Understanding Control in Adolescent and Young Adult Relationships
Understanding Control in Adolescent and Young Adult Relationships
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DOI：
10.1001/archpediatrics.2011.32
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发表时间：
2011-04-01
影响因子：
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通讯作者：
Rickert, Vaughn I.
中科院分区：
文献类型：
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作者：
Catallozzi, Marina;Simon, Peter J.;Rickert, Vaughn I.
目的：描述年轻女性约会关系中控制行为的接收情况以及与身体和性关系暴力（RV）的关联，并确定经历伴侣控制的年轻女性是否支持RV筛查并诚实地回应。设计：匿名音频计算机辅助自我访谈。设置：生殖健康中心。参与者：共有603名15至24岁的妇女寻求生殖保健。主要结果测量：自我报告的受害情况（控制行为以及身体和性侵犯）。结果：68%的参与者报告说，他们的伴侣有过一次或多次控制行为：38.1%的人报告说只经历过控制行为;分别有11.4%和10.0%的人报告受到控制行为和身体或性侵害，8.6%的人报告各种形式的RV。调整后的泊松回归发现，15至18岁（相对风险，1.40），西班牙裔（1.29）、童年遭受家庭暴力（1.11），曾经怀孕（1.21）、年长伴侣（1.28）、近期体检（1.89）或性（1.93）受害，和不舒服的要求使用安全套（1.39）与增加的事件控制行为的合作伙伴。年轻女性和那些谁报告被控制行为的受害者是两倍以上的可能性，以反对筛选由医疗保健提供者，和那些谁报告收到这些行为的2.5倍更有可能报告说，他们可能不会诚实地披露RV。结论：控制行为与身体和性RV密切相关。经历控制行为的年轻女性对RV筛查更加沉默，可能不会觉得他们可以诚实地回答。
Objectives: To describe the receipt of controlling behaviors in young women's dating relationships and the association with physical and sexual relationship violence (RV) and to ascertain whether young women experiencing controlling from partners support RV screening and respond honestly.Design: Anonymous audio computer-assisted self-interview.Setting: Reproductive health center.Participants: A total of 603 women aged 15 to 24 years seeking reproductive care.Main Outcome Measures: Self-reported victimization (controlling behaviors and physical and sexual aggression) by a partner in the past year.Results: Sixty-eight percent of participants reported receiving 1 or more episodes of controlling behavior by a partner: 38.1% reported experiencing only controlling behaviors; 11.4% and 10.0% reported receiving control-ling behaviors plus physical or sexual victimization, respectively; and 8.6% reported all forms of RV. Adjusted Poisson regression found that age 15 to 18 years (relative risk, 1.40), Hispanic ethnicity (1.29), childhood exposure to domestic violence (1.11), ever pregnant (1.21), older partner (1.28), recent physical (1.89) or sexual (1.93) victimization, and uncomfortable asking for condom use (1.39) were significantly associated with increased episodes of controlling behavior by a partner. Younger women and those who reported being victimized by controlling behaviors were more than twice as likely to object to screening by a health care provider, and those who reported receiving these behaviors were 2.5 times more likely to report that they might not honestly disclose RV.Conclusions: Controlling behaviors are strongly associated with physical and sexual RV. Young women experiencing controlling behaviors are more reticent about screening for RV and may not feel that they can answer honestly.