Violence and PTSD in Mexico - Gender and regional differences
Violence and PTSD in Mexico - Gender and regional differences
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DOI：
10.1007/s00127-005-0921-2
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发表时间：
2005-07-01
影响因子：
4.4
通讯作者：
Hill, EG
中科院分区：
文献类型：
--
作者：
Baker, CK;Norris, FH;Hill, EG
目的：我们研究了墨西哥暴力的终生患病率，以及暴力事件的不同特征如何影响终生创伤后应激障碍（PTSD）标准的概率。方法我们采访了来自墨西哥4个城市（瓦哈卡，瓜达拉哈拉，埃莫西约，梅里达）的2,509名成年人的概率样本使用复合国际诊断访谈（CIDI）。结果暴力的终生患病率为34%。男性报告了更多的单一经验，经常性，身体，青少年，成年和陌生人暴力;女性更多的性，儿童，家庭和亲密伴侣暴力。瓜达拉哈拉的流行率普遍较高，但与其他城市相比，瓦哈卡的影响更大。在这些接触者中，11.5%符合DSM-IV的PTSD标准。发生性暴力和亲密伴侣暴力后的概率最高，妇女高于男子，瓦哈卡高于其他城市。结论重要的是要考虑的特点和背景下的暴力，以制定有效的预防和干预方案，以减少接触和暴力的影响。
Objective We examined the lifetime prevalence of violence in Mexico and how different characteristics of the violent event effect the probability of meeting criteria for lifetime post-traumatic stress disorder (PTSD). Methods We interviewed a probability sample of 2,509 adults from 4 cities in Mexico (Oaxaca, Guadalajara, Hermosillo, Merida) using the Composite International Diagnostic Interview (CIDI). Results Lifetime prevalence of violence was 34%. Men reported more single-experience, recurrent, physical, adolescent, adulthood, and stranger violence; women more sexual, childhood, family, and intimate partner violence. Prevalence was generally higher in Guadalajara, though the impact was greater in Oaxaca compared to other cities. Of those exposed, 11.5% met DSM-IV criteria for PTSD. Probabilities were highest after sexual and intimate partner violence, higher for women than men, and higher in Oaxaca than other cities. Conclusions It is important to consider the characteristics and the context of violence in order to develop effective prevention and intervention programs to reduce the exposure to and impact of violence.