Table 4.
Frequency and Percent Distributions of Perceived Barriers to Screening as They Relate to Reported Screening Practices Among Adult Primary Care Patients (N = 313) in 2007abc
| Sometimes/Usually/Always Screen for a History of Childhood Trauma | Statistics |
Usually/Always Screen for a History of Childhood Trauma | Statistics |
|||
| Variable | χ2 | P | χ2 | P | ||
| Not enough time to ask about a history of childhood trauma | ||||||
| Major barrier (n = 179) | 132 (73.7) | 2.53 | .282 | 43 (24.0) | 7.13 | .028 |
| Minor barrier (n = 94) | 76 (80.9) | 33 (35.1) | ||||
| Not a barrier (n = 32) | 22 (68.8) | 14 (43.8) | ||||
| Not enough time to evaluate and counsel victims of childhood trauma | ||||||
| Major barrier (n = 216) | 154 (71.3) | 6.83 | .033 | 54 (25.0) | 8.07 | .018 |
| Minor barrier (n = 65) | 56 (86.2) | 23 (35.4) | ||||
| Not a barrier (n = 24) | 20 (83.3) | 12 (50.0) | ||||
| Uncomfortable inquiring about psychosocial issues | ||||||
| Major barrier (n = 20) | 12 (60.0) | 4.30 | .116 | 4 (20.0) | 4.77 | .092 |
| Minor barrier (n = 115) | 84 (73.0) | 27 (23.5) | ||||
| Not a barrier (n = 169) | 134 (79.3) | 58 (34.3) | ||||
| The women I see are unlikely to have been victims of childhood trauma | ||||||
| Major barrier (n = 7) | 5 (71.4) | 7.00 | .030 | 1 (14.3) | 12.14 | .002 |
| Minor barrier (n = 36) | 21 (58.3) | 2 (5.6) | ||||
| Not a barrier (n = 259) | 203 (78.4) | 85 (32.8) | ||||
| The men I see are unlikely to have been victims of childhood trauma | ||||||
| Major barrier (n = 10) | 7 (70.0) | 3.47 | .177 | 1 (10.0) | 7.96 | .019 |
| Minor barrier (n = 43) | 28 (65.1) | 6 (14.0) | ||||
| Not a barrier (n = 249) | 194 (77.9) | 81 (32.5) | ||||
| History of childhood trauma is not a medical problem | ||||||
| Major barrier (n = 8) | 7 (87.5) | 7.96 | .019 | 0 (0.0) | 9.57 | .008 |
| Minor barrier (n = 29) | 16 (55.2) | 3 (10.3) | ||||
| Not a barrier (n = 262) | 204 (77.9) | 85 (32.4) | ||||
| Concern that asking about an abuse history may retraumatize my patients | ||||||
| Major barrier (n = 15) | 11 (73.3) | 3.22 | .200 | 2 (13.3) | 2.02 | .365 |
| Minor barrier (n = 97) | 80 (82.5) | 29 (29.9) | ||||
| Not a barrier (n = 189) | 138 (73.0) | 58 (30.7) | ||||
| Little I can to do help patients who have revealed a history of childhood trauma | ||||||
| Major barrier (n = 29) | 15 (51.7) | 12.93 | .002 | 1 (3.4) | 11.45 | .003 |
| Minor barrier (n = 106) | 78 (73.6) | 30 (28.3) | ||||
| Not a barrier (n = 166) | 136 (81.9) | 57 (34.3) | ||||
| Concern about offending my patients by asking about a history of childhood trauma | ||||||
| Major barrier (n = 18) | 10 (55.6) | 7.94 | .019 | 1 (5.6) | 17.55 | < .001 |
| Minor barrier (n = 104) | 74 (71.2) | 19 (18.3) | ||||
| Not a barrier (n = 179) | 145 (81.0) | 68 (38.0) | ||||
| No reimbursement in screening for childhood trauma | ||||||
| Major barrier (n = 19) | 15 (78.9) | 0.21 | .899 | 4 (21.1) | 0.79 | .675 |
| Minor barrier (n = 54) | 40 (74.1) | 15 (27.8) | ||||
| Not a barrier (n = 228) | 174 (76.3) | 69 (30.3) | ||||
| Difficult to verify reports of histories of childhood trauma | ||||||
| Major barrier (n = 18) | 9 (50.0) | 7.35 | .025 | 4 (22.2) | 3.41 | .182 |
| Minor barrier (n = 73) | 57 (78.1) | 16 (21.9) | ||||
| Not a barrier (n = 209) | 163 (78.0) | 68 (32.5) | ||||
| Competing multiple primary care recommendations | ||||||
| Major barrier (n = 114) | 87 (76.3) | 0.84 | .656 | 28 (24.6) | 7.42 | .024 |
| Minor barrier (n = 81) | 59 (72.8) | 20 (24.7) | ||||
| Not a barrier (n = 103) | 81 (78.6) | 41 (39.8) | ||||
a
Data are presented as n (%).
b
Some variables may not total to 313 because of sporadic missing data.
c
Bolded values indicate statistical significance.