liu.seSök publikationer i DiVA
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Strong discomfort during vaginal examination: why consider a history of abuse?
Linköpings universitet, Institutionen för klinisk och experimentell medicin, Genus och medicin. Linköpings universitet, Hälsouniversitetet.
Linköpings universitet, Institutionen för klinisk och experimentell medicin, Genus och medicin. Linköpings universitet, Hälsouniversitetet.ORCID-id: 0000-0002-2902-7077
Linköpings universitet, Institutionen för klinisk och experimentell medicin, Genus och medicin. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Barn- och kvinnocentrum, Kvinnokliniken i Linköping.
2011 (Engelska)Ingår i: European Journal of Obstetrics, Gynecology, and Reproductive Biology, ISSN 0301-2115, Vol. 157, nr 2, s. 200-205Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective

To study factors associated with strong discomfort during vaginal examinations (SD/VE) by means of four hypotheses.

Study design

A cross sectional postal questionnaire study, conducted at three Swedish departments of obstetrics and gynaecology and with a random population sample (n = 4453).

Main outcome measures

The associations between a self-reported history of emotional, physical and sexual abuse and abuse in health care, flashbacks during the previous year, emotional contact with the examiner, and SD/VE during the index visit (discomfort estimated on a ten-point scale; six-ten = SD). Statistical analyses used were Chi-square, Binary logistic regression, and Pearson Correlation.

Results

Eighteen percent of the women reported SD/VE. There was an association between SD/VE and a lifetime history of abuse. Having experienced combinations of abuse, especially combinations including emotional abuse and abuse in health care, was strongly associated with SD/VE. SD/VE was furthermore associated with flashbacks during the previous year, and negative emotional contact with the examiner during the index visit.

Conclusions

We conclude that women who unexpectedly react with SD/VE are more likely to have a background of abuse, and may even run a risk of feeling re-traumatised during the VE. A clinical implication is to consider a history of abuse in patients who react with SD/VE or experience negative emotional contact during the consultation.

Ort, förlag, år, upplaga, sidor
Elsevier , 2011. Vol. 157, nr 2, s. 200-205
Nyckelord [en]
NorAQ, Sexual abuse, Emotional abuse, Vaginal examination, Discomfort, Abuse in health care
Nationell ämneskategori
Medicin och hälsovetenskap
Identifikatorer
URN: urn:nbn:se:liu:diva-67861DOI: 10.1016/j.ejogrb.2011.02.025ISI: 000293727800016OAI: oai:DiVA.org:liu-67861DiVA, id: diva2:413885
Tillgänglig från: 2011-04-29 Skapad: 2011-04-29 Senast uppdaterad: 2018-11-15

Open Access i DiVA

Fulltext saknas i DiVA

Övriga länkar

Förlagets fulltext

Personposter BETA

Swahnberg, KatarinaWijma, BarbroSiwe, Karin

Sök vidare i DiVA

Av författaren/redaktören
Swahnberg, KatarinaWijma, BarbroSiwe, Karin
Av organisationen
Genus och medicinHälsouniversitetetKvinnokliniken i Linköping
Medicin och hälsovetenskap

Sök vidare utanför DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetricpoäng

doi
urn-nbn
Totalt: 145 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf