Deep Vein Thrombosis (DVT)/Thrombophlebitis, Intimate Partner Violence, Pulmonary Embolism and Thrombosis
Conditions
Brief summary
Intimate violence against individuals, which is particularly marked among women, is one of the most widespread human rights violations in the world. The Women Abuse Screening Tool (WAST) self-questionnaire is a screening tool validated in French. Our preliminary data describing the association between intimate violence against women and the first attack of unexplained venous thromboembolic disease, show a significant frequency of positive responses to the WAST among women attending a biological hematology consultation at the CHU de Nîmes, for reasons of hemostasis disorders (8% out of the first 200 cases). The study authors wish to establish the prevalence of this situation among patients presenting to the CHU de Nîmes for hematological exploration and management. They hypothesize that the prevalence of violence against individuals seen in Hematology consultations is higher among individuals with hemostasis pathologies (hemorrhagic and thrombotic pathologies) than those with cellular pathologies, and higher among women than men.
Interventions
None listed
Sponsors
Centre Hospitalier Universitaire de Nīmes
Study design
Observational model
ECOLOGIC_OR_COMMUNITY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Currently in a relationship or has been in one in the last 12 months, regardless of the length of the relationship * Willing to complete the anonymous WAST self-questionnaire * able to read and understand French * Outpatient consultant at Nîmes University Hospital in one of the following departments: * Biological hematology consultation * Clinical hematology consultation * Vascular medicine consultation
Exclusion criteria
* Individuals under court protection, guardianship or curatorship * Individuals unable to read and understand French * Individuals who have already completed the WAST questionnaire during the study period * Individuals unable to get away from their partner during the consultation to complete the questionnaire in isolation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of patients experiencing Intimate Partner Violence according to consulting department | Day 0 | Percentage of patients with a Women Abuse Screening Tool (WAST) score ≥ 5 consulting in the hemostasis pathology versus cellular hematological pathology department. The WAST is an 8-item questionnaire with a score ranging from 0 to 16 (worst violence), with a cut-off of 5 for presence of violence |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of Intimate Partner Violence in men versus women according to consulting department | Day 0 | WAST score ≥ 5 consulting in the hemostasis pathology versus cellular hematological pathology department in women versus men |
| Prevalence of Intimate Partner Violence according to patient disease status and gender | Day 0 | WAST questionnaire total score in women versus men, for hemostasis disease versus cellular hematological disease versus hemorrhagic symptomatology versus thrombotic symptomatology |
| WAST questionnaire score according to patient disease status and gender | Day 0 | Score for individual items of WAST questionnaire in women versus men, for hemostasis disease versus cellular hematological disease versus hemorrhagic symptomatology versus thrombotic symptomatology |
| Association between the major risk factors for Intimate Partner Violence and WAST score. | Day 0 | WAST questionnaire total score according to: Number of years together, Violence at home growing up, Marital status (divorced or separated), Children living at home, Working status, Finances (personal income, financial difficulties), Living status (together vs separate, size of dwelling, neighbors nearby), Health status of living partner, Health status of patient |
Countries
France
Outcome results
None listed