Intimate Partner Violence, Mental Health, and Aging-Related Health Among Men and Women Veterans Across the Lifespan.
Intimate Partner Violence, Mental Health, and Aging-Related Health Among Men and Women Veterans Across the Lifespan.
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DOI：
10.1007/s11606-023-08466-z
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发表时间：
2023-11
影响因子：
5.7
通讯作者：
C. Gibson;Amber L Bahorik;Feng Xia;C. Peltz;Kristine Yaffe
中科院分区：
文献类型：
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作者：
C. Gibson;Amber L Bahorik;Feng Xia;C. Peltz;Kristine Yaffe
越来越多的证据表明，与亲密伴侣暴力（IPV），包括创伤性脑损伤（TBI）有关的不良健康后果。然而，该领域的大多数研究都集中在育龄女性身上。目的探讨男性和女性退伍军人一生中IPV（有和没有TBI）、心理健康和与衰老相关的健康结果之间的关系。设计退伍军人事务部（VA）的横断面分析2000-2019财年的行政数据。使用描述性统计和卡方分析比较了有和无IPV的退伍军人匹配样本中的关键合并症（基于人口统计学和索引日期，性别分层和匹配比例为1：3）。IPV和TBI相对于IPV单独之间的比较也进行了检查。SubjectsVeterans aged 18 + with and without documented IPV in Department of Veterans Affairs（VA）electronic health records（n= 4108名男性，2824名女性）。主要测量ICD代码用于识别IPV，TBI和与年龄相关的医疗（睡眠障碍、高血压、糖尿病、痴呆）和常见的精神疾病（抑郁症，创伤后应激障碍，酒精使用障碍，物质使用障碍）诊断。（男兵：平均年龄66岁，SD 16; 72%非西班牙裔白色人;女性：平均年龄47岁，SD 13; 64%非西班牙裔白色人）。相对于没有IPV的退伍军人，患有IPV的男性和女性的所有体检率都更高（例如，睡眠障碍，男性：33%对52%;女性：45%对63%）和精神病诊断（例如，抑郁症，男性32%对74%;女性59%对91%;所有P <0.001），有证据表明TBI对一些精神病outcome.ConclusionsIPV是广泛相关的年龄相关和心理健康，TBI是一个共同的相关性，可能进一步有助于精神病的结果。研究结果强调了创伤知情护理的重要性，并认识到这些暴露对男性和女性退伍军人一生健康的潜在作用。
BackgroundA growing body of evidence suggests adverse health outcomes related to intimate partner violence (IPV), including traumatic brain injury (TBI). However, most research in this area has focused on reproductive-aged women.ObjectiveTo examine relationships between IPV (with and without TBI), mental health, and aging-related health outcomes among men and women Veterans across the lifespan.DesignCross-sectional analysis of Department of Veterans Affairs (VA) administrative data from fiscal years 2000–2019. Descriptive statistics and chi-square analyses were used to compare key comorbidities in matched samples of Veterans with and without IPV (gender-stratified and matched 1:3 based on demographics and index date). Comparisons between those with IPV and TBI relative to IPV alone were also examined.SubjectsVeterans aged 18 + with and without documented IPV in Department of Veterans Affairs (VA) electronic health records (n= 4108 men, 2824 women).Main MeasuresICD codes were used to identify IPV, TBI, and aging-related medical (sleep disorder, hypertension, diabetes, dementia) and common psychiatric (depression, posttraumatic stress disorder, alcohol use disorder, and substance use disorder) diagnoses.Key ResultsDemographic characteristics were reflective of VA-enrolled Veterans (men: mean age 66, SD 16; 72% non-Hispanic White; women: mean age 47, SD 13; 64% non-Hispanic White). Relative to Veterans without IPV, both men and women with IPV had higher rates of all examined medical (e.g., sleep disorders, men: 33% vs. 52%; women: 45% vs. 63%) and psychiatric diagnoses (e.g., depression, men 32% vs. 74%; women 59% vs. 91%; allps < .001), with evidence of an additive effect of TBI on some psychiatric outcomes.ConclusionsIPV is broadly associated with aging-related and mental health, and TBI is a common correlate that may further contribute to psychiatric outcomes. Findings highlight the importance of trauma-informed care and recognizing the potential role of these exposures on men and women Veterans’ health across the lifespan.