Prevalence of intimate partner abuse among nurses and nurses' aides in Mexico

Prevalence of intimate partner abuse among nurses and nurses' aides in Mexico
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DOI:
10.1016/s0188-4409(00)00262-9
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发表时间:
2001-01-01
影响因子:
7.7
通讯作者:
Campbell, J
Campbell, J
中科院分区:
医学4区
文献类型:
--
作者:
Díaz-Olavarrieta, C;Paz, F;Campbell, J

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背景护士是最经常参与家庭暴力(FV)受害者的诊断和治疗的卫生专业人员。了解他们的个人经历与受害的关键是塑造一个适当的作用,倡导者的医疗承认的FV和筛选小组的组成成员。我们试图确定他们中亲密伴侣虐待的终生患病率,并确定其危险因素。在我们的横断面研究中,墨西哥城2所城市医院的1,150名注册护士和护士助理进行了一项匿名调查。我们通过描述性统计、Fisher精确检验和多元逻辑回归模型分析成年期的身体、性和情感虐待。成年期的身体/性虐待对护士助手和护士分别为13%和18%。类似比例(13%的护士助理和14%的护士)也报告了儿童身体/性虐待。其他受访者(39%的护士助理,42%的护士)报告在成年期的情感虐待。检测两组之间的虐待模式没有显着差异,我们结合职业进行所有后续分析。结果分居或离婚(与已婚)(Apr = 3.41,95%置信区间(CI):1.81-6.34)和儿童期遭受身体/性虐待(Apr = 3.39,95% CI:2.26-5.08)与成年期身体/性虐待有关。相同的变量与成人情感虐待相关(分居/离婚:Apr = 5.33,95%CI:2.61-10.85,儿童期身体/性虐待:Apr = 2.58,95%CI:1.79-3.75)。年轻女性(23 ~ 28岁)报告的情感虐待更多(Apr = 2.10,95%CI:1.48-2.98)。为受虐待的护理人员提供咨询可能有助于打破这种循环。护士中的身体/性伴侣虐待似乎低于一般墨西哥人口,但仍然令人担忧。打击童年虐待可能会防止亲密伴侣暴力。(C)2001年IMSS。爱思唯尔科学公司出版
Background Nurses are the health professionals most frequently involved in the diagnosis and treatment of victims of family violence (FV). Understanding their personal experience with victimization is the key to shaping an appropriate role as advocates for medical recognition of FV and as integral members of the screening teams. We sought to determine the lifetime prevalence of intimate partner abuse among them and identify its risk factors.Methods. In our cross-sectional study, 1,150 registered nurses and nurses' aides at ii urban hospitals in Mexico City self-administered an anonymous survey. We calculated descriptive statistics, Fisher exact tests, and multivariate logistic regression models to analyze physical, sexual, and emotional abuse during adulthood.Results. Physical/sexual abuse during adulthood was 13% for nurses' aides and 18% for nurses. Similar proportions (13% of nurses' aides and 14% of nurses) also reported childhood physical/sexual abuse. Additional respondents (39% nurses' aides, 42% nurses) reported emotional abuse during adulthood. Detecting no significant differences in abuse patterns between the two groups, we combined occupations for all subsequent analyses. Results. Being separated or divorced (vs. married) (Apr = 3.41, 95% confidence interval (CI): 1.81-6.34) and having suffered physical/sexual abuse during childhood (Apr = 3.39, 95% CI: 2.26-5.08) were associated with physical/sexual abuse in adulthood. The same variables were associated with adult emotional abuse (separated/divorced: Apr = 5.33, 95% CI: 2.61-10.85, and childhood physical/sexual abuse: Apr = 2.58, 95% CI: 1.79-3.75). Younger women (between the ages of 23 and 28 years) reported more emotional abuse (Apr = 2.10, 95% CI: 1.48-2.98).Conclusions. Counseling for abused nursing staff may help break the cycle. Physical/sexual partner abuse among nurses appears lower than among the general Mexican population, but remains worrisome. Battling childhood abuse might prevent intimate partner violence. (C) 2001 IMSS. Published by Elsevier Science Inc.