Help-seeking behaviour in primary care of men and women with a history of abuse: A Dutch cohort study

Autor: Anieck M. Lomans, Annemarie A. Uijen, Reinier P. Akkermans, Toine A. L. M. Lagro-Janssen, Doreth A. M. Teunissen
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: European Journal of General Practice, Vol 28, Iss 1, Pp 40-47 (2022)
Druh dokumentu: article
ISSN: 13814788
1751-1402
1381-4788
DOI: 10.1080/13814788.2022.2054985
Popis: Background Previous studies show an association between a history of abuse and higher care demand. However, studies in general practice regarding help-seeking behaviour by patients (mainly male patients) with a history of abuse are scarce.Objectives To analyse help-seeking behaviour in general practice of men and women with a history of abuse.Methods A cohort study using data from a Dutch primary care registration network from 2015 to 2019. We included all patients aged ≥ 18 years who indicated on a questionnaire that they did or did not have a history of abuse. We analysed differences in contact frequency, types of contact, reason for encounter and diagnoses between men and women with or without a history of abuse.Results The questionnaire had a response rate of 59% and resulted in 11,140 patients, of which 1271 indicated a history of abuse. Men and women with a history of abuse contact the general practitioner (GP) 1.5 times (95% CI 1.42–1.60) more often than men and women without a history of abuse, especially for psychological (rate ratio 1.97, 95% CI 1.79–2.17) and social (rate ratio 1.93, 95% CI 1.68–2.22) problems. Moreover, when diagnosed with a psychological or social problem, patients with a history of abuse contact the GP twice more often for these problems.Conclusion Compared to men and women without a history of abuse, men and women with a history of abuse visit their GP more often, particularly for psychological and social problems.
Databáze: Directory of Open Access Journals