Alcohol-related problems, drug use, and male intimate partner violence severity among US couples
Alcohol-related problems, drug use, and male intimate partner violence severity among US couples
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DOI：
10.1097/00000374-200204000-00009
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发表时间：
2002-04-01
期刊：
影响因子：
--
通讯作者：
Schafer, J
中科院分区：
文献类型：
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作者：
Cunradi, CB;Caetano, R;Schafer, J
背景：特别是对妇女而言，亲密伴侣暴力（IPV）严重程度与受伤风险相关。先前的研究表明，男性饮酒问题和吸毒是主要的危险因素。然而，很少有研究调查了一般家庭人口样本中男性和女性酒精问题与药物使用以及男性中度和重度IPV风险之间的关系。方法：从1995年全国夫妻研究中获得1615对已婚和同居夫妇的多民族样本，这是一项关于酒精和IPV的横断面研究，我们评估了过去一年男性和女性酒精相关问题（即饮酒后果和酒精依赖症状）和非法药物使用对中度和重度男性IPV风险的贡献。我们构建了一系列广义多项逻辑模型，并对社会人口统计学和社会心理协变量进行了调整，以评估这些关联。结果：女性和男性酒精相关问题以及女性药物使用与男性中度和重度IPV风险增加相关。与我们的预期相反，男性药物使用与两种类型男性IPV的风险升高无关。与居住在低失业率社区的夫妇相比，居住在高失业率社区的夫妇发生严重而非中度男性IPV的风险更高。结论：在一般人群中，男性和女性的酒精相关问题和女性的药物使用似乎是夫妻中男性IPV严重程度的重要相关因素。这些发现有助于IPV筛查工作，预防策略的制定，并有助于告知施暴者和受害者的治疗方案。
Background: Particularly for women, level of intimate partner violence (IPV) severity is associated with risk of injury. Previous research suggests that male drinking problems and drug use are key risk factors. Few studies, however, have examined the associations between male and female alcohol problems and drug use and risk of moderate and severe male IPV in general household population samples.Methods: A multiethnic sample of 1615 married and cohabiting couples was obtained from the 1995 National Study of Couples, a cross-sectional study on alcohol and IPV, We assessed the contribution of past year male and female alcohol-related problems (i.e., drinking consequences and alcohol-dependence symptoms) and illicit drug use to the risk of moderate and severe male IPV. A series of generalized multinomial logit models, with adjustment for sociodemographic and psychosocial covariatus, was constructed to assess these associations.Results: Female and male alcohol-related problems and female drug use, were associated with increased risk of moderate and severe male IPV. Contrary to our expectation, male drug use was not associated with elevated risk for either type of male IPV. Compared with couples residing in low-unemployment neighborhoods, couples residing in high-unemployment neighborhoods were at greater risk for severe, but not moderate, male IPV.Conclusions: Alcohol-related problems among men and women and drug use among women, appear to be important correlates of male IPV severity among couples in the general population. These findings can aid in IPV screening efforts, the formulation of prevention strategies, and help inform batterer and victim treatment programs.