Objective

To assess reproductive endocrinologists’ attitudes, beliefs, knowledge, and experiences with intimate partner violence (IPV).

Design

Cross-sectional survey of US reproductive endocrinologists.

Setting

The survey was disseminated via both direct mail and e-mail to a voluntary, semirandomized US national sample of reproductive endocrinologists. We randomly selected a maximum of six clinics per state using the Centers for Disease Control and Prevention Fertility Clinic Success Rates Report.

Patient(s)

None.

Intervention(s)

None.

Main Outcome Measures

Clinician perceptions and knowledge regarding IPV and its relevance to the infertility setting.

Results

A total of 95 reproductive endocrinology and infertility physicians practicing in either academic or private clinics in the United States completed the survey with an overall response rate of 46% (95/200). General knowledge of IPV was good among respondents. Intimate partner violence assessment was very relevant among 39% (37/95) of respondents and possibly relevant among 56% (53/95) of respondents. A history of IPV awareness training was associated with a decreased frequency of reported barriers, including fewer perceived time constraints, decreased knowledge regarding IPV community resources, and less discomfort asking about IPV. Most respondents estimated the prevalence of IPV in their practice to be rare (≤1%). However, 33% (31/95) reported identifying between one and five active victims of IPV over the prior year, and 63% (60/95) reported identifying a victim of IPV throughout their careers. Only 17% (16/95) of respondents were certain that their clinic had guidelines for detection or management of IPV.

Conclusion

Reproductive endocrinology and infertility physicians would benefit from education and training in IPV to enable them to better identify and assist patients who are victims of IPV.

中文翻译：

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生殖内分泌学家在识别亲密伴侣暴力方面的知识和态度

客观的

评估生殖内分泌学家对亲密伴侣暴力 (IPV) 的态度、信念、知识和经验。

设计

美国生殖内分泌学家的横断面调查。

环境

该调查通过直接邮件和电子邮件传播给一个自愿的、半随机的美国生殖内分泌学家全国样本。我们使用疾病控制和预防中心生育诊所成功率报告，在每个州随机选择最多六个诊所。

耐心）

没有任何。

干预措施

没有任何。

主要观察指标

临床医生对 IPV 的看法和知识及其与不孕症的相关性。

结果

共有 95 名在美国学术或私人诊所执业的生殖内分泌和不孕症医生完成了调查，总体响应率为 46% (95/200)。受访者对 IPV 的一般知识很好。亲密伴侣暴力评估与 39% (37/95) 的受访者非常相关，可能与 56% (53/95) 的受访者相关。IPV 意识培训的历史与报告障碍的频率降低有关，包括更少的感知时间限制、关于 IPV 社区资源的知识减少以及询问 IPV 的不适感减少。大多数受访者估计在他们的实践中 IPV 的流行是罕见的 (≤1%)。然而，有 33% (31/95) 的受访者报告说，在上一年发现了 1 到 5 名活跃的 IPV 受害者，63% (60/95) 报告称在他们的整个职业生涯中都发现了 IPV 的受害者。只有 17% (16/95) 的受访者确定他们的诊所有检测或管理 IPV 的指南。

结论

生殖内分泌学和不孕症医生将受益于 IPV 的教育和培训，使他们能够更好地识别和帮助 IPV 受害者。