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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Collier, Rachael Quinlivan, Julie A. |
| Description | Country affiliation: Australia Author Affiliation: Collier R ( Institute for Health Research, University of Notre Dame Australia, Fremantle, Western Australia, Australia.) |
| Abstract | AIM: Domestic violence is common in women and is associated with poorer health-care outcomes. However, no causal pathway has been identified to explain this observation. We have followed a cohort of women to determine whether poorer outcomes can be explained by high rates of default and loss to follow-up. MATERIAL AND METHODS: A prospective cohort study was performed. Institutional ethics approval was obtained. Participants were consecutive patients attending colposcopy clinics at a major metropolitan hospital in Australia. Following ascertainment of domestic violence status, appointment outcomes for colposcopy services were tracked for a 3-year period. Multivariate analysis was undertaken to determine demographic factors associated with default from care and loss to follow-up. RESULTS: Of 581 women approached, consent was obtained from 574 women (99%). Domestic violence status was obtained from 566 women, of whom 187 (33%) had a recent history of exposure. Women exposed to violence were more likely to default from colposcopy once (26.2% vs 7.4%; P < 0.0001), twice (11.2% vs 3.2%, P = 0.0001), or thrice (10.7% vs 2.4%, P < 0.0001). They were more likely to be lost to follow-up (8.0% vs 1.1%, P < 0.0001). In multivariate analysis, exposure to domestic violence remained significantly associated with default and loss to follow-up. CONCLUSION: Domestic violence is a risk factor for default from attendance and loss to follow-up at colposcopy services. This may explain the mechanism behind adverse health-care outcomes seen. Screening and targeted appointment intervention programs may improve clinical compliance. |
| File Format | HTM / HTML |
| ISSN | 13418076 |
| Issue Number | 6 |
| Volume Number | 40 |
| e-ISSN | 14470756 |
| Journal | Journal of Obstetrics and Gynaecology Research |
| Language | English |
| Publisher | Wiley |
| Publisher Date | 2014-06-01 |
| Publisher Place | Australia |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Obstetrics Discipline Gynecology Domestic Violence Lost To Follow-up Adult Colposcopy Female Humans Middle Aged Prospective Studies Young Adult Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Obstetrics and Gynecology |
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