Results Violencephysical assault, sexual assault, drink-driving crashes, and suicidecomprised 84% of the burden in Alexandra, 74% in Zacatecas, 65% in Leuven, and 56%-59% elsewhere. Physical and sexual assault alone comprised 32%-72%. Drink-driving comprised 10%-21%. Conclusions Achieving this SDG goal will require creating effective violence prevention programs. Our physical assault estimates greatly exceed GBD's estimates. GBD's assault incidence sets a high severity threshold for qualifying cases. Its alcohol-attributable fractions for physical assault average one third of the estimates in widely respected multinational studies. GBD 2017 also attributed no sexual violence to harmful alcohol use.
Background: Intimate partner violence (IPV) and reproductive coercion (RC) can result in serious psychological, social and physical harm. Screening patients for IPV/RC has the potential to identify and assist patients who may not otherwise discuss this with a health practitioner. Targeted screening for those with a range of specific presentations including many sexual and reproductive health issues has been recommended, but universal screening has not.
Methods:The implementation and evaluation of a screening program for IPV and RC in an urban sexual and reproductive health clinic is described.
Results:The program enabled patients who had been exposed to IPV and/or RC to receive assistance and support. Screening was highly acceptable to patients, and the reception and clinical staff became both highly supportive of screening and increasingly confident to assist patients who were exposed to IPV and/or RC.
Conclusion and implications for public health:This program could be adapted for use in a number of healthcare settings and lead to positive health outcomes.
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