Adolescent Relationship Abuse Among Hospitalized Adolescents.

IF 3 3区医学 Q1 PEDIATRICS Academic Pediatrics Pub Date : 2024-09-26 DOI:10.1016/j.acap.2024.09.001

Kimberly A Randell, Abbey R Masonbrink, Jane A Hunt, Sarah Mermelstein, Raga Kilaru, Sarah Thevatheril, Melissa K Miller

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Abstract

Objective: We assessed adolescent relationship abuse (ARA) prevalence and ARA intervention acceptability and perceived benefit among hospitalized adolescents and young adults (AYA).

Methods: This was a planned secondary analysis of a cross-sectional survey exploring sexual and reproductive health among a convenience sample of AYA (14-25 years) hospitalized in medical/surgical units at two Midwest children's hospitals. Survey items assessed history of dating, lifetime prevalence of four types of ARA (physical abuse, sexual abuse, reproductive coercion, sexual exploitation), and demographics.

Results: Among 324 participants, 72.5% reported dating and, among those with history of dating, 17% reported one or more types of ARA. ARA was more common among those who reported foregone health care in the preceding 12 months. There was no difference in likelihood of dating and ARA between those with and without a chronic health condition. Approximately half felt it is helpful for clinicians to discuss dating relationships with adolescents (58.6%) and acceptable to do this during a hospitalization (50.6%). Conversations with clinicians about dating relationships were more likely to be reported helpful by those who had dated (63.9% reporting dating vs 50.6% not reporting dating, P 0.04) and those who reported prior ARA (79.5% reporting ARA vs 60.4% not reporting ARA, P 0.02).

Conclusions: Hospitalization may represent a unique opportunity to support healthy AYA dating relationships. Further work is needed to further explore acceptability and feasibility of such interventions.

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住院青少年中的青少年关系滥用。

目的我们评估了住院的青少年和年轻成人（AYA）中青春期关系虐待（ARA）的发生率、ARA 干预的可接受性和可感知的益处：这是对中西部两家儿童医院内外科住院的青少年和年轻人（14-25 岁）中性健康和生殖健康横断面调查的二次分析。调查项目包括约会史、四种 ARA（身体虐待、性虐待、生殖胁迫、性剥削）的终生发生率以及人口统计学：在 324 名参与者中，72.5% 的人报告有约会经历，在有约会经历的人中，17% 的人报告有一种或多种类型的 ARA。在那些报告在过去 12 个月中放弃了医疗保健的人中，ARA 更为常见。在有和没有慢性疾病的人群中，约会和 ARA 的可能性没有差异。大约一半的人认为临床医生与青少年讨论约会关系是有帮助的（58.6%），在住院期间讨论约会关系也是可以接受的（50.6%）。曾约会过的青少年（63.9%曾约会过，50.6%未约会过，P 0.04）和曾报告过ARA的青少年（79.5%曾报告过ARA，60.4%未报告过ARA，P 0.02）认为与临床医生讨论约会关系更有帮助：结论：住院可能是支持健康的青壮年约会关系的一个独特机会。结论：住院可能是支持健康的青壮年约会关系的独特机会，需要进一步开展工作，以进一步探索此类干预措施的可接受性和可行性。

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

Academic Pediatrics PEDIATRICS-

CiteScore

4.60

自引率

12.90%

发文量

300

审稿时长

60 days

期刊介绍： Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.