Associations of Emotional, Physical, or Sexual Intimate Partner Violence and Depression Symptoms Among South African Women in a Prospective Cohort Study.
Associations of Emotional, Physical, or Sexual Intimate Partner Violence and Depression Symptoms Among South African Women in a Prospective Cohort Study.
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在一项前瞻性队列研究中，南非妇女的情绪，身体或性亲密伴侣暴力和抑郁症状的联系。
DOI：
10.1177/0886260518796522
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发表时间：
2021-05
影响因子：
2.5
通讯作者：
Stein DJ
中科院分区：
文献类型：
--
作者：
Okafor CN;Barnett W;Zar HJ;Nhapi R;Koen N;Shoptaw S;Stein DJ
暴力侵害妇女行为仍然是全球一个重大的公共卫生问题。大多数记录亲密伴侣暴力对妇女心理健康负面影响的纵向研究来自高收入国家。本研究的目的是调查情绪，身体或性IPV和抑郁症状之间的纵向关联在南非妇女的前瞻性队列研究。参与者是参加Drakenstein儿童健康研究的981名南非妇女，这是一项调查儿童健康早期决定因素的队列研究。纳入了4个时间点（产前护理访视、产后6个月、12个月和18个月）的访谈数据。主要自变量是过去12个月内自我报告的情感、身体和性IPV。使用爱丁堡产后抑郁量表（EPDS）在每个时间点评估抑郁症状;使用≥ 13分的临界评分定义显著的抑郁症状。我们使用多变量logistic回归模型来确定3种不同形式的IPV与显著抑郁症状之间的关联，同时调整时间固定和时间更新的协变量。产前检查时样本的平均年龄为27岁（标准差=6.0）。在包括所有形式的IPV和调整的社会人口统计学和临床特征、物质使用和儿童期创伤的调整模型中，情绪[调整的比值比（aOR）=1.55 95%置信区间（CI）; 1.02，2.34; p=.039）]和性（aOR= 2.02，95%CI：1.10，3.72; p=<.001）IPV与显著抑郁症状显著相关。躯体IPV与显著抑郁症状之间的关系无统计学显著性（aOR=0.68，95% CI：0.44，1.05; p= 0.485）。我们的研究证实了来自高收入国家的调查结果，即IPV与南非女性抑郁症状之间的关联。在南非，需要对IPV进行常规筛查，包括对妇女进行情感IPV和IPV干预计划。
Violence against women remains a significant public health problem globally. Majority of longitudinal studies documenting the negative impact of intimate partner violence (IPV) on the mental health of women come from high-income countries. The aim of this study was to investigate the longitudinal association between emotional, physical or sexual IPV and depression symptoms among South African women in a prospective cohort study. Participants were 981 South African women enrolled in the Drakenstein Child Health Study – a cohort study investigating the early life determinants of child health. Interview data from 4 time-points (antenatal care visit, 6 months, 12 months, and 18 months post-partum) were included. The primary independent variable was self-reported emotional, physical and sexual IPV in the past 12 months. Depressive symptoms were assessed at each time-point with the Edinburgh Postnatal Depression Scale (EPDS); a cut-off score of ≥ 13 was used to define significant depression symptoms. We used pooled-multivariable logistic regression models to determine associations between the 3 different forms of IPV and significant depression symptoms while adjusting for time-fixed and time-updated covariates. Mean age of the sample at antenatal care visit was 27 years (standard deviation=6.0). In the adjusted model including all forms of IPV and adjusting sociodemographic and clinical characteristics, substance use and childhood trauma, emotional [adjusted odds ratio (aOR) =1.55 95% confidence interval (CI); 1.02, 2.34; p=.039)] and sexual (aOR= 2.02, 95% CI: 1.10, 3.72; p=<.001) IPV were significantly associated with significant depression symptoms. The relationship between physical IPV and significant depression symptoms was not statistically significant (aOR=0.68, 95% CI: 0.44, 1.05; p=.485). Our study confirms findings from high-income countries of the association between IPV and depressive symptoms among women in South Africa. Routine screening for IPV, including emotional IPV and intervention programs for IPV among women is needed in South Africa.
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影响因子：
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作者：
Ali NS;Azam IS;Ali BS;Tabbusum G;Moin SS
通讯作者：
Moin SS
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影响因子：
3.7
作者：
Barrios YV;Gelaye B;Zhong Q;Nicolaidis C;Rondon MB;Garcia PJ;Sanchez PA;Sanchez SE;Williams MA
通讯作者：
Williams MA
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2.3
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Maman S
影响因子：
168.9
作者：
Ellsberg, Mary;Jansen, Henrica A. F. M.;Garcia-Moreno, Claudia
通讯作者：
Garcia-Moreno, Claudia
影响因子：
5.4
作者：
Devries, Karen;Watts, Charlotte;Garcia-Moreno, Claudia
通讯作者：
Garcia-Moreno, Claudia