did. These findings also held after adjustment for age and educational level.Conclusions We found associations between experiences of any lifetime abuse and perceived abuse in the health care system. Adult victimisation in the health care system was associated with childhood exposure to emotional, physical and/or sexual abuse. These associations call for attention and need to be further investigated.
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