Recent Violence in a Community-Based Sample of Homeless and Unstably Housed Women With High Levels of Psychiatric Comorbidity
Recent Violence in a Community-Based Sample of Homeless and Unstably Housed Women With High Levels of Psychiatric Comorbidity
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DOI：
10.2105/ajph.2014.301958
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发表时间：
2014-09-01
影响因子：
12.7
通讯作者：
Shumway, Martha
中科院分区：
文献类型：
--
作者：
Riley, Elise D.;Cohen, Jennifer;Shumway, Martha
目标。我们确定了同时发生的精神疾病与针对无家可归和居住不稳定的妇女的暴力行为之间的关联。方法。 2008 年至 2010 年间，我们采访了从社区场所招募的无家可归和住房不稳定的妇女，了解暴力、社会经济因素和精神状况。我们使用多变量逻辑回归来确定暴力的独立相关性。结果。在 291 名女性中，97% 的女性筛查出一种或多种精神疾病呈阳性。主要伴侣和非主要伴侣（非主要伴侣）实施的暴力类型包括情感暴力（24% vs 50%；P < .01）、身体暴力（11% vs 19%；P < .01）和性暴力（7% vs 22%；P < .01）。随着每一次额外的精神病诊断和社会孤立程度的降低，主要伴侣和非主要伴侣暴力的几率都会增加。结论。所有类型的暴力行为更常见的是非主要伴侣，这表明仅关注医疗保健或社会服务机构中的家庭暴力筛查将错过该人群中的大部分暴力行为。与之前的一些研究相反，随着社会隔离的增加，暴力发生的几率降低，这表明社会隔离对于无家可归和居住不稳定、合并症水平高且选择有限的社区可能具有保护作用。
Objectives. We determined associations between co-occurring psychiatric conditions and violence against homeless and unstably housed women.Methods. Between 2008 and 2010, we interviewed homeless and unstably housed women recruited from community venues about violence, socioeconomic factors, and psychiatric conditions. We used multivariable logistic regression to determine independent correlates of violence.Results. Among 291 women, 97% screened positive for 1 or more psychiatric conditions. Types of violence perpetrated by primary partners and persons who were not primary partners (non-primary partners) included emotional violence (24% vs 50%; P < .01), physical violence (11% vs 19%; P < .01), and sexual violence (7% vs 22%; P < .01). The odds of primary partner and non-primary partner violence increased with each additional psychiatric diagnosis and decreasing levels of social isolation.Conclusions. All types of violence were more commonly perpetrated by non-primary partners, suggesting that an exclusive focus on domestic violence screening in health care or social service settings will miss most of the violence in this population. Contrary to some previous studies, the odds of violence decreased as social isolation increased, suggesting that social isolation may be protective in homeless and unstably housed communities with high levels of comorbidity and limited options.