title: General practice service use and satisfaction among female survivors of childhood sexual abuse.
abstract: BACKGROUND
  Because childhood sexual abuse (CSA) and adult violence are associated with poorer physical and mental health of women, our aim was to investigate the associations between CSA, adult violence experiences and general practice service use and satisfaction in a community sample of Australian women aged 28-33 years.
  
  
  METHODS
  Data of 9058 women from the 1973-78 cohort who completed Survey 4 of the Australian Longitudinal Study on Women's Health were analysed.
  
  
  RESULTS
  Logistic regressions conducted indicated that after controlling for demographic variables, women with experiences of lifetime violence were more likely to have higher general practice service use compared to those without violence experiences. CSA was not associated with an increase in service use but was significantly associated with a decrease in service satisfaction. This find-ing remained significant even when they visited the general practice more frequently.
  
  
  CONCLUSIONS
  Implementing trauma-informed care is suggested as a way to improve the satisfaction of this patient group with complex needs.
authors: MBBS, PhD, MMed(WomenHlth), DCH, GCHPE, is Associate Professor, Department of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria.
authors: Jan
authors: J
authors: Coles
authors: Adeline
authors: A
authors: Lee
authors: Angela
authors: A
authors: Taft
authors: Danielle
authors: D
authors: Mazza
authors: Deborah
authors: D
authors: Loxton
mesh_terms: D000328:Adult; D001315:Australia; D002648:Child; D002650:Child Abuse, Sexual / Q000628:therapy*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008603:Mental Health; D017060:Patient Satisfaction; D011320:Primary Health Care / Q000592:standards* / Q000706:statistics & numerical data*; D012742:Sex Offenses; D011795:Surveys and Questionnaires