• Anieck M Lomans, Annemarie A Uijen, Reinier P Akkermans, Toine A L M Lagro-Janssen, and Doreth A M Teunissen.
• Department of Primary and Community Care, Gender and Women's Health, Radboud University Medical Centre, Nijmegen, The Netherlands.
• Eur J Gen Pract. 2022 Dec 1; 28 (1): 404740-47.

BackgroundPrevious studies show an association between a history of abuse and higher care demand. However, studies in general practice regarding help-seeking behaviour by patients (mainly male patients) with a history of abuse are scarce.ObjectivesTo analyse help-seeking behaviour in general practice of men and women with a history of abuse.MethodsA cohort study using data from a Dutch primary care registration network from 2015 to 2019. We included all patients aged ≥ 18 years who indicated on a questionnaire that they did or did not have a history of abuse. We analysed differences in contact frequency, types of contact, reason for encounter and diagnoses between men and women with or without a history of abuse.ResultsThe questionnaire had a response rate of 59% and resulted in 11,140 patients, of which 1271 indicated a history of abuse. Men and women with a history of abuse contact the general practitioner (GP) 1.5 times (95% CI 1.42-1.60) more often than men and women without a history of abuse, especially for psychological (rate ratio 1.97, 95% CI 1.79-2.17) and social (rate ratio 1.93, 95% CI 1.68-2.22) problems. Moreover, when diagnosed with a psychological or social problem, patients with a history of abuse contact the GP twice more often for these problems.ConclusionCompared to men and women without a history of abuse, men and women with a history of abuse visit their GP more often, particularly for psychological and social problems.

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