Abstract

The aim of this questionnaire study is to investigate the impact of life-time experiences of violence on the course and severity of endometriosis at a University Endometriosis Center. It also explores women’s attitudes toward medical screening for violence. The questionnaire covered demographic data, medical data, information involving possible experiences of psychological, physical, sexual, and intimate partner violence as well as violence screening in medical care. Questionnaires of 118 participants were analyzed. 41/118 women reported some form of violence (34.8%). These women had a significantly higher risk for severe dysmenorrhea, use of analgesics, and comorbidities in comparison to women without life-time experiences of violence. Statistically significant differences were also found for employment status and impaired working ability. More than 60% of women considered the aspect of violence as important for health. However, only 17.1% of women with experiences of violence recalled being asked about violence by a medical professional. The study results suggest that experiences of violence have a significant impact on the course and severity of endometriosis. The findings highlight the importance of healthcare providers to be aware of the potential impact of violence on women’s health, and routine screening for violence in medical care, especially in women with endometriosis.

摘要

本问卷研究的目的是调查大学子宫内膜异位症中心一生的暴力经历对子宫内膜异位症病程和严重程度的影响。它还探讨了女性对暴力医疗筛查的态度。调查问卷涵盖人口数据、医疗数据、可能经历的心理、身体、性和亲密伴侣暴力的信息以及医疗保健中的暴力筛查。对 118 名参与者的问卷进行了分析。41/118 名妇女报告了某种形式的暴力行为（34.8%）。与没有一生遭受暴力经历的女性相比，这些女性出现严重痛经、使用镇痛药和合并症的风险明显更高。就业状况和工作能力受损也存在统计学上的显着差异。超过 60% 的女性认为暴力对于健康很重要。然而，只有 17.1% 有暴力经历的女性回忆起曾被医疗专业人员询问过有关暴力的问题。研究结果表明，暴力经历对子宫内膜异位症的病程和严重程度有显着影响。研究结果强调了医疗保健提供者必须意识到暴力对妇女健康的潜在影响，并定期筛查医疗保健中的暴力行为，尤其是患有子宫内膜异位症的妇女。