Intimate partner violence in older women
Intimate partner violence in older women
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DOI：
10.1093/geront/47.1.34
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发表时间：
2007-02-01
期刊：
影响因子：
5.7
通讯作者：
Thompson, Robert S.
中科院分区：
文献类型：
--
作者：
Bonomi, Amy E.;Anderson, Melissa L.;Thompson, Robert S.
目的：我们描述老年妇女亲密伴侣暴力（“伴侣暴力”）的流行程度、类型、持续时间、频率和严重程度。设计和方法：我们从医疗保健系统随机抽取370名讲英语的妇女（65岁及以上）参加横断面电话访谈。使用行为风险因素监测系统（BRFSS）中的5个问题和女性遭受殴打经历量表中的10个问题，我们评估了女性遭受伴侣暴力的情况。我们使用BRFSS问题（身体、强迫性交、强迫性接触、言语威胁和控制行为）估计终生伴侣暴力的流行程度，我们使用BRFSS和WEB量表估计过去5年和过去一年的流行程度。我们使用BRFSS问题估计暴力频率、持续时间和严重程度。结果：根据BRFSS，终生伴侣暴力发生率为26.5%；18.4%的妇女遭受过身体暴力或性暴力，21.9%的妇女遭受过非身体暴力（威胁或控制行为）。根据BRFSS和WEB量表，过去5年的暴力发生率为3.5%，过去一年的暴力发生率为2.2%。许多受虐待的妇女报告其一生中有20多次暴力事件（从18.1%的身体暴力到61.2%的控制行为）。中位持续时间从3年（强迫性接触）到10年（控制行为）不等。受虐妇女认为自己遭受的虐待严重的比例从39.1%（强迫性行为或性接触）到70.7%（威胁）不等。影响：终生伴侣暴力的发生率、频率、持续时间和严重程度都很高，加上先前的研究结果表明伴侣暴力对健康的长期不利影响，表明需要加大努力解决老年妇女的伴侣暴力问题。
Purpose: We describe the prevalence, types, duration, frequency, and severity of intimate partner violence ("partner violence") in older women. Design and Methods: We randomly sampled a total of 370 English-speaking women (65 years of age and older) from a health care system to participate in a cross-sectional telephone interview. Using 5 questions from the Behavioral Risk Factor Surveillance System (BRFSS) and 10 questions from the Women's Experience with Battering (WEB) Scale, we assessed a woman's exposure to partner violence. We estimated lifetime partner violence prevalence using the BRFSS questions (physical, forced intercourse, forced sexual contact, verbal threats, and controlling behavior), and we estimated past-5-year and past-year prevalence using the BRFSS and the WEB Scale. We estimated violence frequency, duration, and severity using the BRFSS questions. Results: According to the BRFSS, lifetime partner violence prevalence was 26.5%; 18.4% of women experienced physical or sexual violence and 21.9% experienced nonphysical violence (threats or controlling behavior). According to the BRFSS and WEB Scale, past-5-year violence prevalence was 3.5%, and past-year violence prevalence was 2.2%. Many abused women reported more than 20 episodes of violence in their lifetime (from 18.1% for physical violence to 61.2% for controlling behavior). The median duration ranged from 3 years (forced sexual contact) to 10 years (controlling behavior). The proportion of abused women rating their abuse as severe ranged from 39.1% (forced sex or sexual contact) to 70.7% (threats). Implications: The high lifetime partner violence occurrence, frequency, duration, and severity, coupled with results from prior studies indicating long-term adverse health effects of partner violence, suggest a need for increased efforts to address partner violence in older women.