Exposure to abuse, neglect, and household dysfunction among adults who witnessed intimate partner violence as children: implications for health and social services.
Exposure to abuse, neglect, and household dysfunction among adults who witnessed intimate partner violence as children: implications for health and social services.
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DOI：
10.1891/vivi.17.1.3.33635
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发表时间：
2002-02-01
影响因子：
1.1
通讯作者：
Williamson, David F
中科院分区：
文献类型：
--
作者：
Dube, Shanta R;Anda, Robert F;Williamson, David F
亲密伴侣暴力损害妇女的身心健康，并表明她的孩子可能遭受虐待、忽视和其他创伤经历。成年HMO成员完成了一份关于不良童年经历（ace）的问卷，包括童年虐待、忽视和家庭功能障碍。我们使用他们的回答来回顾性评估目睹亲密伴侣暴力与经历9个ACE和多个ACE （ACE分数）中的任何一个之间的关系。与没有家庭暴力的人相比，发生IPV的任何个体ACE的校正优势比约为2至6倍（p < 0.05）。随着目睹IPV的频率增加，每一类ACE的患病率都有明显的分级增加。此外，在儿童时期目睹过IPV的人的ace总数急剧增加。随着目睹IPV的频率增加，自我报告的酗酒、非法药物使用、静脉注射药物使用和抑郁影响的风险呈阳性分级。查明IPV受害者必须包括对其子女进行虐待、忽视和其他类型的不良接触的筛查，并认识到药物滥用和抑郁情绪可能是目睹IPV的后果。最后，这一数据强烈提示，未来关注IPV对长期健康结果影响的研究可能需要考虑多重ace的共同发生，这也会影响这些结果。
Intimate partner violence (IPV) damages a woman's physical and mental well-being, and indicates that her children are likely to experience abuse, neglect and other traumatic experiences. Adult HMO members completed a questionnaire about adverse childhood experiences (ACEs) including childhood abuse, neglect, and household dysfunction. We used their responses to retrospectively assess the relationship between witnessing intimate partner violence and experiencing any of the 9 ACEs and multiple ACEs (ACE score). Compared to persons who grew up with no domestic violence, the adjusted odds ratio for any individual ACE was approximately two to six times higher if IPV occurred (p < 0.05). There was a powerful graded increase in the prevalence of every category of ACE as the frequency of witnessing IPV increased. In addition, the total number of ACEs was increased dramatically for persons who had witnessed IPV during childhood. There was a positive graded risk for self-reported alcoholism, illicit drug use, i.v. drug use and depressed affect as the frequency of witnessing IPV increased. Identification of victims of IPV must include screening of their children for abuse, neglect and other types of adverse exposures, as well as recognition that substance abuse and depressed affect are likely consequences of witnessing IPV. Finally, this data strongly suggest that future studies, which focus on the effect of witnessing IPV on long-term health outcomes, may need to take into consideration the co-occurrence of multiple ACEs, which can also affect these outcomes.